Clinical Manager, Hospice

VNA Home Health & Hospice; Warwick (RI); On-site; USD 95,000 - 125,000; Full time

Job summary

VNA Home Health & Hospice in Rhode Island seeks a Clinical Manager to oversee clinical, operational, and financial performance of a home health and hospice team. You will lead an interdisciplinary group, manage admissions, and ensure compliant, high-quality patient care.

The role partners with intake, scheduling, quality, and education to support growth and regulatory compliance, while steering performance improvements and ensuring patient access.

Qualifications

• Leadership of an interdisciplinary clinical team
• Knowledge of home health and hospice regulations
• Ability to analyze operational data to drive performance
• Experience with Medicare Conditions of Participation and quality audits
• Experience in home health/hospice environments preferred

Responsibilities

• Provides clinical and operational leadership to an interdisciplinary team, maintaining current knowledge of regulations and best practices.
• Directs daily operations, including case assignment, visit utilization, and care progression.
• Manages team capacity to ensure timely patient access and organizational growth.
• Oversees admission timeliness and conversions of referrals to admissions with intake.
• Coordinates with scheduling for optimal visit coverage and workload balance.
• Makes real-time decisions to address staffing and patient care needs.
• Oversees patient caseloads for appropriate care level and continuity.
• Leads team meetings, case conferences, and daily/weekly huddles with follow-up actions.
• Serves as primary contact for patient, caregiver, and provider concerns.

Skills

Clinical leadership

Operations management

Team leadership

Regulatory compliance

Data analysis

Education

Bachelor's degree in nursing

Master's degree in occupational therapy

Master's degree or Doctor of Physical Therapy

Job description

Job Summary

The Clinical Manager is responsible for the overall clinical, operational, and financial performance of an assigned home health and hospice team. This role provides leadership and oversight of daily operations, ensuring high-quality, compliant, and efficient patient care delivery. The Clinical Manager manages a team of clinicians across disciplines, oversees a defined patient census, and is accountable for care progression, productivity, capacity management, and clinical outcomes. This role partners closely with intake, scheduling, quality, and education to support organizational growth and regulatory compliance.

Duties & Responsibilities

Clinical Leadership

• Provides clinical and operational leadership to an interdisciplinary team, maintaining current knowledge of home health and/or Hospice regulations and best practices.
• Directs daily operations, including case assignment, visit utilization, and care progression.
• Manages team capacity to ensure timely patient access and support organizational growth.
• Accountable for admission timeliness and effective conversion of referrals to admissions in partnership with intake.
• Directs coordination with scheduling to ensure optimal visit coverage, geographic efficiency, and workload balance.
• Makes real-time operational decisions to address staffing, patient needs, and changes in care demand.
• Oversees patient caseloads to ensure appropriate level of care, visit frequency, and continuity.
• Leads team meetings, case conferences, and daily/weekly operational huddles with follow-up actions.
• Serves as a primary point of contact for patient, caregiver, and provider concerns and ensures timely resolution.

Quality

• Ensures compliance with Medicare Conditions of Participation, accreditation standards, and organizational policies.
• Ensures documentation supports medical necessity, homebound status, and skilled need (home health) and hospice eligibility, prognosis, and plan of care requirements (hospice).
• Conducts concurrent documentation review and routine audits to ensure accuracy, timeliness, and regulatory compliance.
• Accountable for audit outcomes, including TPE or payer reviews, and implements corrective action plans.
• Monitors and improves key quality outcomes, including patient satisfaction (HHCAHPS and Hospice CAHPS) and clinical outcomes such as hospitalization rates and hospice quality indicators.
• Collaborates with quality and education teams to drive performance improvement initiatives.

Development of Staff

• Recruits, hires, and onboards staff.
• Develops and implements mentoring and professional development plans.
• Conducts case conferences and identifies staff education needs.
• Participates in organizational committees and meetings.
• Creates a culture of accountability, teamwork, and continuous improvement.

Finance

• Accountable for team productivity and visit utilization performance.
• Ensures staff meet productivity expectations appropriate to role (RN, LPN, HHA, PT, OT, PTA, COTA, Spiritual Care Coordinator and Social Worker)
• Manages staffing coverage and resolves scheduling gaps.
• Oversees supply costs and resource utilization.
• Reviews financial performance reports and key operational metrics with leadership and identifies opportunities for improvement.
• Implements corrective action plans to address issues not meeting budget targets.

Performance Management

• Completes evaluations and supervisory visits on time.
• Addresses and documents performance issues in accordance with HR guidelines.
• Uses data to monitor and manage staff performance.

Requirements

• Bachelor's degree in nursing required for RN candidates; Master's degree preferred.
• Master's degree in occupational therapy required for OT candidates.
• Master's degree or Doctor of Physical Therapy (DPT) preferred for PT candidates.
• Continuing education relevant to clinical practice, leadership, home health, or hospice preferred.
• Minimum 3 to 5 Years of progressive nursing experience required.
• Previous leadership experience required.
• Experience in a home health care or hospice environment required.
• Current, unrestricted Rhode Island licensure in applicable clinical discipline (RN, OT, PT) required.
• Valid driver's license and automobile liability insurance required.
• Valid BLS certification required.
• Professional certification relevant to the individual's discipline or healthcare leadership preferred.
• Strong clinical judgment and decision-making skills.
• Ability to analyze operational and clinical data to drive performance improvement.
• Proficiency in electronic medical record systems and reporting tools.
• Demonstrated ability to lead teams through change and growth.
• Strong communication, problem-solving, and conflict resolution skills.
• Ability to balance quality care with productivity and financial performance goals.

About Us

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

EEO Statements

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.