RN Clinical Manager Hospice

UnitedHealth Group•Fall River, MA
•$74,844 - $112,266

About The Position

The RN Clinical Manager Hospice provides 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 manager is responsible for the overall quality of patient care and clinical performance of nurses and aides, and organizes clinical operations for the care center. The position works with intake to coordinate referrals and admissions, reviews requests for services and determines patient eligibility and suitability, and oversees scheduling, payor verification, and precertification requirements. It also supports care planning and revisions, resolves documentation issues, helps train staff, participates in the on-call process, and may provide direct patient care infrequently during emergencies.

Requirements

  • Associate or bachelor’s degree in nursing.
  • Current RN license specific to the state(s) assigned for work.
  • 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

  • Supports, participates, and works cooperatively with the director of staffing.
  • Responsible for overall quality of patient care and clinical performance of nurses and aides.
  • Organizes clinical operations for the care center.
  • Reviews requests for services and determines patient eligibility and suitability for home care services; works with intake to coordinate patient referrals and admissions.
  • Oversees scheduling.
  • Oversees payor verification and precertification requirements.
  • Reviews other staff members’ documentation and ensures missing, incomplete, or untimely documentation issues are resolved.
  • Assists clinicians in establishing immediate and long-term patient goals, setting priorities, and developing the Plan of Care (POC).
  • Regularly evaluates patient needs and makes necessary revisions to the plan of care in collaboration with clinicians.
  • May provide direct patient care infrequently in emergencies.
  • Participates in the on-call process.
  • Assists with staff training to ensure quality care, compliance, and fiscal responsibility.
  • Participates 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.
  • Development opportunities for other roles.
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