RN QA Clinical Manager, Home Health - Raleigh, NC

$76,800 - $105,800/Yr

Centerwell, Limited Partnership - Lillington, NC

Full-time - Mid Level

Onsite - Lillington, NC

10,001+ employees

Real Estate

About the position

The RN Clinical Manager is responsible for coordinating and overseeing all direct care patient services provided by clinical personnel in a home health setting. This role focuses on clinical quality assurance and operational initiatives, ensuring effective delivery of care and compliance with regulatory standards. The manager will develop and implement clinical operations, manage caregiver assignments, and oversee patient care delivery while maintaining communication with team members and stakeholders.

Responsibilities

• Coordinate and oversee all direct care patient services provided by clinical personnel.
• Develop, plan, implement, analyze, and organize clinical operations for the location managed.
• Conduct and delegate patient assessments and update care plans as needed.
• Manage the assignment of caregivers and ensure delivery of care to all patients.
• Review patient information to determine home health or hospice needs and ensure admission criteria are met.
• Instruct and guide clinicians to promote effective performance and quality home care services.
• Monitor cases for compliance with documentation and regulatory requirements.
• Coordinate communication between team members, physicians, and caregivers.
• Work with the Branch Director and Finance Department to establish revenue and budget goals.
• Participate in sales and marketing initiatives.
• Supervise all clinical employees and handle employee corrective actions fairly and objectively.
• Participate in the interviewing, hiring, training, and development of direct care clinicians.
• Assess staff education needs and conduct regular staff education as needed.
• Analyze situations and identify problems using Performance Improvement principles.
• Review clinical staff documentation for appropriateness of care and compliance.
• Oversee QA/PI activities and work with Utilization Review staff for performance review.
• Provide direct patient care in emergencies and act as Branch Director in their absence.
• Interpret Company standards and ensure compliance with regulatory authorities.
• Maintain relationships with referral/community sources and participate in professional organizations.

Requirements

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR certification.
• Valid driver's license, auto insurance, and reliable transportation.
• Two years as a Registered Nurse with at least one year of management experience in a home care or hospice environment.
• Home care experience is required, preferably in home health.
• Management and people leadership experience is required.
• OASIS experience is required.
• OASIS certification (HCS-O, COQS, and/or COS-C) is highly desired.
• Homecare Homebase (HCHB) experience is required.
• CMS PDGM billing knowledge and/or experience is required.

Nice-to-haves

• OASIS certification (HCS-O, COQS, and/or COS-C)
• Experience with Homecare Homebase (HCHB)
• Knowledge of CMS PDGM billing

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off including company and personal holidays
• Volunteer time off
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance
• Annual bonus eligibility