RN Pediatric Home Health Clinical Manager

Optum; Covington (LA); Presencial; USD 52 000 - 77 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Resumo da oferta

UnitedHealth Group's Egan-Ochsner Northshore PCS in Covington, LA is seeking a Clinical Manager to oversee daily operations, including scheduling, staffing, intake, physician communication, billing, and compliance. The role focuses on clinical excellence and operational efficiency under RN leadership.

The Clinical Manager will guide nurses, Case Coordinators, and support staff, ensuring timely assessments, accurate documentation, and compliant plans of care in a dynamic home care setting.

Qualificações

• RN license in state of practice.
• Solid understanding of home care regulations and reimbursement mechanisms.
• Driver's License and reliable transportation.

Responsabilidades

• 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 for staffing and coverage.
• Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; resolve unfilled shifts.
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure 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.
• Conduct routine and supervisory field visits as required by state regulations.
• Support training and orientation of newly hired nurses, caregivers, and staff.

Conhecimentos

RN license

home care regulations

Driver's license

Formação académica

Bachelor's degree (preferred)

Descrição da oferta de emprego

UnitedHealth Group's Egan-Ochsner Northshore PCS in Covington, LA is seeking a Clinical Manager to oversee daily operations, including scheduling, staffing, intake, physician communication, billing, and compliance. The role focuses on clinical excellence and operational efficiency under RN leadership.

The Clinical Manager will guide nurses, Case Coordinators, and support staff, ensuring timely assessments, accurate documentation, and compliant plans of care in a dynamic home care setting.