RN Clinical Manager

UnitedHealth Group•Stroud, OK

13h•$69,336 - $104,004

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, facilitates communication about patient care, and supports referrals, scheduling, patient visits, and documentation as needed. The position is with Amedisys, part of the Optum family of businesses, which provides home health, hospice, and community-based services.

Requirements

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

Recommends staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or status changes.
Oversees the overall quality of patient care and the clinical performance of nurses and aides.
Organizes clinical operations for the care center.
Reviews service requests and determines patient eligibility and suitability for home care; coordinates referrals and admissions with intake.
Oversees scheduling.
Oversees payor verification and precertification requirements.
Reviews staff documentation and ensures missing, incomplete, or untimely documentation issues are resolved.
Assists clinicians in setting immediate and long-term patient goals, establishing priorities, and developing plans of care.
Regularly evaluates patient needs and collaborates with clinicians to revise plans of care as necessary.
May provide direct patient care infrequently in emergencies.
Participates in the on-call process.
Assists with staff training to support quality care, compliance, and fiscal responsibility.
Participates in investigating and resolving patient, family, and physician concerns.