Humana RN- Home Care Clinical Manager- Needham, MA in Needham, Massachusetts

Role : RN Clinical Manager (Home Health) Assignment : Humana at Home/Senior Bridge Location: Needham, MA

Are you a fit Are you innovative and enjoy defining strategy? Would you enjoy using your clinical analytic skills to lead teams to create and maintain programs that align local strategy with larger business objectives?

Assignment Capsule The position is responsible for ensuring quality and appropriateness of service to all clients, and for maintaining a high level of client satisfaction. The position will be knowledgeable and compliant with all applicable laws and regulations to which we may be subject. By ensuring service and satisfaction standards, the position spearheads high levels of “Word of Mouth” referrals and budget goals.

Authority and Responsibilities

Dependent on the size of the office, the Manager of Clinical Services may directly perform some or all of the activities associated with these responsibilities below. The position includes, but is not limited to, the following:
* Ensures Clinical competence/excellence

  • Responsible for maintaining Professional/Paraprofessional productivity and margins within budget goals

  • Responsible to maximize services for revenue growth by reviewing and approving all cases and potential care plans

  • Ensures superior customer service

  • Adheres to all policies, procedures and standards set forth by the company, state and federal regulations

  • Anticipates, identifies and reports in a timely manner on areas of potential risk; and plans their resolution or prevention. Consults with the Manager and Corporate Leadership staff as appropriate.

  • Performs any other activities as directed by the Company

    Must Have:

  • Valid RN License in the state of MA with no restrictions/disciplinary actions

  • Three years of nursing experience, preferably in care management

  • This role is considered patient facing and is a part of Humana’s Tuberculosis (TB) screening program, if selected for hire you will be required to be screened for TB

  • Valid driver’s license in the state of MA and have access to an automobile

  • Existing community and professional contacts within the geographic market

  • Knowledge of community resources

  • Proven leadership, ability to influence, motivate, develop, and empower employees to achieve objectives with a team approach

  • Minimum of 1-2 years of supervisory experience

  • Proficient with Microsoft application such as: Outlook, Word, Excel, and Power Point

  • This role is a part of Humana’s Driver Safety program and therefore requires and individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

    Role Desirables

    • BSN or Master’s degree in Nursing • Proven ability to lead teams and build strong working relationships, internally and externally • Experience leading remote multi-location teams • Care Management Certification

Title: RN- Home Care Clinical Manager- Needham, MA

Location: Massachusetts-Needham

Other Locations: US-Massachusetts-Boston

Requisition ID: 176957

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.