Registered Nurse Clinical Manager

Job Title

Clinical Manager (Registered Nurse – In-Office)

Richardson, Texas (In-Office)

The In-Office RN Clinical Manager is responsible for the clinical oversight, supervision, and coordination of home health services to ensure safe, compliant, and high-quality patient care. This role provides day-to-day clinical leadership, ensures adherence to physician orders and plans of care, supports regulatory compliance with Medicare and Texas HHSC requirements, and serves as a key resource for clinical staff and agency leadership.

• Provide clinical oversight of all home health services delivered by field clinicians
• Ensure patient care is delivered in accordance with physician orders, plans of care, and professional standards
• Review and approve clinical documentation, including assessments, visit notes, and care plans
• Monitor patient outcomes and address clinical issues or variances in care
• Serve as the clinical escalation point for patient care concerns

• Supervise, mentor, and support field clinicians (RNs, LVNs, therapists, aides, etc.)
• Conduct clinical supervision, case reviews, and performance evaluations
• Provide ongoing clinical education, coaching, and corrective action as needed
• Ensure staff competencies, licensure, certifications, and required training remain current
• Participate in hiring, onboarding, and orientation of clinical staff

• Coordinate care across the interdisciplinary team, including nursing, therapy, social work, and physicians
• Lead or participate in interdisciplinary team meetings and case conferences
• Support transitions of care (hospital to home, recertifications, discharges)
• Ensure timely communication of care plan updates and changes

• Ensure compliance with Medicare Guidelines of Participation, Texas HHSC regulations, and agency policies
• Review OASIS assessments for accuracy, completeness, and timeliness
• Ensure timely completion of physician orders, recertifications, and discharge documentation
• Prepare for and participate in surveys, audits, and regulatory reviews
• Address deficiencies, develop plans of correction, and monitor compliance improvements

• Monitor quality indicators, outcomes, and adverse events
• Identify trends, risks, or gaps in care and implement corrective actions
• Oversee incident reporting, investigations, and follow-up actions
• Participate in Quality Assurance and Performance Improvement (QAPI) activities
• Support infection control and patient safety initiatives

• Collaborate with administrative staff to ensure appropriate clinician coverage and visit frequencies
• Assist with workload distribution based on patient acuity and staffing levels
• Support timely start-of-care, recertifications, and discharges
• Communicate staffing needs or operational challenges to leadership

• Address escalated patient or family concerns and complaints
• Ensure patient and caregiver education is provided and documented
• Promote patient satisfaction and continuity of care

• Active Registered Nurse (RN) license in the state of Texas
• Minimum 2-4 years of nursing experience, with home health experience required
• Prior experience in a supervisory or management role preferred
• Strong knowledge of Medicare CoPs, Texas HHSC regulations, and home health operations
• Current BLS/CPR certification

• OASIS and PDGM experience
• EMR proficiency
• Leadership or management training
• Bilingual (English/Spanish preferred)

• Ability to work full-time in an office environment
• Ability to sit, stand, and use a computer for extended periods
• Occasional travel to patient homes or field visits as needed
• Ability to lift up to 25 lbs

• Clinical leadership and decision-making
• Regulatory compliance and documentation accuracy
• Staff supervision and development
• Quality improvement and risk management
• Communication and organizational skills

• Company parties
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Training & development
• 401(k)
• Health & Dental insurance, Paid Time Off, Holidays, Bonus/Incentives, 401(K)