RN Clinical Manager

TieTalent - Westbury, NY

Job Title: RN Clinical Manager

Position: Clinical Manager overseeing direct patient services

Job Type: Full-time

Pay: $92,600 - $127,400 per year

Shift: M-F / 8a-5p (ET), rotating on-call shift

Work Type: On-site

Location

Address:

City: Westbury

State: NY

ZIP Code:

Job Responsibilities

Coordinate and oversee all direct care patient services provided by clinical personnel.
Develop, plan, implement, analyze, and organize clinical operations for the specific location managed.
Conduct/delegate assessments and reassessments of patients, including care plan updates.
Manage the assignment of caregivers and oversee care delivery to patients.
Receive case referrals and determine home health or hospice needs.
Ensure patients meet admission criteria and make decisions to admit patients to service.
Assign appropriate clinicians to cases as needed.
Instruct and guide clinicians for effective performance and delivery of quality home care services.
Monitor cases for documentation compliance with regulatory agencies and third-party payer requirements.
Ensure timely completion of audits/billing in compliance with Medicare regulations.
Coordinate communication between team members, attending physicians, and caregivers.
Work with the Branch Director and Finance Department to set location revenue and budget goals.
Participate in sales and marketing initiatives.
Supervise clinical employees at the specific location.
Handle employee corrective actions and discipline issues objectively.
Participate in the hiring, training, and development of direct care clinicians.
Evaluate clinician performance and recommend in-service education programs.
Conduct staff education based on clinical documentation reviews and feedback.
Analyze situations and evaluate alternative courses of action using Performance Improvement principles.
Review Case Manager and clinical staff documentation for appropriateness of care and compliance.
Responsible for QA/PI activities and work with Utilization Review staff on data tracking.
Participate in performance improvement activities and maintain ongoing clinical knowledge.
Maintain relationships with referral/community sources and participate in professional organizations.
Provide direct patient care in emergencies and act as Branch Director in their absence.
Interpret Company standards and ensure caregiver documentation meets internal standards.

Required Skills

Core Skills

Current state license as a Registered Nurse
Management experience in home care or hospice
Home health experience
OASIS experience

Preferred Skills

Management and people leadership experience
OASIS certification (HCS-O, COQS, and/or COS-C)
Homecare Homebase (HCHB) experience
CMS PDGM billing knowledge and/or experience

Requirements

Experience: Two years as a Registered Nurse with at least one year of management experience in home care or hospice environment.

Education: Graduate of an accredited School of Nursing.

License & Certification:

Registered Nurse license
CPR certification
Valid driver's license with auto insurance

Schedule:

COVID-19 Requirements: Not Specified

Benefits

Medical, dental, and vision benefits
401(k) retirement savings plan
Paid time off (including company and personal holidays)
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability insurance
Life insurance
Opportunities for personal wellness and professional growth

Supplemental Pay

Not specified

Special Notes

Humana is an Equal Opportunity Employer and does not discriminate based on various factors.

Facility Details

Name: TieTalent

Description: Specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from various health situations.

Specialties: