RN Clinical Manager — Home Health Leadership

UnitedHealth Group; Durham (NC); On-site; USD 81,000 - 121,000; Full time

Job summary

UnitedHealth Group, in partnership with Amedisys, seeks a Clinical Manager to lead therapy services, supervise staff, coordinate patient care in home health and hospice settings, and ensure compliance and cost effectiveness.

Primary responsibilities include hiring decisions, quality of care, scheduling, payor verification, and development of care plans; occasional direct patient care may occur; training and referrals are emphasized.

Qualifications

• Associate or bachelor’s degree in nursing.
• Current RN license in the applicable state(s).
• Current CPR certification.
• 1+ years of clinical RN experience in home health or hospice.
• 1+ years of RN management experience.
• Driver's License and access to reliable transportation.

Responsibilities

• Recommends employment decisions for staff to the director of operations, including decisions to hire, fire, advance, promote or change status.
• Responsible for overall quality of patient care and clinical performance of nurses and aides.
• Organizes clinical operations for the care center.
• Reviews requests for services and determines patient eligibility/suitability for home care services. Works with intake in coordinating patient referrals and admissions.
• Oversees scheduling.
• Oversees payor verification and precertification requirements.
• Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved.
• Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC).
• Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians.
• May provide direct patient care on an infrequent basis in times of emergency.
• Participates in the on-call process.
• Assists with training of staff to ensure quality care, compliance and fiscal responsibility.
• Participates in the investigation and resolution of patient/family/physician concerns.

Skills

RN management

Nursing

Education

Associate or Bachelor’s degree in nursing

Job description

UnitedHealth Group, in partnership with Amedisys, seeks a Clinical Manager to lead therapy services, supervise staff, coordinate patient care in home health and hospice settings, and ensure compliance and cost effectiveness.

Primary responsibilities include hiring decisions, quality of care, scheduling, payor verification, and development of care plans; occasional direct patient care may occur; training and referrals are emphasized.