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Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location: Westbury, NY This is not a remote or work-from-home position. This position requires you to sit on-site at our Westbury, NY branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. * 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. 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. * Home health experience is required. * Management and people leadership experience, preferred. * OASIS experience, required. OASIS certification (HCS-O, COQS, and/or COS-C), preferred. * Homecare Homebase (HCHB) experience, preferred. * CMS PDGM billing knowledge and/or experience, preferred. Additional Information * Normal Hours of Operation: M-F / 8a-5p (ET) * On-Call Expectation: Rotating on-call shift. * Branch Size: 170 Census (4 STAR rating) 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 skills, knowledge, experience, education, certifications, etc. $92,600 - $127,400 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Job Description The RN Principle Care Management (PCM) Program Manager is responsible for overseeing the PCM program, ensuring high-quality, patient-centered care for individuals with chronic conditions. This role involves managing a team of medical assistants, coordinating care services, monitoring compliance with healthcare regulations, and implementing best practices to improve patient outcomes. Key Responsibilities: * Manage, implement, and oversee the PCM program to ensure effective care coordination for patients with chronic conditions. * Supervise and lead a team of medical assistants, providing guidance, training, and performance evaluations. * Monitor and ensure compliance with CMS guidelines and other regulatory requirements. * Collaborate with physicians, nurses, and other healthcare providers to optimize patient care plans. * Maintain accurate patient records, ensuring timely documentation and reporting. * Establish and track key performance metrics to measure program effectiveness and identify areas for improvement. * Serve as a point of contact for patients, families, and caregivers to address concerns and provide education about PCM services. * Develop and implement workflows, policies, and procedures to enhance program efficiency. * Stay updated with industry trends and regulations to ensure continuous improvement and compliance. * Facilitate team meetings, case reviews, and interdisciplinary discussions to enhance patient outcomes. Qualifications: * Active RN license * Bachelor's degree in Nursing (BSN) preferred. * Minimum of 3-5 years of clinical nursing experience, with at least 2 years in care management or chronic care coordination. * Experience in a supervisory or leadership role preferred. * Strong understanding of CMS regulations related to PCM and chronic care management. * Excellent leadership, communication, and organizational skills. * Proficiency in electronic health records (EHR) systems and documentation. * Ability to work collaboratively in a multidisciplinary healthcare environment. * Strong problem-solving and critical-thinking abilities. Work Environment: * Office-based with 1 day working remote * Standard business hours with potential for occasional evening or weekend work based on program needs. This position offers a unique opportunity for an experienced RN to lead a care management program focused on improving the health and well-being of patients with chronic conditions. If you are a dedicated nurse leader with a passion for care coordination and team management, we encourage you to apply. Powered by JazzHR QsXTSluX7f

Job Description The MA Principle Care Management (PCM) Program Manager is responsible for overseeing the PCM program, ensuring high-quality, patient-centered care for individuals with chronic conditions. This role involves managing a team of medical assistants, coordinating care services, monitoring compliance with healthcare regulations, and implementing best practices to improve patient outcomes. Key Responsibilities: * Manage, implement, and oversee the PCM program to ensure effective care coordination for patients with chronic conditions. * Supervise and lead a team of medical assistants, providing guidance, training, and performance evaluations. * Monitor and ensure compliance with CMS guidelines and other regulatory requirements. * Collaborate with physicians, nurses, and other healthcare providers to optimize patient care plans. * Maintain accurate patient records, ensuring timely documentation and reporting. * Establish and track key performance metrics to measure program effectiveness and identify areas for improvement. * Serve as a point of contact for patients, families, and caregivers to address concerns and provide education about PCM services. * Develop and implement workflows, policies, and procedures to enhance program efficiency. * Stay updated with industry trends and regulations to ensure continuous improvement and compliance. * Facilitate team meetings, case reviews, and interdisciplinary discussions to enhance patient outcomes. Qualifications: * Active Medical Assistant license * 2 years in care management or chronic care coordination. * Experience in a supervisory or leadership role preferred. * Strong understanding of CMS regulations related to PCM and chronic care management. * Excellent leadership, communication, and organizational skills. * Proficiency in electronic health records (EHR) systems and documentation. * Ability to work collaboratively in a multidisciplinary healthcare environment. * Strong problem-solving and critical-thinking abilities. Work Environment: * Office-based with 1 day working remote * Standard business hours with potential for occasional evening or weekend work based on program needs. This position offers a unique opportunity for an experienced RN to lead a care management program focused on improving the health and well-being of patients with chronic conditions. If you are a dedicated nurse leader with a passion for care coordination and team management, we encourage you to apply. Powered by JazzHR HuON4FdHuW

Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assig

Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. Prepare appropriate medical documenta

Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner. Planning: The RN develops and modifies a pla

RN Nurse Assessor/Case Manager,. RN Nurse Assessor/Case Manager (BSN). If you want to be part of the only safety net hospital in Nassau County, we have an amazing opportunity for a full-time Nurse Assessor/Case Manager.

