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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.

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

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

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.

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

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.

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

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.

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:. Registered Nurse, Care Manager, Case Management, Skilled Nursing Facility, Patient Care, Medication Administration, Infection Control, Long-Term Care, Healthcare, Multidisciplinary Team. The Registered Nurse Care Ma

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 is responsible for providing comprehensive care and support to residents in a skilled nursing facility, ensuring their safety and well-being through monitoring, documentation, and 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. 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:. The ideal candidate possesses strong communication skills, a state RN license, and a commitment to preserving resident dignity and independence. Williamsbridge Center is hiring a Registered Nurse (RN) for our Skille

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 Registered Nurse Care Manager at Williamsbridge Center provides comprehensive care and support to residents in a skilled nursing facility. Williamsbridge Center is hiring a Registered Nurse (RN) for our Skilled

Registered Nurse Unit Manager, RN will organize, oversee and supervise assigned unit activities and staff assignments. Registered Nurse Unit Manager, RN will communicate to the Interdisciplinary Team members any pertinent resident findings. Registered Nurse Unit Manager, RN Job Summary.

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The ideal candidate will possess strong communication skills, a current RN license, and a commitment to fostering a nurturing environment for residents. Williamsbridge Center is hiring a Registered Nurse (RN) for ou

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:. A Registered Nurse Care Manager at Williamsbridge Center in the Bronx, NY, is responsible for monitoring residents, administering medication, and providing support and advice to residents and their families. The ide

Registered Nurse Unit Manager, RN will communicate to the Interdisciplinary Team members any pertinent resident findings. Registered Nurse Unit Manager, RN Job Summary. Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel

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 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:. As a Registered Nurse Care Manager at Williamsbridge Center, I provide essential support and care to residents in a skilled nursing facility. Williamsbridge Center is hiring a Registered Nurse (RN) for our Skilled N

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:. As a Registered Nurse (RN), Provide advice & support to the Residents and their families. Current State Registered Nurse RN License.

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 at Williamsbridge Center is responsible for providing comprehensive care and support to residents in a skilled nursing facility. The ideal candidate will possess strong communicatio

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. Registered Nurse, Case Management, Skilled Nursing Facility, Patient Care, Long-Term Care, Healthcare Management, Medication Administration, Infection Control, Multidisciplinary Team, Bronx Nursing Jobs. The Registe

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 Care Manager / Case Management (RN) at Centers Healthcare summary:. Williamsbridge Center is hiring a Registered Nurse (RN) for our Skilled Nursing Facility in Bronx, NY. As a Registered Nurse (RN), Provide advice & support to the Residents and their families.