Clinical Manager, Home Health
Company: CenterWell Home Health
Location: Phoenix
Posted on: April 12, 2025
Job Description:
Become a part of our caring community and help us put health
first
- Develops, plans, implements, analyzes, and organizes clinical
operations for a specific location managed.
- Conducts/delegates the assessment and reassessment of patients,
including updating of care plans and interpreting patient needs,
while adhering to Company, physician, and/or health facility
procedures/policies.
- Manages the assignment of caregivers.
- Responsible for and oversees the delivery of care to all
patients served by the location. Receives case referrals. Reviews
available patient information related to the case, including
disciplines required, to determine home health or hospice needs.
Accountable to ensure patients meet admission criteria and make the
decision to admit patients to service. Assigns appropriate
clinicians to a case, as needed.
- Instructs and guides clinicians to promote more effective
performance and delivery of quality home care services, and is
available at all times during operating hours to assist clinicians
as appropriate.
- Assists clinicians in establishing immediate and long-term
therapeutic goals, in setting priorities, and in developing patient
Plan of Care (POC).
- Monitors cases to ensure documentation is in compliance with
regulatory agencies and requirements of third-party payers. Ensures
final audits/billing are completed timely and in compliance with
Medicare regulations.
- Coordinates communication between team members/attending
physicians/caregivers to ensure the appropriateness of care and
outcome planning.
- Works in conjunction with the Branch Director and Company
Finance Department to establish location's revenue and budget
goals.
- Participates in sales and marketing initiatives.
- Supervises all clinical employees assigned to a specific
location. Responsible for the overall direction, coordination, and
evaluation of the location. Carries out supervisory
responsibilities in accordance with Company policies and
procedures.
- Handles necessary employee corrective action and discipline
issues fairly and objectively, in consultation with the Human
Resources Department and the Executive Director/Director of
Operations.
- Participates in the interviewing, hiring, training, and
development of direct care clinicians. Evaluates their performance
relative to job goals and requirements. Coaches staff and
recommends in-service education programs, when needed. Ensures
adherence to internal policies and standards.
- Assesses staff education needs based on own the review of
clinical documentation in addition to feedback and recommendations
by Utilization Review staff. Upon completion of the assessment,
creates and conducts regular staff education as needed.
- Analyzes situations, identifies problems, identifies and
evaluates alternative courses of action through the utilization of
Performance Improvement principles.
- Responsible for review of the appropriate number of Case
Managers and clinical staff documentation to include
starts-of-care, resumption-of-cares, and re-certifications, for
appropriateness of care, delivery, and documentation
requirements.
- Responsible for the QA/PI activities. Works with Utilization
Review staff relative to data tracking for performance review and
outcomes of care analysis to determine efficiency, the efficacy of
case management system as well as any other systems and process.
Competently performs patient care assignments and staff management
activities.
- Provides direct patient care on an infrequent basis and only in
times of emergency.
- Acts as Branch Director in his/her absence.
- Interprets Company standards and Company policies and
procedures to ensure compliance with external regulatory
authorities and ensures that caregiver clinical documentation meets
internal standards.
- Participates in performance improvement activities, maintains
ongoing clinical knowledge through internal and external training
programs. Provides interpretation of knowledge and direction to
staff.
- Maintains relationships with referral/community sources.
Participates in professional organizations and conducts
care-related programs.
- Performs other related duties as assigned or requested. Use
your skills to make an impact Required Experience/Skills:
- Graduate of an accredited School of Nursing.
- Current state license as a Registered Nurse.
- Two years as a Registered Nurse with at least one-year of
management experience in a home care, hospice or equivalent
environment.
- Two years' experience working in Home Health
- Experience with OASIS required
- Proof of current CPR.
- Valid driver's license, auto insurance and reliable
transportation.Scheduled Weekly Hours40Pay RangeThe 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 BenefitsHumana, 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, volunteer time off, 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 creates experiences that put patients at the
center. As the nation's largest provider of senior-focused primary
care, one of the largest providers of home health services, and
fourth largest pharmacy benefit manager, CenterWell is focused on
whole-person health by addressing the physical, emotional and
social wellness of our patients. As part of Humana Inc. (NYSE:
HUM), CenterWell offers stability, industry-leading benefits, and
opportunities to grow yourself and your career. We proudly employ
more than 30,000 clinicians who are committed to putting health
first - for our teammates, patients, communities and company. By
providing flexible scheduling options, clinical certifications,
leadership development programs and career coaching, we allow
employees to invest in their personal and professional well-being,
all from day one.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 veteran status . It is also the
policy of Humana to take affirmative action to employ and to
advance in employment, all persons regardless of race, color,
religion, sex, sexual orientation, gender identity, national
origin, age, marital status, genetic information, 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.
Keywords: CenterWell Home Health, Scottsdale , Clinical Manager, Home Health, Accounting, Auditing , Phoenix, Arizona
Didn't find what you're looking for? Search again!
Loading more jobs...