Home Health RN Clinical Manager — Lead Clinicians & Quality

humana

Silverdale (WA)

On-site

USD 93,000 - 127,000

Full time

6 days ago
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Benefits offered by this job

PTO & holidays
401(k) with company match
Disability & life insurance
Wellness programs & EAP

Job summary

Humana's CenterWell Home Health in Silverdale, WA is seeking a Registered Nurse Clinical Manager to guide clinicians, ensure high-quality in-home care, and support regulatory compliance. The role emphasizes OASIS accuracy, care planning, and staff development.

The position is a full-time on-site role with 40 hours/week, offering a competitive pay range and benefits including PTO, 401(k), and disability coverage. On-call shifts and driver requirements apply.

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 strongly preferred.
  • 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), preferred.
  • Homecare Homebase (HCHB) experience is strongly preferred.
  • Foundational knowledge and basic understanding of CMS PDGM and Conditions of Participation (CoP) is preferred.

Responsibilities

  • Guide, support, and educate clinicians; help goal set, care planning, and clinical decision making; and 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.

Skills

OASIS experience
CMS PDGM knowledge
Driver's license
Leadership/management
Clinical decision making

Education

RN license
Nursing degree (BSN preferred)
CPR certification

Tools

HCHB (Homecare Homebase)

Job description

Humana's CenterWell Home Health in Silverdale, WA is seeking a Registered Nurse Clinical Manager to guide clinicians, ensure high-quality in-home care, and support regulatory compliance. The role emphasizes OASIS accuracy, care planning, and staff development.

The position is a full-time on-site role with 40 hours/week, offering a competitive pay range and benefits including PTO, 401(k), and disability coverage. On-call shifts and driver requirements apply.

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