RN Clinical Manager, Home Health
Company: CenterWell Home Health
Location: Greenville
Posted on: January 6, 2026
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Job Description:
Become a part of our caring community and help us put health
first Reports To: Associate Director, Home Health Branch
Administrator FLSA: Exempt Work Schedule : Full-time/40 Hours
Position Type : On-site Branch Location : Greenville, NC This is
not a remote or work-from-home position. This position requires you
to sit on-site at our Greenville, NC branch location. The RN
Clinical Manager coordinates and oversees all direct care patient
services provided by clinical personnel. This role is 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 following 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. Use your skills to
make an impact Education: Associate degree in Nursing (ADN)
required; Bachelor of Science in Nursing (BSN) strongly preferred.
License/Certifications: Active and unrestricted Registered Nurse
(RN) license or Compact State RN license with authorization to
practice in the state of North Carolina. Proof of current CPR card
and/or BLS certification. Required Experience/Skills: Valid
driver's license, auto insurance and reliable transportation. A
minimum of 2 years of experience as a Registered Nurse (RN). Home
health experience is preferred. Management and people leadership
experience is strongly preferred. OASIS experience is preferred.
OASIS certification (HCS-O, COQS, and/or COS-C), preferred.
Homecare Homebase (HCHB) experience, preferred. Foundational
knowledge and basic understanding of CMS PDGM is preferred.
Additional Information Normal Hours of Operation: M-F / 8a-5p (ET)
On-Call Expectation: Yes, rotating on-call shift. Branch Size: 577
Census (4.0 STAR rating) Annual Bonus Eligible: Yes, eligible for
the annual incentive bonus which has pay-outs both quarterly and
annually. 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.
$77,200 - $106,200 per year This job is eligible for a bonus
incentive plan. This incentive opportunity is based upon company
and/or individual performance. 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 Us 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.
Keywords: CenterWell Home Health, Greenville , RN Clinical Manager, Home Health, Healthcare , Greenville, North Carolina