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Home Health Clinical Manager

Job Overview

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Employment Type

Full-time
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Compensation

Salary
Range $77,200.00 - $106,200.00
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Work Schedule

Standard Hours
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Benefits

Medical insurance
Dental Insurance
Vision Insurance
401(k) retirement savings plan
Paid Time Off
Paid parental leave
Short-term and long-term disability insurance
Life insurance

Job Description

CenterWell Home Health is a distinctive branch of CenterWell, a Humana company, specializing in personalized, comprehensive home care. CenterWell Home Health focuses on supporting patients who are managing chronic conditions or recovering from various health challenges such as injury, illness, surgery, or hospitalization. Their multidisciplinary teams comprise nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers. Together, these professionals work collaboratively to help patients rehabilitate, recover, and regain their independence in their home environments, ultimately aiming to enhance patients' quality of life and promote healthier, happier living.

As a distinguished entity within Humana, CenterWell delivers integrated and differentiated healthcare experiences that prioritize patient-centered care. This focus ensures high-quality, accessible, comprehensive, and personalized healthcare solutions. CenterWell is recognized as the largest provider of senior-focused primary care, in addition to being a leading home healthcare provider alongside integrated home delivery, specialty, hospice, and retail pharmacy services. This extensive healthcare offering is designed to address the whole health needs of patients by attending to their physical, emotional, and social wellness.

The Clinical Manager position at CenterWell Home Health represents a critical leadership role within the organization, offering a chance to make a profound impact on patient care and clinical operations. Reporting directly to the Branch Director, the Clinical Manager leads and supports a dedicated team of clinicians who provide compassionate, high-quality care in the home setting. This role is based onsite in the office and involves oversight of clinical operations at the branch level, which includes managing patient care delivery, staff supervision, ensuring documentation quality, and maintaining regulatory compliance.

Key responsibilities include reviewing referrals, determining admission appropriateness, assigning clinicians to patients, and ensuring that Plans of Care align with patient needs and agency standards. The Clinical Manager is also tasked with guiding, supporting, and educating clinicians by assisting in goal setting, care planning, and clinical decision-making. Availability during operating hours for clinical support is essential as this role serves as a resource for the clinical team.

In addition to supporting clinical staff, the Clinical Manager ensures that clinical documentation, audits, and billing meet Medicare, payer, and company standards, and closely monitors case management quality and patient outcomes. This role plays an active part in the recruitment, training, performance evaluation, coaching, and corrective actions for clinical staff members. Continuous staff education is also mandated based on documentation reviews, utilization data, and performance improvement findings.

Facilitating effective communication among physicians, team members, and caregivers is another core function, supporting care coordination, discharge planning, and achievement of positive patient outcomes. Beyond clinical responsibilities, the Clinical Manager participates in quality improvement initiatives, data tracking, budgeting activities, marketing efforts, and development of community relationships to enhance the branch's service capabilities.

While the role primarily focuses on leadership and management, the Clinical Manager is expected to provide direct patient care in exceptional or unplanned circumstances and may act as the Branch Director in their absence. This full-time role requires a 40-hour workweek and offers a competitive salary ranging from $77,200 to $106,200 per year, subject to geographic location and individual qualifications. It also includes eligibility for a bonus incentive plan based on company and individual performance.

Humana offers a comprehensive benefits package to support whole-person well-being. Benefits include medical, dental, and vision coverage, a 401(k) retirement savings plan, paid time off including company and personal holidays, paid parental and caregiver leave, short-term and long-term disability coverage, life insurance, and numerous other opportunities. The company is committed to fostering an inclusive, non-discriminatory work environment and encourages applicants from diverse backgrounds, including individuals with disabilities and protected veteran statuses.

Job Requirements

  • Current state license as a Registered Nurse
  • Proof of current CPR
  • 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, hospice or equivalent environment

Job Qualifications

  • Current state license as a Registered Nurse
  • Proof of current CPR
  • 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, hospice or equivalent environment

Job Duties

  • Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance
  • Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards
  • Guide, support, and educate clinicians
  • help goal-set, care planning, and clinical decision-making
  • remain available during operating hours for clinical support
  • Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards
  • monitor case management quality and outcomes
  • Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff
  • Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data
  • Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement
  • Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development
  • Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as Branch Director in their absence
  • Perform additional tasks to support clinical operations and organizational goals

Job Criteria

Experience

Mid Level (3-7 years)


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