Conviva Care Solutions, LLC
Hiring now
Home Health RN Clinical Manager
On-site · South Charleston, West Virginia, United States$70k–96kFull-timeUpdated 4 weeks ago
Conviva Care Solutions, LLC
ApplyConviva Care Solutions, LLC
Hiring now
On-site · South Charleston, West Virginia, United States$70k–96kFull-timeUpdated 4 weeks ago
Conviva Care Solutions, LLC
ApplyPosition Type: On-site at CWHH South Charleston, WV branch location
Work Schedule: Full-time/40 Hours
**$10,000 Sign-on Bonus**
As a Registered Nurse Clinical Manager, you will:
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.
Required 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.
Traditional home health experience is preferred.
Management and people leadership experience is preferred.
OASIS experience is 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 preferred.
Additional Information:
Normal Hours of Operation: M-F / 8a-5p (ET)
On-Call Expectation: Yes, rotating on-call shift.
Branch Size: 812+ Census (4.5 STAR rating)
Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually.
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
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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.