RN Clinical Manager, Home Health Position Available In Chatham, Georgia

Job Description:

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

Work Schedule:

Full-time/40

Hours Position Type:

On-site Branch Location:

Savannah, GA $10,000 associated sign-on bonus This is not a remote or work-from-home position. This positionrequires you to sit on-site at our Savannah, GA branchlocation. The RN Clinical Manager coordinates and oversees all direct carepatient services provided by clinical personnel. This role is afocused on both home health clinical quality assurance and homehealth clinical operations initiatives. Develops, plans, implements, analyzes, and organizes clinicaloperations 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 allpatients served by the location. Receives case referrals. Reviewsavailable patient information related to the case, includingdisciplines required, to determine home health or hospice needs.

Accountable to ensure patients meet admission criteria and make thedecision to admit patients to service. Assigns appropriateclinicians to a case, as needed. Instructs and guides clinicians to promote more effectiveperformance and delivery of quality home care services and isavailable at all times during operating hours to assist cliniciansas appropriate. Assists clinicians in establishing immediate and long-termtherapeutic goals, in setting priorities, and in developing patientPlan of Care (POC). Monitors cases to ensure documentation is following compliancewith regulatory agencies and requirements of third-party payers.

Ensures final audits/billing are completed timely and in compliancewith Medicare regulations. Coordinates communication between team members/attendingphysicians/caregivers to ensure the appropriateness of care andoutcome planning. Works in conjunction with the Branch Director and CompanyFinance Department to establish location’s revenue and budgetgoals. Participates in sales and marketing initiatives. Supervises all clinical employees assigned to a specificlocation. Responsible for the overall direction, coordination, andevaluation of the location. Carries out supervisoryresponsibilities in accordance with Company policies andprocedures. Handles necessary employee corrective action and disciplineissues fairly and objectively, in consultation with the HumanResources Department and the Executive Director/Director ofOperations. Participates in the interviewing, hiring, training, anddevelopment of direct care clinicians. Evaluates their performancerelative to job goals and requirements. Coaches staff andrecommends in-service education programs, when needed. Ensuresadherence to internal policies and standards. Assesses staff education needs based on own the review ofclinical documentation in addition to feedback and recommendationsby Utilization Review staff. Upon completion of the assessment,creates and conducts regular staff education as needed. Analyzes situations, identifies problems, identifies andevaluates alternative courses of action through the utilization ofPerformance Improvement principles. Responsible for review of the appropriate number of CaseManagers and clinical staff documentation to includestarts-of-care, resumption-of-cares, and re-certifications, forappropriateness of care, delivery, and documentationrequirements. Responsible for the QA/PI activities. Works with UtilizationReview staff relative to data tracking for performance review andoutcomes of care analysis to determine efficiency, the efficacy ofcase management system as well as any other systems and process.

Competently performs patient care assignments and staff managementactivities. Provides direct patient care on an infrequent basis and only intimes of emergency. Acts as Branch Director in his/her absence. Interprets Company standards and Company policies andprocedures to ensure compliance with external regulatoryauthorities and ensures that caregiver clinical documentation meetsinternal standards. Use your skills to make an impact

Required Experience/Skills:

Graduate of an accredited School of Nursing. Current state license as a Registered Nurse. Proof of current CPR. Valid driver’s license, auto insurance and reliabletransportation. Two years as a Registered Nurse with at least one-year ofmanagement experience in a home care, hospice or equivalentenvironment. Home health experience is required. Management and people leadership experience, required. OASIS experience, required. OASIS certification (HCS-O, COQS,and/or COS-C), preferred. Homecare Homebase (HCHB) experience, preferred.

CMS PDGM

billing knowledge and/or experience, preferred.

Additional Information Normal Hours of Operation:

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

On-Call Expectation:

Yes, rotating on-call shift.

Branch Size:

400+ Census (4.5 STAR rating)

Annual Bonus Eligible:

Yes, eligible for the annual incentivebonus which has pay-outs both quarterly and annually. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate ofstarting base pay for full time (40 hours per week) employment atthe time of 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 is eligible for a bonus incentive plan. This incentiveopportunity is based upon company and/or individualperformance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively,”Humana”) offers competitive benefits that support whole-personwell-being. Associate benefits are designed to encourage personalwellness and smart healthcare decisions for you and your familywhile also knowing your life extends outside of work. Among ourbenefits, Humana provides medical, dental and vision benefits,401(k) retirement savings plan, time off (including paid time off,company and personal holidays, volunteer time off, paid parentaland caregiver leave), short-term and long-term disability, lifeinsurance and many other opportunities.

About Us About CenterWell Home Health:

CenterWell Home Health specializes inpersonalized, comprehensive home care for patients managing achronic condition or recovering from injury, illness, surgery orhospitalization. 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. About CenterWell, a Humana company: CenterWell creates experiencesthat put patients at the center. As the nation’s largest providerof senior-focused primary care, one of the largest providers ofhome health 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 Opportunity Employer It is the policy of Humana not to discriminate against any employeeor applicant for employment because of race, color, religion, sex,sexual orientation, gender identity, national origin, age, maritalstatus, genetic information, disability or protected veteranstatus. It is also the policy of Humana to take affirmative action,in compliance with Section 503 of the Rehabilitation Act andVEVRAA, to employ and to advance in employment individuals withdisability or protected veteran status, and to base all employmentdecisions only on valid job requirements. This policy shall applyto all employment actions, including but not limited torecruitment, hiring, upgrading, promotion, transfer, demotion,layoff, recall, termination, rates of pay or other forms ofcompensation and selection for training, including apprenticeship,at all levels of employment.