Home Health RN Clinical Manager
About The Position
As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of clinicians delivering compassionate, high-quality care in patients’ homes. You guide clinical practice, coordinate patient services, conduct quality assurance reviews, and promote excellence throughout the care journey to help patients achieve independence and support clinicians in their roles. The position is on-site at the CenterWell Home Health Grand Junction, Colorado branch and is full-time, 40 hours per week. Normal operating hours are Monday through Friday, 8 a.m. to 5 p.m., with a rotating on-call shift. Limited direct patient care may be provided in exceptional or unplanned circumstances. The role oversees clinical documentation, audits, billing compliance, case management quality, and outcomes. It includes staff guidance and education, participation in hiring and performance management, documentation review and OASIS validation, quality improvement activities, metric reporting, and maintaining knowledge of applicable federal and state home health regulations. The role is eligible for an annual incentive bonus. The branch has a census of 185 or more and a 4.0 STAR rating. This is a patient-facing role subject to Humana’s tuberculosis screening program. It is also part of the driver safety program and requires a valid state driver’s license and personal vehicle liability insurance meeting applicable minimum requirements.
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.
- At least 2 years of experience as a Registered Nurse.
- Traditional home health experience.
- OASIS experience.
- Ability to meet the requirements of the patient-facing tuberculosis screening program.
- Ability to maintain personal vehicle liability insurance in accordance with the applicable state minimum or the stated coverage limits, whichever is higher.
Nice To Haves
- Management and people leadership experience.
- OASIS certification (HCS-O, COQS, and/or COS-C).
- Homecare Homebase (HCHB) experience.
- Foundational knowledge and basic understanding of CMS PDGM.
- Experience with CMS PDGM.
- Experience with Medicare Conditions of Participation (CoP) is strongly preferred.
Responsibilities
- Guide, support, and educate clinicians; assist with goal setting, care planning, and clinical decision-making; and remain available for clinical support during operating hours.
- 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 OASIS assessments, visit notes, and plans of care for accuracy, completeness, and compliance with Medicare and CMS accreditation standards.
- Collaborate with field-based clinicians to support timely documentation submission and 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 opportunities for improvement to leadership.
- Provide staff education and support on 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
- Annual incentive bonus eligibility.
- Day-one benefits.
- Paid time off and paid holidays.
- 401(k) with company match.
- Disability and life insurance.
- Wellness and financial programs, EAP resources, and personalized healthcare navigation at no cost.
- Career growth and education support.
- Work-life balance and leave programs.
- Medical, dental, and vision benefits.
- Paid parental and caregiver leave.
- Short-term and long-term disability.
- Company and personal holidays.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
