RN Clinical Manager - Behavioral Health
Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
About the role
As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency.
Responsibilities
- Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
- Schedule and ensure timely documentation of initial assessments
- Coordinate with Case Coordinators to ensure appropriate staffing and coverage
- Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
- Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
- Approve and update plans of care (POC), including verbal orders, medications, and treatments
- Ensure timely completion of recertifications and verify plan of care content and compliance with policies
- Conduct routine and supervisory field visits as required by state regulations
- Support training and orientation of newly hired nurses, caregivers, and staff
Requirements
- Registered Nurse (RN) license in the state of practice
- Solid understanding of home care regulations and reimbursement mechanisms
Qualifications
State Specific Requirements (CT):
- RN with one of the following:
- Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related)
- Associate degree in nursing + 3 years full-time clinical experience (2 in home health or related)
- Diploma in nursing + 3 years full-time clinical experience (2 in home health or related)
Preferred Qualifications
- Bachelor's degree in nursing, healthcare, healthcare technology, or education
- 1+ years of home care experience
- Supervisory or management experience
- Experience in staff training or orientation
- Ability to manage schedules, documentation, and compliance processes
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
Pay
The salary for this role will range from $59,664 to $89,496 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.