RN Clinical Manager, Home Health Position Available In Russell, Alabama

Job Description:

Become a part of our caring community and help us put healthfirst

Reports To:

Associate Director, Home Health BranchAdministrator FLSA:

Exempt Work Schedule :

Full-time/40

HoursPosition Type :

On-site Branch Location :

Columbus, GA This is nota remote or work-from-home position. This position requires you tosit on-site at our Columbus, GA branch location. The RN ClinicalManager coordinates and oversees all direct care patient servicesprovided by clinical personnel. This role is a focused on both homehealth clinical quality assurance and home health clinicaloperations initiatives. Develops, plans, implements, analyzes, andorganizes clinical operations for a specific location managed.

Conducts/delegates the assessment and reassessment of patients,including updating of care plans and interpreting patient needs,while adhering to Company, physician, and/or health facilityprocedures/policies. Manages the assignment of caregivers.

Responsible for and oversees the delivery of care to all patientsserved by the location. Receives case referrals. Reviews availablepatient information related to the case, including disciplinesrequired, to determine home health or hospice needs. Accountable toensure patients meet admission criteria and make the decision toadmit patients to service. Assigns appropriate clinicians to acase, as needed. Instructs and guides clinicians to promote moreeffective performance and delivery of quality home care servicesand is available at all times during operating hours to assistclinicians as appropriate. Assists clinicians in establishingimmediate and long-term therapeutic goals, in setting priorities,and in developing patient Plan of Care (POC). Monitors cases toensure documentation is following compliance with regulatoryagencies and requirements of third-party payers. Ensures finalaudits/billing are completed timely and in compliance with Medicareregulations. Coordinates communication between teammembers/attending physicians/caregivers to ensure theappropriateness of care and outcome planning. Works in conjunctionwith the Branch Director and Company Finance Department toestablish location’s revenue and budget goals. Participates insales and marketing initiatives. Supervises all clinical employeesassigned to a specific location. Responsible for the overalldirection, coordination, and evaluation of the location. Carriesout supervisory responsibilities in accordance with Companypolicies and procedures. Handles necessary employee correctiveaction and discipline issues fairly and objectively, inconsultation with the Human Resources Department and the ExecutiveDirector/Director of Operations. Participates in the interviewing,hiring, training, and development of direct care clinicians.

Evaluates their performance relative to job goals and requirements.

Coaches staff and recommends in-service education programs, whenneeded. Ensures adherence to internal policies and standards.

Assesses staff education needs based on own the review of clinicaldocumentation in addition to feedback and recommendations byUtilization Review staff. Upon completion of the assessment,creates and conducts regular staff education as needed. Analyzessituations, identifies problems, identifies and evaluatesalternative courses of action through the utilization ofPerformance Improvement principles. Responsible for review of theappropriate number of Case Managers and clinical staffdocumentation to include starts-of-care, resumption-of-cares, andre-certifications, for appropriateness of care, delivery, anddocumentation requirements. Responsible for the QA/PI activities.

Works with Utilization Review staff relative to data tracking forperformance review and outcomes of care analysis to determineefficiency, the efficacy of case management system as well as anyother systems and process. Competently performs patient careassignments and staff management activities. Provides directpatient care on an infrequent basis and only in times of emergency.

Acts as Branch Director in his/her absence. Interprets Companystandards and Company policies and procedures to ensure compliancewith external regulatory authorities and ensures that caregiverclinical documentation meets internal standards. Use your skills tomake an impact

Education:

Associate degree in Nursing (ADN)required; Bachelor of Science in Nursing (BSN) strongly preferred.

License/Certifications:

Active and unrestricted Registered Nurse(RN) license or Compact State RN license with authorization topractice in the state of Georgia. Proof of current CPR card and/orBLS certification.

Required Experience/Skills:

Valid driver’slicense, auto insurance and reliable transportation. Two years as aRegistered Nurse with at least one-year of management experience ina home care, hospice or equivalent environment. Home healthexperience is required. Previous experience in home-based carerequired, including home health, hospice, and/or palliative caresettings. Management and people leadership experience is preferred.

OASIS experience is preferred. OASIS certification (HCS-O, COQS,and/or COS-C), preferred. Homecare Homebase (HCHB) experience ispreferred.

CMS PDGM

billing knowledge and/or experience ispreferred.

Additional Information Normal Hours of Operation:

M-F /8a-5p (ET)

On-Call Expectation:

Yes, rotating on-call shift.

BranchSize:

385 Census (4.0 STAR rating)

Annual Bonus Eligible:

Yes,eligible for the annual incentive bonus which has pay-outs bothquarterly and annually. Scheduled Weekly Hours 40 Pay Range Thecompensation range below reflects a good faith estimate of startingbase pay for full time (40 hours per week) employment at the timeof posting. The pay range may be higher or lower based ongeographic location and individual pay will vary based ondemonstrated job related skills, knowledge, experience, education,certifications, etc. $77,200 – $106,200 per year This job iseligible for a bonus incentive plan. This incentive opportunity isbased upon company and/or individual performance. Description ofBenefits Humana, Inc. and its affiliated subsidiaries(collectively, “Humana”) offers competitive benefits that supportwhole-person well-being. Associate benefits are designed toencourage personal wellness and smart healthcare decisions for youand your family while also knowing your life extends outside ofwork. Among our benefits, Humana provides medical, dental andvision benefits, 401(k) retirement savings plan, time off(including paid time off, company and personal holidays, volunteertime off, paid parental and caregiver leave), short-term andlong-term disability, life insurance and many other opportunities.

About Us About CenterWell Home Health:

CenterWell Home Healthspecializes in personalized, comprehensive home care for patientsmanaging a chronic condition or recovering from injury, illness,surgery or hospitalization. Our care teams include nurses, physicaltherapists, occupational therapists, speech-language pathologists,home health aides, and medical social workers – all workingtogether to help patients rehabilitate, recover and regain theirindependence so they can live healthier and happier lives. AboutCenterWell, a Humana company: CenterWell creates experiences thatput patients at the center. As the nation’s largest provider ofsenior-focused primary care, one of the largest providers of homehealth services, and fourth largest pharmacy benefit manager,CenterWell is focused on whole-person health by addressing thephysical, emotional and social wellness of our patients. As part ofHumana Inc. (

NYSE:

HUM), CenterWell offers stability,industry-leading benefits, and opportunities to grow yourself andyour career. We proudly employ more than 30,000 clinicians who arecommitted to putting health first – for our teammates, patients,communities and company. By providing flexible scheduling options,clinical certifications, leadership development programs and careercoaching, we allow employees to invest in their personal andprofessional well-being, all from day one. ? Equal OpportunityEmployer It is the policy of Humana not to discriminate against anyemployee or applicant for employment because of race, color,religion, sex, sexual orientation, gender identity, nationalorigin, age, marital status, genetic information, disability orprotected veteran status. It is also the policy of Humana to takeaffirmative action, in compliance with Section 503 of theRehabilitation Act and VEVRAA, to employ and to advance inemployment individuals with disability or protected veteran status,and to base all employment decisions only on valid jobrequirements. This policy shall apply to all employment actions,including but not limited to recruitment, hiring, upgrading,promotion, transfer, demotion, layoff, recall, termination, ratesof pay or other forms of compensation and selection for training,including apprenticeship, at all levels of employment.