Home Health RN Clinical Manager

About the role

Become a part of our caring community. As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high-quality care in the home setting. By guiding clinical practice, coordinating patient services, conducting quality assurance reviews, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles.

Responsibilities

• Guide, support, and educate clinicians; help goal set, care planning, and clinical decision making; and remain available during operating hours for clinical support.
• Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes.
• Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff.
• Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards.
• Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies.
• Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders.
• Monitor outcome-based quality indicators and assist in developing performance improvement plans.
• Participate in quality improvement projects, internal audits, and regulatory survey readiness.
• Track and report quality metrics, trends, and areas for improvement to leadership.
• Provide staff education and support with compliance issues and documentation standards.
• Stay current on federal and state regulations related to home health care and quality assurance.
• Provide direct patient care on a limited basis in exceptional or unplanned circumstances.

Qualifications

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR certification.
• Valid driver's license, auto insurance and reliable transportation.
• A minimum of 2 years of experience as a Registered Nurse is strongly preferred.
• Traditional skilled home health experience is strongly preferred.
• Management and people leadership experience is strongly preferred.
• OASIS experience is strongly preferred.
• OASIS certification (HCS-O, COQS, and/or COS-C) is preferred.
• Homecare Homebase (HCHB) experience is preferred.
• Foundational knowledge and basic understanding of CMS PDGM is strongly preferred.
• Experience with Medicare Conditions of Participation (CoP) is preferred.

Schedule

Position Type: On-site at CWHH Lincoln, NE branch location. Work Schedule: Full-time/40 Hours. Normal Hours of Operation: Monday–Friday, 8:00 a.m.–5:00 p.m. On-Call Expectation: Yes, rotating on-call shift. Scheduled Weekly Hours: 40.

Pay

Pay Range: $69,500 – $95,600 per year (good faith estimate for full-time, 40 hours/week; actual pay varies by location, skills, experience, education, certifications). This job is eligible for an annual incentive bonus based on company and/or individual performance.

Benefits

• Day-1 Benefits
• PTO + Paid Holidays
• 401(k) with Company Match
• Disability & Life Insurance
• Wellness/Financial Programs, EAP Resources & Personalized Healthcare Navigation (at no cost)
• Career Growth & Education Support
• Work-Life Balance & Leave Programs

Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities supporting whole-person well-being.

Additional Information

• Branch Size: 100+ Census (4.0 STAR rating)
• Annual Bonus Eligible: Yes

TB Statement: This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB.

Driving Statement: This role is part of Humana's driver safety program and requires a valid state driver's license and personal vehicle liability insurance meeting state minimums or $25,000 bodily injury per person / $25,000 bodily injury per event / $10,000 property damage, whichever is higher.

About the Company

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.

CenterWell, a Humana company is a leading healthcare services business focused on creating integrated and differentiated experiences that put patients at the center of everything we do. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more at CenterWell.com.