Pride Health · 1 week ago
Clinical Manager
Pride Health is seeking an experienced Clinical Manager (RN) to join our client, a Home Health facility. This role focuses on oversight of patient care, OASIS accuracy, care coordination, and clinical compliance within a high-volume Home Health setting.
Health CareHuman ResourcesInformation Technology
Responsibilities
Ensure Plan of Care is implemented and updated per patient needs or clinical changes
Review and ensure accurate evaluation packets, OASIS, and 485 forms
Process OASIS assessments, verify SOC dates, and correct documentation discrepancies
Follow up on missing documentation and ensure completion by Licensed Professionals
Manage referral intake and ensure timely scheduling of assessment visits
Lead weekly Case Conferences and guide recertification/discharge decisions
Review and approve Case Conference coordination notes within 48 hours
Communicate with physicians to obtain, confirm, or update clinical orders
Review, approve, or decline orders per protocol
Ensure modifications, corrections, and medication updates are completed accurately
Track unsigned orders and follow up as needed
Ensure frequency-related orders reflect correct scheduling
Review vital-sign alerts and wound-score deviations; notify physicians as appropriate
Enter non-admit information in HCHB and ensure Branch Director approval
May perform patient visits or be included in on-call rotations
Verify benefits and obtain authorization for non-Medicare patients
Follow up on billing claim audit deficiencies within 24 hours
Run and submit missed-visit notifications to physicians weekly
Serve as backup for PSC functions (rescheduling, lab report review when allowed)
Qualification
Required
HomeCare HomeBase (HCHB) experience (required)
OASIS proficiency (required)
Strong communication, multitasking, and organizational skills
Thorough understanding of Federal and State Home Health regulations
Computer proficiency and professional communication skills
Education: Graduate of an approved nursing school; Active RN license required
Experience: Minimum 2 years of nursing experience
Minimum 1 year Home Health experience
Clinical Manager experience with HCHB is required
Must possess valid driver's license, auto insurance, and ability to drive in all weather conditions
Preferred
Supervisory experience
Benefits
Comprehensive healthcare coverage (medical, dental, and vision plans)
Supplemental coverage (accident insurance, critical illness insurance and hospital indemnity)
401(k)-retirement savings
Life & disability insurance
An employee assistance program
Legal support
Auto, home insurance
Pet insurance
Employee discounts with preferred vendors
Company
Pride Health
Pride Health is a staffing and recruiting company that provides account management and staffing solutions.
Funding
Current Stage
Growth StageRecent News
2025-11-06
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