Home Health RN Clinical Manager

Humana Inc; Grand Junction (CO); On-site; USD 77,000 - 106,000; Full time

Benefits offered by this job

PTO & paid holidays

401(k) with company match

Disability & life insurance

Wellness/financial programs

EAP resources & healthcare navigation

Career growth & education support

Work-life balance & leave programs

Job summary

CenterWell Home Health, part of Humana, is seeking a Clinical Manager to lead a team of clinicians in Grand Junction, CO. You will guide care planning, ensure Medicare compliance, and support clinical documentation and audits.

The role requires an RN with OASIS experience, strong leadership, and a valid driver’s license. On-site, full-time with a 40-hour week and on-call shifts, plus robust benefits and growth opportunities.

Qualifications

• Graduate of an accredited School of Nursing.
• Current state RN license.
• CPR certification required.
• Valid driver's license, auto insurance and reliable transportation.
• Minimum 2 years RN experience.
• Traditional home health experience required.
• Management/leadership experience preferred.
• OASIS experience required.
• OASIS certification preferred (HCS-O/COS-C/C0QS).
• HCHB experience preferred.
• CMS PDGM knowledge preferred.
• Medicare CoP experience strongly preferred.

Responsibilities

• Guide, support, and educate clinicians.
• Assist with goal setting, care planning, and clinical decisions.
• Provide on-call clinical support during operating hours.
• Ensure documentation, audits, and billing meet Medicare/payer standards.
• Monitor case management quality and outcomes.
• Participate in hiring, training, performance evaluation and coaching.
• Review and audit clinical docs for accuracy and compliance.
• Collaborate with field clinicians for timely submission of documentation.
• Assist with OASIS accuracy and validation.
• Monitor quality indicators and support improvement plans.
• Engage in quality improvement projects and regulatory readiness.
• Report quality metrics to leadership.
• Provide staff education on compliance and documentation standards.
• Stay current on federal/state home health regulations.
• Provide direct patient care in exceptional cases.

Skills

RN leadership

OASIS experience

CMS PDGM knowledge

Home health experience

Medicare/CoP knowledge

Driver's license

Education

BSN / RN degree

Tools

Homecare Homebase (HCHB)

HCHB PDGM tools

Job description

Become a part of our caring community As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high-quality care in the home setting. By guiding clinical practice, coordinating patient services, conducting quality assurance reviews, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles.

Position Type: On-site at CWHH Grand Junction, CO branch location Work Schedule: Full-time/40 Hours

As a Registered Nurse Clinical Manager, you will:

• Guide, support, and educate clinicians
• help goal set, care planning, and clinical decision making
• remain available during operating hours for clinical support
• Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards
• monitor case management quality and outcomes
• Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff
• Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards
• Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies
• Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders
• Monitor outcome-based quality indicators and assist in developing performance improvement plans
• Participate in quality improvement projects, internal audits, and regulatory survey readiness
• Track and report quality metrics, trends, and areas for improvement to leadership
• Provide staff education and support with compliance issues and documentation standards
• Stay current on federal and state regulations related to home health care and quality assurance
• Provide direct patient care on a limited basis in exceptional or unplanned circumstances
• Use your skills to make an impact

Required Qualifications:

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR certification.
• Valid driver's license, auto insurance and reliable transportation.
• A minimum of 2 years of experience as a Registered Nurse is required.
• Traditional home health experience is required.
• Management and people leadership experience is preferred.
• OASIS experience is required.
• OASIS certification (HCS-O, COQS, and/or COS-C) is preferred.
• Homecare Homebase (HCHB) experience is preferred.
• Foundational knowledge and basic understanding of CMS PDGM is preferred.
• Experience with CMS PDGM is preferred.
• Experience with Medicare Conditions of Participation (CoP) is strongly preferred.

Additional Information:

• Normal Hours of Operation: M-F / 8a-5p (ET)
• On-Call Expectation: Yes, rotating on-call shift
• Branch Size: 185+ Census (4.0 STAR rating)
• Annual Bonus Eligible: Yes, eligible for the annual incentive bonus

Day-1 Benefits

• PTO + Paid Holidays
• 401(k) with Company Match
• Disability & Life Insurance
• Wellness/Financial Programs
• EAP Resources & Personalized Healthcare Navigation (at no cost)
• Career Growth & Education Support
• Work-Life Balance & Leave Programs

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Scheduled Weekly Hours 40 Pay Range

Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,200 - $106,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) 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 outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Home Health: CenterWell 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 – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company:

CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all 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 all levels of employment.