RN Home Health Clinical Team Manager San Antonio Texas
Company: Optum
Location: San Antonio
Posted on: May 8, 2025
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Job Description:
WellMed, part of the Optum family of businesses, is seeking a
Clinical Team Manager Registered Nurse HH to join our team in San
Antonio, TX. Optum is a clinician-led care organization that is
changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral
part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a
global organization behind you so you can help your patients live
healthier lives. Here, you'll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while -Caring. Connecting.
Growing together.
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The Clinical Team Manager is an RN position who performs
management/ supervision functions in coordination of all clinical
disciplines including: skilled nursing, home health aide, physical
therapy, occupational therapy, speech therapy, and medical social
services. The Clinical Team Manager coordinates patient care on all
activities and assumes responsibility for continuity,
appropriateness and quality of services delivered within the home
health department. The Clinical Team Manager assists with the
day-to-day scheduling of staff, monitors performance of staff,
assists in the orientation of staff and serves on committees to
improve operations. The Clinical Team Manager performs all
functions in a professional and ethical manner and collaborates
with other members of the health care team to ensure the provision
of quality care. The Clinical Team Manager is responsible for
verification of appropriate incoming orders obtaining physician
orders and completion of orders. Receive and respond to all
incoming calls from referral sources or potential patients,
exchange information to identify patients' needs, and determine the
Company's ability to meet them. The Clinical Team Manager is
responsible for communication with the scheduling coordinator in
reference to new physician orders and assuring the patient is
staffed appropriately along with the reviewing of unassigned
patient visits and assisting with the staffing of the patient
visits with the appropriate field staff member. Responsible for
performing on call for home health department approximately one
week per month or dependent on the needs of the department.
Clinical Team Manager will work under the supervision of the
Clinical Team Manager Lead per branch and/or Director of Nursing
for home health for that branch, or VP of home health.
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Position Highlights & Primary Responsibilities:
Manages the recruitment, hiring, and development of sufficient
clinical and non-clinical staff to ensure the delivery of safe and
consistent quality care to all patient/clients 24/ 7
Participates and assists in orientation and training of clinical
and paraprofessional staff
Ensures that on-site supervisory requirements of designated staff
are met on a timely basis
Demonstrates an effective leadership style and solves problems in
an efficient and logical manner after accurately analyzing
facts
Assures that clinical staff have demonstrated the ability to
perform accurate and complete assessments, communicate with
physicians, plan for service delivery, plan for discharge, and make
excellent professional decisions
Manages the assignment of staff, monitoring of daily and weekly
schedules, and the matching of caregiver qualifications to
patient/client needs and geographical location, Manage quality
through patient/client care appraisals and employee supervision
Manages documentation to ensure that the patient/client's clinical
record meets legal and regulatory requirements, facilitates care,
enhances the continuity of care, helps coordinate treatment and
evaluation of the patient/client, and establishes medical necessity
so payers will reimburse for the services that are provided
Develops and maintains a working knowledge of all services and
resources available within the company and the community. Directs
staff to meet patient/client needs through the identification and
use of all available resources
Ensures that a client's plan of care is executed as written and per
physician orders
Ensures that a reassessment of a client's needs is performed by the
appropriate health care professional
When there is a significant health status change in the client's
condition; at the physician's request; or after hospital
discharge
Annual evaluations of staff according to company policy and
procedures and federal/state regulations
Manages ongoing skill evaluations to assure that the staff's
abilities are consistent with the needs of individual
patient/clients and the marketplace
Supervises clinical processes by managing staff and ensuring flow
of information and documentation from inquiry through discharge of
all patient/clients
Provides support and documentation needed to facilitate
reimbursement
Provides information that enables the collection and root-cause
analysis of data to identify opportunities for improvement,
develops/oversees the development and implementation of action
plans that result in continuous quality improvement
Assists in the coordination of patient services, to include lab
