RN Clinical Manager

Adaptive Home Health•Temple, TX

4d•$92,000 - $105,000•Onsite

About The Position

The RN Clinical Manager is an onsite, branch-based clinical leadership role in Richardson, Texas. This is an active, high-intensity oversight position rather than a desk role. The manager owns day-to-day clinical quality, staff development, and rehospitalization prevention for the branch, and is accountable for clinical outcomes. They partner with operations, scheduling, and leadership to keep care delivery on track and support safe scaling. Centralized support and technology reduce administrative work so the manager can focus on active clinical oversight, clinician training, and patient safety. The role provides direct clinical guidance, responds to clinical calls, monitors on-call events, evaluates reports from assessing clinicians, reviews hospital transfers and high-risk patients, and supports proactive interventions. It also involves coaching and developing field clinicians, facilitating orientation and skills validation, overseeing Field Supervisors, leading case conferences, coordinating care planning, reviewing quality issues and KPIs, maintaining survey readiness, and conducting field supervisory visits. The manager serves as an escalation leader for high-risk patients, safety concerns, incidents, hospitalizations, and sensitive patient situations.

Requirements

Active RN license.
Home health experience.
Ability to coach, mentor, and train clinical staff across skill levels.
Strong clinical judgment and a structured approach to prioritization and escalation.
Personal accountability for clinical outcomes through clinical staff.
Clear communication across clinical and operational teams.
Willingness and ability to be present onsite at the branch as an active clinical leader.

Nice To Haves

Experience partnering closely with operations teams to prevent service failures.
Experience leading new-hire clinical orientation and skills-validation programs.

Responsibilities

Provide direct clinical guidance to clinicians and respond to clinical calls from patients, caregivers, and providers using appropriate clinical judgment.
Monitor daily on-call events for urgent changes in patient status.
Evaluate real-time reports from assessing clinicians, identify immediate patient needs, ensure care plans are complete, guide visit utilization, and follow up on verbal plan-of-care approvals and physician orders.
Complete daily transfer reviews for hospitalized patients, including root-cause analysis and action planning when improvement is needed.
Review high-risk patients and coordinate proactive interventions to prevent avoidable events.
Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality.
Set and reinforce expectations for reliability, professionalism, and patient experience; address performance issues promptly and fairly, including through structured improvement plans when needed.
Facilitate new clinician orientation, including system orientation, SOP review, company orientation, and skills training.
Lead and oversee skills validations to confirm clinical competency before independent deployment.
Provide oversight of Field Supervisors, including matching, guiding, and evaluating pairings for new hires and Field Supervisory staff.
Prepare for and lead weekly case conferences, reviewing patient progress and developing actionable agendas for care-planning decisions.
Act as an escalation point for clinical questions and patient risk, determining when to intervene directly and when to guide field staff.
Coordinate with leadership on high-risk cases, incidents, sensitive patient situations, hospitalizations, and quality investigations.
Review Quality Assurance issues and communicate directly with and educate responsible clinicians to improve documentation accuracy, in collaboration with the Quality Assurance team responsible for OASIS review and coding.
Track HHCAHPS results and quality KPIs, identify trends, and implement coaching or process changes.
Maintain branch survey readiness, including documentation quality, clinical compliance, and field staff preparedness.
Perform field supervisory visits to check infection-control, safety, and compliance adherence; assess and train clinical skills; and improve documentation quality.