Works under the supervision of the Nurse Manager/Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates and supervises individual patient care on a nursing unit/department according to unit policies and procedures. Provides supervision of non-RN personnel on the assig

RN Nurse Assessor/Case Manager,. RN Nurse Assessor/Case Manager (BSN). If you want to be part of the only safety net hospital in Nassau County, we have an amazing opportunity for a full-time Nurse Assessor/Case Manager.

Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Qual

Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Co

Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to atta

RN Nurse Assessor/Case Manager (BSN). RN Nurse Assessor/Case Manager,. If you want to be part of the only safety net hospital in Nassau County, we have an amazing opportunity for a full-time Nurse Assessor/Case Manager.

Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence-based nursing services that are s

As the Hospice Field Case Manager, you will develop and implement nursing plans of care and make recommendations for care based on patients' needs. NYS RN license NYS Driver's license Benefits Include:. FREE Online RN to BSN and MSN degree programs Tuition Reimbursement for all full and part-time st

Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Res

Full time MLTC RN Case Manager position offering $20,000 Sign on Bonus, 4 weeks paid vacation, 1199 Union benefits - Medical, Dental, Vision, 403(b) Retirement plan with company match. The RN MUST have proficiency in any of the following languages to be considered for the RNCM roles: Spanish. Lookin

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. All staff must bring to the organization the traits necessary to nurture our internal and external relationships. The

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. As a Registered Nurse (RN), Provide advice & support to the Residents and their families. Current State Registered Nurse RN License.

Registered Nurse, RN, reports findings of ongoing observations/assessments to the designated Charge Nurse, Nursing Supervisor, &/or Unit Manager. Identify/respond timely to patient concerns/needs. Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & c

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. All staff must bring to the organization the traits necessary to nurture our internal and external relationships. The

Registered Nurse Unit Manager, RN Job Summary. Registered Nurse Unit Manager, RN will organize, oversee and supervise assigned unit activities and staff assignments. Registered Nurse Unit Manager, RN will assist other staff members in completion of their duties.

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The Registered Nurse Care Manager at Williamsbridge Center in Bronx, NY provides comprehensive nursing care and support to residents in a skilled nursing facility. Williamsbridge Center is hiring a Registered Nurse

Registered Nurse, RN, reports findings of ongoing observations/assessments to the designated Charge Nurse, Nursing Supervisor, &/or Unit Manager. Identify/respond timely to patient concerns/needs. Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & c

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. Current State Registered Nurse RN License. Registered Nurse, Case Management, Long-Term Care, Healthcare, Nursing, Patient Care, Infection Control, Multidisciplinary Team, Medication Administration, Confidentiality.

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. A Case Manager administers skilled nursing care to patients on an intermittent basis in their place of residence. All

Hospice RN Case Manager – Queens, NY | Field-Based | 4 Patients/Day + Flex Time. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot Cali

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The Registered Nurse Care Manager at Williamsbridge Center provides essential nursing care in a skilled nursing facility, focusing on the health and well-being of residents. The role requires a current RN license, e

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. A Case Manager administers skilled nursing care to patients on an intermittent basis in their place of residence. All

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The Registered Nurse Care Manager (RN) at Williamsbridge Center provides essential support and care to residents in a skilled nursing facility. As a Registered Nurse (RN), Provide advice & support to the Residents a

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. A Case Manager administers skilled nursing care to patients on an intermittent basis in their place of residence. All

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. As a Registered Nurse (RN), Provide advice & support to the Residents and their families. Current State Registered Nurse RN License.

Registered Nurse, RN, reports findings of ongoing observations/assessments to the designated Charge Nurse, Nursing Supervisor, &/or Unit Manager. Identify/respond timely to patient concerns/needs. Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & c

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The role requires strong communication skills, a current RN license, and a commitment to maintaining confidentiality and high standards of care. Williamsbridge Center is hiring a Registered Nurse (RN) for our Skille

The Case Manager must have very strong interpersonal skills and the ability to build relationships with stakeholders, including staff and external partners, with emotional maturity. A Case Manager administers skilled nursing care to patients on an intermittent basis in their place of residence. All

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. Registered Nurse, Case Management, Skilled Nursing, Patient Care, Healthcare, Long-Term Care, Rehabilitation, Infection Control, Resident Support, Multidisciplinary Team. The Registered Nurse Care Manager at William

Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel issues on the Sub-Acute (Short Term Unit). Registered Nurse Unit Manager, RN coordinates resident care in accordance with State DOH regulations. Registered Nurse Unit Ma

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. Registered Nurse, Nursing Care, Patient Support, Medication Administration, Resident Care, Skilled Nursing Facility, Healthcare, Long-Term Care, Case Management, Rehabilitation. The Registered Nurse Care Manager at

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. Registered Nurse, Case Management, Skilled Nursing, Patient Care, Healthcare, Medication Administration, Long-Term Care, Clinical Documentation, Infection Control, Rehabilitation. The Registered Nurse Care Manager a

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. As a Registered Nurse (RN), Provide advice & support to the Residents and their families. Current State Registered Nurse RN License.