Complex Case Manager Jobs in Pooler, GA (NOW HIRING)

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  The Clinical Manager, Home Health Nursing enables patients to stay in their homes by providing health and personal services; supporting patients and their families. The Clinical Manager, Home Health Nursing works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Position Type : On-site at Savannah, GA branch location

Work Schedule : Full-time/40 Hours

$10,000 Associated Sign-on Bonus

As a Registered Nurse Clinical Manager , you will:

• Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office.
• Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards.
• 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.
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
• Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement.
• Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development.
• Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as Branch Director in their absence.
• Perform additional tasks to support clinical operations and organizational goals.

Use your skills to make an impact
 

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 is required.
• Traditional home health experience is required.
• Management and people leadership experience is required.
• OASIS experience is required. OASIS certification (HCS-O, COQS, and/or COS-C), 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: 170+ Census (4.0 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

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

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 is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

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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.