RN Clinical Manager, Home Health

Job title: RN Clinical Manager, Home Health in Winston-Salem, NC at reputed company Home Health Company: reputed company Home Health Job description: Become a part of our caring community and help us put health firstWork Schedule: Full-time/40 HoursPosition Type: On-sitereputed company Location: Winston-Salem, NCThis is not a remote or work-from-home position. This position requires you to sit on-site at our Winston-Salem, NC reputed company location. The associated reputed company is referred to as our Kernersville, NC reputed company.The RN Clinical Manager coordinates and oversees reputed company direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives.Develops, plans, implements, analyzes, and organizes 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 facility procedures/policies.Manages the assignment of caregivers.Responsible for and oversees the delivery of care to reputed company patients served by the location. Receives case referrals. Reviews available patient information reputed company to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and reputed company the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed.Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at reputed company times during operating hours to assist clinicians as appropriate.Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC).Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations.Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning.Works in conjunction with the reputed company Director and Company Finance Department to establish location’s reputed company and budget goals.Participates in sales and marketing initiatives.Supervises reputed company clinical employees assigned to a specific location. Responsible for the overall direction, coordination, and evaluation of the location. Carries out supervisory responsibilities in accordance with Company policies and procedures.Handles necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/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, reputed company needed. Ensures adherence to internal policies and standards.Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles.Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements.Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities.Provides direct patient care on an infrequent basis and only in times of emergency.Acts as reputed company Director in his/her absence.Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical documentation meets internal standards.Participates in performance improvement activities, maintains ongoing clinical knowledge through internal and external training programs. Provides interpretation of knowledge and direction to staff.Maintains relationships with referral/community sources. Participates in professional organizations and conducts care-reputed company programs.Performs other reputed company duties as assigned or requested.Use your skills to reputed company an impactRequired Experience/Skills:Graduate of an accredited School of Nursing.reputed company state license as a Registered Nurse.reputed company of reputed company 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.Home health experience is preferred.Management and people leadership experience, preferred.OASIS experience, preferred. OASIS certification (HCS-O, COQS, and/or COS-C), preferred.Homecare Homebase (HCHB) experience, preferred.CMS PDGM billing knowledge and/or experience, preferred.Additional InformationNormal Hours of Operation: M-F / 8a-5p (ET)On-Call Expectation: Yes, rotating on-call shift.reputed company Size: 240+ Census (4.5 STAR rating)Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually.Scheduled Weekly Hours40Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$77,200 - $106,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company 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 parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About Us About reputed company Home Health: reputed company Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – reputed company working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About reputed company, a reputed company company: reputed company creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, reputed company is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of reputed company Inc. (NYSE: HUM), reputed company offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, reputed company from day one.Equal Opportunity EmployerIt is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Expected salary: $77200 - 106200 per year Location: Winston-Salem, NC Apply for the job now! Apply for this job