RN Home Health Clinical Manager: Lead Care & Quality

Humana Inc; Phoenix (AZ); Presencial; USD 77.000 - 106.000; Tempo integral

Benefícios oferecidos por esta vaga

Annual bonus

PTO + holidays

401(k) match

Disability & life ins

Wellness programs

Career growth

Work-life balance

Resumo da vaga

CenterWell Home Health, part of Humana Inc., is seeking a Clinical Manager (RN) to lead a team of clinicians in the Phoenix, AZ home health setting. The role focuses on guiding clinical practice, ensuring documentation and billing accuracy, and driving quality improvement across care delivery.

The position is full-time at the Phoenix branch with on-site responsibilities, regular hours, and on-call rotations.

Qualificações

• Graduate of an accredited School of Nursing.
• Current state RN license.
• Proof of CPR certification.
• Valid driver's license and reliable transportation.
• Minimum of 2 years of experience as a Registered Nurse.
• Prior field-based skilled home health experience.
• Experience in home-based care settings (hospice/palliative/respite) preferred.
• Management and people leadership experience preferred.
• OASIS experience; OASIS certification preferred.
• HCHB experience strongly preferred.
• Foundational CMS PDGM knowledge preferred.
• Experience with Medicare CoP required.

Responsabilidades

• 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.

Conhecimentos

CPR certification

Home health field exp

People leadership

OASIS knowledge

CMS PDGM knowledge

Medicare CoP experience

Formação

RN licensure (state)

Ferramentas

Homecare Homebase (HCHB)

OASIS experience

Descrição da vaga

CenterWell Home Health, part of Humana Inc., is seeking a Clinical Manager (RN) to lead a team of clinicians in the Phoenix, AZ home health setting. The role focuses on guiding clinical practice, ensuring documentation and billing accuracy, and driving quality improvement across care delivery.

The position is full-time at the Phoenix branch with on-site responsibilities, regular hours, and on-call rotations.