RN Clinical Manager Home Health

UnitedHealth Group•Mount Pleasant, SC
•$73,188 - $109,782

About The Position

The RN Clinical Manager provides leadership, supervision, and coordination of therapy services to ensure high-quality, compliant, and cost-effective patient care. The role maintains fiscal responsibility and facilitates patient-care communication while supporting referrals, scheduling, patient visits, and documentation as needed. The position also supports staff training and participates in on-call coverage.

Requirements

  • Associate or bachelor's degree in nursing.
  • Current RN license specific to the state(s) assigned.
  • At least 1 year of clinical RN experience in home health or hospice.
  • At least 1 year of RN management experience.
  • Current CPR certification.
  • Pass a drug test before beginning employment.

Responsibilities

  • Recommend staff employment decisions to the director of operations, including hiring, termination, 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 the Plan of Care.
  • Regularly evaluate patient needs and collaborate with clinicians on necessary revisions to the plan of care.
  • Provide direct patient care infrequently in emergencies, 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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