Registered Nurse Clinical Manager

CenterWell • West Allis, WI

1d • Onsite

About The Position

The RN Clinical Manager manages all direct care patient services provided by clinical personnel. This role is focused on both home health clinical quality assurance and home health clinical operations projects. The manager will develop, plan, implement, analyze, and organize clinical operations for a specific location. Responsibilities include assessing and reassessing patients, managing caregiver assignments, overseeing care delivery, and ensuring compliance with regulatory agencies and third-party payer requirements. The position also involves financial collaboration, sales and marketing participation, and comprehensive supervision of clinical employees, including interviewing, hiring, training, performance evaluation, and corrective action. The manager will also be responsible for QA/PI activities, staff education, and maintaining relationships with referral sources. This is an on-site, full-time position at the West Allis, WI branch location, reporting to the Branch Director. CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from various health events, aiming to help patients rehabilitate, recover, and regain independence.

Requirements

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR.
• Valid driver's license, auto insurance and reliable transportation.
• Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.
• Home health experience is required.
• Management and people leadership experience, required.
• OASIS experience, required.

Nice To Haves

• Homecare Homebase (HCHB) experience.
• CMS PDGM billing knowledge or experience.

Responsibilities

• Manage all direct care patient services provided by clinical personnel.
• Focus on both home health clinical quality assurance and home health clinical operations projects.
• Develop, plan, implement, analyze, and organize clinical operations for a specific location managed.
• Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following Company, physician, or health facility procedures.
• Manage the assignment of caregivers.
• Oversee the delivery of care to all patients served by the location.
• Receive case referrals.
• Review available patient information related to the case, including disciplines required, to determine home health or hospice needs.
• Ensure patients meet admission criteria and make the decision to admit patients to service.
• Assign appropriate clinicians to a case.
• Instruct and guide clinicians to promote performance and delivery of quality home care services and is available during operating hours to assist clinicians.
• Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC).
• Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.
• Ensure final audits/billing are completed and in compliance with Medicare regulations.
• Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning.
• Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals.
• Participate in sales and marketing projects.
• Oversee all clinical employees assigned to a specific location.
• Responsible for the direction, and evaluation of the location.
• Perform supervisory responsibilities following Company procedures.
• Handle necessary employee corrective action and discipline issues fairly and objectively, with the Human Resources Department and the Executive Director/Director of Operations.
• Participate in the interviewing, hiring and training of direct care clinicians.
• Evaluate their performance relative to job goals and requirements.
• Coach staff and recommends in-service education programs, when needed.
• Ensure adherence to internal policies.
• Assess staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff.
• Upon completion of the assessment, creates and conducts regular staff education.
• Analyze situations, identifies problems, evaluate alternative courses of action through the use of Performance Improvement principles.
• Responsible for the QA/PI activities.
• Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems and process.
• Competently perform patient care assignments and staff management activities.
• Provide direct patient care on an infrequent basis and only in times of emergency.
• Be the Branch Director in their absence.
• Interpret Company standards and Company procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards.
• Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs.
• Provide interpretation of knowledge and direction to staff.
• Maintain relationships with referral/community sources.
• Participate in professional organizations and conduct care-related programs.

Benefits

• Medical benefits
• Dental benefits
• 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 disability
• Long-term disability
• Life insurance
• Annual incentive bonus (eligible for quarterly and annual pay-outs)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree