RN Clinical Manager — Home Care Operations

Optum; Marinette (WI); On-site; USD 49,000 - 73,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

Almost Family in Wisconsin is seeking a Clinical Manager to oversee daily operations of a home health agency, including scheduling, staffing, intake, billing and compliance. You will lead clinical and administrative processes to ensure high-quality care and operational efficiency.

The role requires an RN license in the state, and at least 1 year of supervisory or administrative experience in personal care or a related program. A BSN and home care experience are preferred.

Qualifications

• Registered Nurse (RN) license in the state of practice.
• Solid understanding of home care regulations and reimbursement mechanisms.
• Minimum 1 year of supervisory or administrative experience in personal care or related program.

Responsibilities

• Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
• Schedule and ensure timely documentation of initial assessments
• Coordinate with Case Coordinators to ensure appropriate staffing and coverage
• Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
• Approve and update plans of care (POC), including verbal orders, medications, and treatments
• Ensure timely completion of recertifications and verify plan of care content and compliance with policies
• Conduct routine and supervisory field visits as required by state regulations
• Support training and orientation of newly hired nurses, caregivers, and staff

Skills

RN license

Supervisory experience

Home care regulations understanding

Education

Bachelor's degree in nursing

Job description

Almost Family in Wisconsin is seeking a Clinical Manager to oversee daily operations of a home health agency, including scheduling, staffing, intake, billing and compliance. You will lead clinical and administrative processes to ensure high-quality care and operational efficiency.

The role requires an RN license in the state, and at least 1 year of supervisory or administrative experience in personal care or a related program. A BSN and home care experience are preferred.