Clinical Manager

UnitedHealth Group•Opelika, AL
•$69,336 - $104,004

About The Position

The Clinical Manager provides leadership, supervision, and coordination of therapy services to support high-quality, compliant, and cost-effective patient care. The role maintains fiscal responsibility and facilitates patient-care communication, while supporting referrals, scheduling, patient visits, and documentation as needed. The manager organizes clinical operations for the care center and oversees clinical performance, patient eligibility, scheduling, payor verification, precertification, and documentation processes. The role also supports clinicians in creating and revising patient plans of care, assists with staff training, addresses patient and family concerns, and participates in the on-call process. Infrequent direct patient care may be provided during emergencies. Amedisys is part of the Optum family of businesses and provides home health, hospice, and community-based services. The company describes its culture as focused on caring, connecting, and growing, and emphasizes personalized care, professional development, and an inclusive workplace.

Requirements

  • Associate or bachelor's degree in nursing.
  • Current RN license specific to the state or states assigned.
  • Current CPR certification.
  • At least 1 year of clinical RN experience in home health or hospice.
  • At least 1 year of RN management experience.
  • Driver's license and access to reliable transportation.

Responsibilities

  • Recommend staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or changes in employment status.
  • Oversee the overall quality of patient care and clinical performance of nurses and aides.
  • Organize clinical operations for the care center.
  • Review service requests and determine patient eligibility and suitability for home care services.
  • Coordinate patient referrals and admissions with intake.
  • Oversee scheduling.
  • Oversee payor verification and precertification requirements.
  • Review staff documentation and ensure missing, incomplete, or untimely documentation issues are resolved.
  • Assist clinicians in establishing immediate and long-term patient goals, setting priorities, and developing plans of care.
  • Regularly evaluate patient needs and revise plans of care in collaboration with clinicians.
  • Provide direct patient care infrequently in emergency situations, as needed.
  • Participate in the on-call process.
  • Assist with staff training to support quality care, compliance, and fiscal responsibility.
  • Participate in investigating and resolving patient, family, and physician concerns.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401(k) contribution, subject to eligibility requirements.
  • Development opportunities for other roles.
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