Home Health RN Clinical Manager

CenterWell • Lumberton, NC

1d • Onsite

About The Position

Become a part of our caring community As a Home Health RN Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high quality care in the home setting. By guiding clinical practice, coordinating patient services, conducting quality assurance reviews, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles. Position Type: On-site at our CWHH Lumberton, NC branch location Work Schedule: Full-time/40 Hours As an RN Clinical Manager, you will: Guide, support, and educate clinicians; help goal set, care planning, and clinical decision making; and remain available during operating hours for clinical support. Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes. Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff. Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards. Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies. Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders. Monitor outcome-based quality indicators and assist in developing performance improvement plans. Participate in quality improvement projects, internal audits, and regulatory survey readiness. Track and report quality metrics, trends, and areas for improvement to leadership. Provide staff education and support with compliance issues and documentation standards. Stay current on federal and state regulations related to home health care and quality assurance. Provide direct patient care on a limited basis in exceptional or unplanned circumstances. Use your skills to make an impact

Requirements

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR certification.
• Valid driver's license, auto insurance and reliable transportation.
• A minimum of 2 years of experience as a Registered Nurse.

Nice To Haves

• Traditional home health experience is preferred.
• Management and people leadership experience is preferred.
• OASIS experience is preferred.
• OASIS certification (HCS-O, COQS, and/or COS-C) is preferred.
• Demonstrated experience with OASIS assessment types, including Start of Care (SOC), Resumption of Care (ROC), recertifications, discharges from care (DC), and transfers of care, preferred.
• Homecare Homebase (HCHB) experience is preferred.
• Foundational knowledge and basic understanding of CMS PDGM is preferred.
• Knowledge of Medicare Conditions of Participation (COP) for home health is preferred.

Responsibilities

• Guide, support, and educate clinicians; help goal set, care planning, and clinical decision making; and remain available during operating hours for clinical support.
• Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes.
• Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff.
• Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards.
• Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies.
• Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders.
• Monitor outcome-based quality indicators and assist in developing performance improvement plans.
• Participate in quality improvement projects, internal audits, and regulatory survey readiness.
• Track and report quality metrics, trends, and areas for improvement to leadership.
• Provide staff education and support with compliance issues and documentation standards.
• Stay current on federal and state regulations related to home health care and quality assurance.
• Provide direct patient care on a limited basis in exceptional or unplanned circumstances.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed