Humana · 1 month ago
RN Clinical Manager
Avon, IN
Full-time
Onsite
Mid, Senior Level
$77K/yr - $106K/yr
2+ years expCenterWell Home Health is a leading provider of home health services, part of Humana Inc. The RN Clinical Manager coordinates and oversees all direct care patient services, ensuring quality assurance and operational effectiveness for home health initiatives.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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
Qualification
Required
Graduate of an accredited School of Nursing
Current state license as a Registered Nurse
Proof of current CPR
Valid driver's license, auto insurance and reliable transportation
Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment
Home health experience is required
Management and people leadership experience, required
OASIS experience, required
Preferred
OASIS certification (HCS-O, COQS, and/or COS-C)
Homecare Homebase (HCHB) experience
CMS PDGM billing knowledge and/or experience
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-16
2026-01-16
2026-01-14
Company data provided by crunchbase