RN Clinical Manager

Become Part of Our Caring Community

Work Schedule : Full-time / 40 Hours

Position Type : On-site

Branch Location : Portland, ME

This is not a remote or work-from-home position. This position requires you to sit on-site at our Portland, ME branch location.

RN Clinical Manager

The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. This role focuses on both home health clinical quality assurance and home health clinical operations initiatives.

• 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.
• 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.
• Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.
• 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.
• 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.
• Assesses staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff.
• 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.
• 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.
• Participates in performance improvement activities, maintains ongoing clinical knowledge through internal and external training programs.
• Maintains relationships with referral / community sources.

Required Experience / Skills :

Additional Information

Normal Hours of Operation : M-F / 8a-5p (ET)

On-Call Expectation : Rotating on-call shift.

Branch Size : 258 Census (4.5 STAR rating)

Scheduled Weekly Hours : 40

Pay Range : $77,200 - $106,200 per year

Description of Benefits

Humana, 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., 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.