Clinical Manager

Alpine Care Home Health; San Antonio (TX); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive salary

Health benefits

Career growth

Mentorship

Engaging workplace

401(k) matching

Mileage reimbursement

Job summary

Alpine Care Home Health in San Antonio, Texas, seeks a Clinical Manager to lead in-home patient care in collaboration with the Clinical Supervisor. This role ensures high-quality, compliant nursing services for home health clients across assigned branches.

You will oversee clinical teams, manage OASIS submissions, maintain Medicare compliance, and mentor staff. Strong RN background and home health leadership are essential, with opportunities to shape care plans and drive performance metrics.

Qualifications

• Current RN license in the state of practice (or eligibility per NLC).
• Active CPR certification.
• Must maintain a valid driver's license and a clean driving record.
• Demonstrated leadership abilities and strong knowledge of home care clinical practices, Medicare regulations, and compliance standards.
• Proven ability to effectively manage agency resources.
• Proficient in personal computer use, including email, EMRs, word processing, spreadsheets, and presentation tools.

Responsibilities

• Lead clinical care teams and supervise staff performance.
• Ensure high-quality patient care and Medicare compliance.
• Oversee OASIS submissions and RAP/Final Claim deadlines.
• Provide clinical leadership and field support to staff.
• Assist Administrator with staff orientation and training.
• Promote team growth and participate in Performance Improvement activities.
• Perform concurrent audits and monitor patient census for quality care.

Skills

RN licensure

CPR certified

Leadership

Medicare knowledge

Driver's license

Communication skills

Resource management

Tools

Homecare Homebase (HCHB)

Job description

Alpine Care Home Health is dedicated to providing expert, compassionate care in the home setting. Our team of skilled clinicians help individuals remain safe and independent in their homes, with personalized care that respects the individuals’ goals, values, and overall well-being. Our team brings deep expertise in physical therapy, occupational therapy, speech therapy, wound care, and complex care management, and more. We offer customized tools and hands-on support to improve mobility, accelerate recovery, and encourage lasting self-reliance. We take pride in offering personalized, evidence-based care. We work closely with primary care providers, families, and specialists to create care plans that are proactive, holistic, and aligned with each patient’s priorities. Through access to a full range of physical and mental health services, we aim to support patient independence and long-term stability.

We’re building a purpose-driven team passionate about making a difference. If you’re excited to shape the future of home-based care, here’s what the role involves.

POSITION DESCRIPTION

The Clinical Manager , in collaboration with the Clinical Supervisor, is responsible for the provision of high-quality patient care for home health clients in branch(s) assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Registered Nurse (RN) with 3+ years of home health field experience preferred
• At least 3 years of clinical management experience is preferred but not required
• Strong understanding of OASIS documentation, home care protocols, and Medicare compliance
• Experience with Homecare Homebase (HCHB) preferred
• Available during operating hours, which includes all hours in which the HHA is open and provides patient care.
• Demonstrates and advocates accepted standards of practice, including the use of standard precautions to prevent the transmission of infections and communicable diseases.
• Provides feedback to all clinical staff about their performance
• Responsible for completion of in-home annual and as needed competency and evaluations
• Manages the clinical care teams
• If designated, performs the role of an alternate administrator in their absence
• Able to lift up to 40 lbs.; role involves walking, standing, sitting, bending, and hand use
• Excellent auditory, verbal, and written communication skills
• Provide clinical leadership and support to field staff to ensure high-quality, compliant care
• Conduct chart audits, review visit notes for accuracy, and ensure Medicare criteria are met
• Review and submit OASIS to the state, correct errors, validate reports, and meet RAP and Final Claim deadlines (NOA: within 5 days; Final Claims: within 10 days)
• Monitor OBQI/OBQM indicators and implement corrective actions as needed
• Manage clinical care teams and productivity expectations
• Complete in-home annual competencies, evaluations, and supervise case management communication
• Deliver feedback, conduct staff development training, and assign preceptors for new clinical staff
• Promote team members' professional growth and serve on Performance Improvement and other committees
• Perform concurrent audits of at least 10% of the active census
• Collect, analyze, and report clinical data to the Administrator; develop and monitor Plans of Correction
• Facilitate team case conferences and participate in management and staff meetings
• Serve as backup for on-call duties when the on-call nurse is unavailable
• Provide intermittent skilled nursing visits, including SOCs and ROCs, as needed
• Support patient care delivery in the field when staffing or acuity requires
• Ensure alignment with agency policies, procedures, and professional standards
• Assist the Administrator with staff orientation and maintain communication with physicians, referral sources, and the broader care team
• Carry out additional duties as assigned by the Administrator

REQUIRED KNOWLEDGE, SKILLS AND EXPERIENCE

• Current RN license in the state of practice, or eligibility per Nurse Licensure Compact (NLC) guidelines
• Active CPR certification required
• Must maintain a valid driver's license and a clean driving record
• Demonstrated leadership abilities and strong knowledge of home care clinical practices, Medicare regulations, and federal, state, and local compliance standards
• Proven ability to effectively manage agency resources
• Skilled in assessing patient needs and developing individualized care plans
• Proficient in personal computer use, including email, EMRs, word processing, spreadsheets, and presentation tools
• Able to lift up to 40 lbs. and perform duties that require walking, standing, sitting, bending, and use of hands
• Excellent auditory, verbal, and written communication skills

Perks and Benefits (What we offer):

• Competitive salary and multiple health benefit options
• Career growth and development
• Mentorship and continued learning opportunities
• Engaging and mission driven workplace
• 401(k) matching
• Mileage reimbursement (if eligible)

Every person on our team helps shape the future of Alpine Care Home Health. If you're excited by meaningful work and shared impact, we’d love to hear from you.