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Clinical Manager Home Health

Job in New York, New York County, New York, 10261, USA
Listing for: Humana Inc
Full Time position
Listed on 2026-03-03
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Location: New York

Become a part of our caring community and help us put health first

This is an onsite role reporting to the Branch Director of the Portland/Lake Oswego branch.

* Sign-On Bonus of $10,000
* This position is eligible for relocation assistance. The specific package offered will vary based on individual circumstances and company policy.

As Clinical Manager , you will manage all direct care patient services provided by clinical personnel.

  • Develop, plans, implements, analyzes, and organizes clinical operations for a specific location managed.
  • Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following company, physician, and/or health facility procedures/policies.
  • Manage the assignment of caregivers.
  • Responsible for and oversees the delivery of care to all patients served by the location. Receive case referrals. Review 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. Assign appropriate clinicians to a case.
  • Instruct and guide clinicians to promote more effective performance and delivery of quality home care services, and is available during operating hours to assist clinicians.
  • Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC).
  • Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensure final audits/billing are completed timely and in compliance with Medicare regulations.
  • Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning.
  • Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals.
  • Participate in sales and marketing initiatives.
  • Supervise all clinical employees assigned to a specific location. Responsible for the direction, coordination, and evaluation of the location. Carry out supervisory responsibilities following Company policies and procedures.
  • Handle necessary employee corrective action and discipline issues fairly and objectively, in consultation with the Human Resources Department and the Executive Director/Director of Operations.
  • Participate in the interviewing, hiring, training, and development of direct care clinicians. Evaluate their performance relative to job goals and requirements.
  • Coach staff and recommends in-service education programs, when needed.
  • Ensures adherence to internal policies and standards.
  • Assess staff education needs based on 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.
  • Analyze situations, identify problems and evaluate alternative courses of action through the use of Performance Improvement principles.
  • Responsible for reviewing the appropriate number of Case Managers and clinical staff documentation. This documentation includes starts-of-care, resumption-of-cares, and re-certifications, which are reviewed for appropriateness of care, delivery, and documentation requirements.
  • Responsible for the QA/PI activities. Work 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 and any other systems and process. Competently perform patient care assignments and staff management activities.
  • Provide direct patient care on an infrequent basis and only in times of emergency.
  • Act as Branch Director in their absence.
  • Interpret Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards.
  • Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs. Provide interpretation of knowledge and direction to staff.
  • Maintain relationships with referral/community sources. Participate in professional organizations and conduct care-related programs.
Use your skills to make an impact Required Experience/

Skills:
  • 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.
Scheduled Weekly Hours

40

Pay Range

The 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…

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