RN Manager | Home & Behavioral

Reposted An Hour Ago
Be an Early Applicant
Rocky Hill, CT, USA
In-Office
95K-104K Annually
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Manages home care clinical operations, including patient eligibility, referrals, staffing, scheduling, documentation, plans of care, recertifications, compliance, physician communication, field visits, and staff training. Ensures high-quality, cost-effective patient care while maintaining regulatory and reimbursement compliance.
Summary Generated by Built In
Requisition Number: 2384853
Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency.
Primary Responsibilities:
  • Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
  • Schedule and ensure timely documentation of initial assessments
  • Coordinate with Case Coordinators to ensure appropriate staffing and coverage
  • Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
  • Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
  • Approve and update plans of care (POC), including verbal orders, medications, and treatments
  • Ensure timely completion of recertifications and verify plan of care content and compliance with policies
  • Conduct routine and supervisory field visits as required by state regulations
  • Support training and orientation of newly hired nurses, caregivers, and staff

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Registered Nurse (RN) license in the state of practice
  • Solid understanding of home care regulations and reimbursement mechanisms

State Specific Requirements:
  • CT: RN with one of the following:
    • Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related)
    • Associate degree in nursing + 3 years full-time clinical experience (2 in home health or related)
    • Diploma in nursing + 3 years full-time clinical experience (2 in home health or related)

Preferred Qualifications:
  • Bachelor's degree in nursing, healthcare, healthcare technology, or education
  • 1+ years of home care experience
  • Supervisory or management experience
  • Experience in staff training or orientation
  • Ability to manage schedules, documentation, and compliance processes

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $95,000 to $104,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
#LHCGroup
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • Active Registered Nurse license in the state of practice
  • Solid understanding of home care regulations and reimbursement mechanisms
  • For Connecticut: Bachelor’s degree in nursing plus 2 years of full-time clinical experience, including 2 years in home health or related care
  • For Connecticut: Associate degree in nursing plus 3 years of full-time clinical experience, including 2 years in home health or related care
  • For Connecticut: Diploma in nursing plus 3 years of full-time clinical experience, including 2 years in home health or related care
  • Bachelor’s degree in nursing, healthcare, healthcare technology, or education
  • At least 1 year of home care experience
  • Supervisory or management experience
  • Experience training or orienting staff
  • Ability to manage schedules, documentation, and compliance processes

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — Paid time off is often regarded as generous, with meaningful accrual and flexibility to use it. While practices can vary by team, the overall time-off offering stands out as a relative strength.
  • Retirement Support — A 401(k) plan with employer matching is available and generally well-regarded for supporting long-term savings. It remains valuable, though candidates should verify the current match formula.
  • Parental & Family Support — Programs such as parental leave, family medical leave, and adoption assistance are included as notable elements of the total rewards package. These resources can meaningfully support work-life balance when applicable to the role and location.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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