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RN QA Clinical Manager, Home Health - Raleigh, NC
Centerwell, Limited Partnership - Youngsville, NC
posted 2 months ago
About the position
The RN QA Clinical Manager at CenterWell Home Health is responsible for coordinating and overseeing all direct care patient services provided by clinical personnel in the Raleigh, NC branch. This role focuses on home health clinical quality assurance and operational initiatives, ensuring compliance with regulatory standards while delivering high-quality care to patients. The manager will also participate in sales and marketing initiatives, supervise clinical staff, and handle employee development and performance evaluations.
Responsibilities
- Coordinate and oversee all direct care patient services provided by clinical personnel.
- Develop, plan, implement, analyze, and organize clinical operations for the location.
- Conduct and delegate patient assessments and update care plans accordingly.
- Manage the assignment of caregivers and ensure appropriate clinician assignments for cases.
- Instruct and guide clinicians to enhance performance and quality of home care services.
- Monitor cases for compliance with documentation and regulatory requirements.
- Coordinate communication between team members, physicians, and caregivers.
- Work with the Branch Director and Finance Department to establish revenue and budget goals.
- Participate in sales and marketing initiatives for the branch.
- Supervise all clinical employees and manage employee performance and development.
- Conduct staff education assessments and provide necessary training.
- Analyze situations and identify problems using Performance Improvement principles.
- Review clinical documentation for appropriateness of care and compliance.
- Oversee QA/PI activities and collaborate with Utilization Review staff for performance tracking.
- Provide direct patient care in emergencies and act as Branch Director in their absence.
- Maintain relationships with referral sources and participate in professional organizations.
Requirements
- 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.
- Two years of experience as a Registered Nurse with at least one year of management experience in home care or hospice.
- Home care experience is required, preferably in home health.
- Management and people leadership experience is required.
- OASIS experience is required.
- OASIS certification (HCS-O, COQS, and/or COS-C) is highly desired.
- Homecare Homebase (HCHB) experience is required.
- CMS PDGM billing knowledge and/or experience is required.
Nice-to-haves
- OASIS certification (HCS-O, COQS, and/or COS-C)
- Experience with Homecare Homebase (HCHB)
- Knowledge of CMS PDGM billing practices.
Benefits
- Medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid time off including company and personal holidays
- Volunteer time off
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Annual bonus eligibility
