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Director Humana Rn Jobs in Lancaster, PA (NOW HIRING)

CenterWell

Home Health Clinical Manager

Lancaster, PA · On-site

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as ...

Yorkview Nursing and Rehab

Registered Nurse (RN)

York, PA · On-site

$35 - $41.59/hr

Registered Nurse (RN) Yorkview Nursing and Rehab is seeking dedicated and compassionate Registered ... Provide direct nursing care to residents in accordance with established policies and procedures

Yorkview Nursing and Rehab

Registered Nurse (RN)

York, PA · On-site

$35 - $41.59/hr

Registered Nurse (RN) - Full-Time or Pay-in-Lieu Yorkview Nursing & Rehab | York, PA Yorkview ... Provide direct nursing care to residents in accordance with established policies and procedures

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All JobsHumana Rn JobsDirector Humana Rn JobsDirector Humana Rn Jobs in Lancaster, PA

Director Humana Rn information

What does a Director Humana RN do?

A Director Humana RN is a registered nurse who holds a leadership position at Humana, a major health insurance and healthcare services company. This role typically involves overseeing nursing teams, managing clinical operations, ensuring compliance with healthcare regulations, and developing strategies to improve patient care quality and efficiency. Directors at this level also collaborate with other healthcare professionals and administrative staff to implement organizational policies and achieve business goals. They play a critical role in bridging the gap between clinical staff and executive leadership to ensure optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a Director Humana RN?

To thrive as a Director, Humana RN, you need extensive nursing experience, a current RN license, and proven leadership or management credentials, often supported by a BSN or MSN degree. Familiarity with healthcare management systems, data analysis tools, and compliance standards like HIPAA is crucial. Outstanding leadership, strategic thinking, and communication skills distinguish top performers in this executive role. These competencies ensure effective oversight of clinical teams, drive quality improvement, and enable alignment with organizational goals in a dynamic healthcare environment.

How does a Director Humana RN typically balance administrative responsibilities with clinical oversight?

As a Director Humana RN, your role involves a careful balance between administrative functions—such as staff management, policy implementation, and quality assurance—and providing clinical leadership to ensure high standards of patient care. You will often collaborate with interdisciplinary teams, including physicians, case managers, and support staff, to develop care plans and drive process improvements. While you may not provide direct patient care daily, your clinical expertise is crucial in guiding nursing teams, addressing complex cases, and maintaining compliance with healthcare regulations. This balance requires strong organizational skills and the ability to prioritize tasks effectively in a fast-paced environment.

What is the difference between Director Humana Rn vs Nurse Manager?

AspectDirector Humana RnNurse Manager
CredentialsRN license, leadership experience, possibly a master's degreeRN license, clinical experience, management skills
Work EnvironmentStrategic planning, overseeing multiple departments, administrative tasksSupervising nursing staff, managing daily operations in a specific unit
Employer & IndustryHealthcare organizations, insurance providers like HumanaHospitals, clinics, healthcare facilities

The main difference is that a Director Humana Rn focuses on strategic leadership and administrative oversight at a higher organizational level, often within insurance or large healthcare companies, while a Nurse Manager handles daily clinical operations and staff management within a specific healthcare unit.

What are the most commonly searched types of Humana Rn jobs in Lancaster, PA?

The most popular types of Humana Rn jobs in Lancaster, PA are:

Director Humana Rn jobs near you

Home Health Clinical Manager

CenterWell Primary Care

Lancaster, PA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, highquality care in the home setting. By guiding clinical practice, coordinating patient services, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles.

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 goalset, care planning, and clinical decisionmaking; 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:

  • Current state license as a Registered Nurse.

  • Proof of current CPR.

  • Valid driver's license, auto insurance and reliable transportation.

  • Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.

Additional Information

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, 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 atCenterWell.com.


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.

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