Regional Clinical Manager, Home Health

Humana Inc; New York (NY); Hybrid; USD 77,000 - 106,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Job summary

CenterWell Home Health is seeking a Regional Clinical Manager for a remote role covering the Northeast, primarily New York State. You will supervise clinicians, guide clinical practice, and ensure high-quality home health care.

The position emphasizes staff development, regulatory compliance, and strong collaboration with physicians and care teams. The ideal candidate holds a NYS RN license, BSN, and has knowledge of OASIS, CHHA, HCHB, and PDGM billing.

Qualifications

• Graduate of an accredited School of Nursing.
• BSN NY State requirement.
• Current New York State license as a Registered Nurse.
• Two years as a Registered Nurse with at least one-year of management experience in a home health environment.
• OASIS experience.
• Certified Home Health Agency (CHHA) experience or four years CHHA experience with BSN coursework.
• Homecare Homebase (HCHB) experience.
• Quality Assurance and Performance Improvement experience.
• CMS PDGM billing knowledge and/or experience.
• Proof of CPR.

Responsibilities

• Support clinical operations for multiple locations, including patient care delivery, staff management, documentation quality and regulatory compliance.
• Review referrals, determine admission appropriateness and ensure Plans of Care meet patient needs and agency standards.
• Guide, support, and educate clinicians; help goal-set, care planning, and clinical decision-making; provide clinical support during operating hours.
• 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.
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
• Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement.
• Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development.
• Perform additional tasks to support clinical operations and organizational goals.

Skills

RN license

BSN

OASIS experience

CHHA experience

HCHB experience

PDGM knowledge

Leadership

Home health management

Driver’s license

Education

BSN degree

Tools

HCHB software

Job description

Become a part of our caring community This is a remote Regional Clinical Manager position in Home Health providing clinical supervisory support in the Northeast - primarily in New York State.

As a Regional Clinical Manager at CenterWell Home Health, reporting to the Market Executive of Operations, you will support a team of dedicated clinicians who deliver compassionate, high‑quality care in the home setting.

By guiding clinical practice, you'll empower patients to achieve their highest level of independence.

Coordinating patient services and ensuring excellence in every step of the care journey helps your team thrive in their roles.

As a Regional Clinical Manager, you will:

• Support clinical operations for multiple locations, including patient care delivery, staff management, documentation quality and regulatory compliance.
• Review referrals, determine admission appropriateness and ensure Plans of Care meet patient needs and agency standards.
• 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.
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
• Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement.
• Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development.
• Perform additional tasks to support clinical operations and organizational goals.
• Use your skills to make an impact

Required Qualifications:

• Graduate of an accredited School of Nursing.
• BSN required (NY State requirement)
• Current New York State license as a Registered Nurse.
• Could consider candidates from adjacent states.
• Proof of current 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 health environment.
• OASIS experience.
• Certified Home Health Agency experience is required (New York State requirement) or four years' CHHA experience and six credit hours toward BSN.
• Homecare Homebase (HCHB) experience.
• Quality Assurance and Performance Improvement experience.
• CMS PDGM billing knowledge and/or experience.

Additional Information 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.

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.