Registered Nurse Clinical Manager

UnitedHealth Group•La Follette, TN
•$73,188 - $109,782

About The Position

As the Clinical Manager, you will provide leadership, supervision, and coordination of therapy services to ensure high-quality, compliant, and cost-effective patient care. The role maintains fiscal responsibility, facilitates patient-care communication, and supports referrals, scheduling, patient visits, and documentation as needed. The Clinical Manager oversees clinical operations and staff performance, supports patient eligibility and care planning, and may occasionally provide direct patient care in an emergency. The role also participates in the on-call process and assists with staff training and resolution of concerns.

Requirements

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

Responsibilities

  • Recommend staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or status changes.
  • Be responsible for 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 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 as needed.
  • Provide direct patient care infrequently in emergency situations, as needed.
  • Participate in the on-call process.
  • Assist with staff training to ensure 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, subject to eligibility requirements.
  • Equity stock purchase, subject to eligibility requirements.
  • 401(k) contribution, subject to eligibility requirements.
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