reports, updated patient reports, and interdisciplinary
communication
Receives and coordinates patient referrals from case managers,
physicians, and other referral sources
Participates in interdisciplinary care conferences, Agency programs
and management functions, as assigned
Monitors documentation and paper flow to ensure records are
accurate and timely and adhere to Medicare and other payer
guidelines
Ensures that clinical notes, supply log/visit logs are accurate and
turned into the office according to Agency policy
Investigates patient/family complaints promptly and takes
corrective action as needed
Makes home visits to provide patient care as needed
Recognizes and reports life threatening situations and responds
appropriately
Demonstrates knowledge of emergency procedures and responds
appropriately
Participates in the Agency's endeavors for accreditation, licensing
and professional recognition according to state, federal or CHAPs
requirements
Assists Director of Clinical Services in the development of
Performance Improvement Plan reports to include achieved goals,
opportunities for improvement, statistical data and projections
Participates in home care Performance Improvement Program
activities to continuously improve the quality of patient care
Serves as a resource person for clinical staff and management in
matters pertaining to Performance Improvement
Participates in periodic review of clinical records to promote
quality patient care
Educates clinical staff on documentation standards and patient care
as needed
Monitors assigned cases to ensure compliance with requirements of
third party payers
Attends all required in-service programs to maintain comprehensive
home care knowledge base within the review year, as assigned by
supervisor
Demonstrates effective time management skills by completing
assignments within projected time frames
Expresses verbal and written communication in a clear, positive and
cooperative manner
Demonstrates personal responsibility with regards to attendance and
punctuality
Promotes Agency philosophy, mission statement and administrative
policies to ensure quality of care
Maintains privacy and confidentiality with regards to all patient,
staff and Agency information
Provides positive, supportive communication to patients, families,
visitors, physicians and other personnel
Promotes the Agency image by adhering to the Dress Code
Meets productivity requirements based on Agency standard
Demonstrates knowledge and observance of the Patient's Bill of
Rights
Follows all infection control, standard precautions, and safety
guidelines/standards per Agency policy
Follows the appropriate chain of command in all forms of
communication
Demonstrates flexibility, enthusiasm and willingness to cooperate
while working with others or in place of others as necessary
Must be flexible with work schedule, able to work weekdays-on call
and weekends per assigned schedule
Performs other duties as assigned
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In 2011, WellMed partnered with Optum to provide care to patients
across Texas and Florida. WellMed is a network of doctors,
specialists and other medical professionals that specialize in
providing care for more than 1 million older adults with over
16,000 doctors' offices. At WellMed our focus is simple. We're
innovators in preventative health care, striving to change the face
of health care for seniors. WellMed has more than 22,000+ primary
care physicians, hospitalists, specialists, and advanced practice
clinicians who excel in caring for 900,000+ older adults. Together,
we're making health care work better for everyone.
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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:
Graduate of an accredited school of nursing
Current licensure as a Registered Licensed Nurse in good standing
with the Board of Nurse Examiners for the State of Texas
Ability to maintain certification in Basic Cardiac Life Support
Course C
3+ years of experience as a RN in an acute care setting or general
medical/surgical setting
Proven basic knowledge of governmental regulations, Medicare
(Medicaid, as required), regulations, and company policies and
procedures
Demonstrated familiarity with medical terminology and equipment.
Additional education and/or experience may be required by
individual state regulations -
Proven evidence of independent nursing practice in delivering
nursing care
Proven good organization, communication, human relations skills,
and access to reliable transportation
Proven self-motivation, assertiveness and independent
decision-making skills -
Proven intermediate PC skills (Excel, PowerPoint, Word, Visio,
Outlook, SharePoint) -
Demonstrated ability to read and follow written and verbal
instructions in English effectively
Demonstrated ability to operate computer terminal, printer, fax and
copier machines
Ability to travel
Current active driver's license
This position requires Tuberculosis screening as well as proof of
immunity to Measles, Mumps, Rubella, Varicella, Tetanus,
Diphtheria, and Pertussis through lab confirmation of immunity,
documented evidence of vaccination, or a doctor's diagnosis of
disease -
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Preferred Qualifications:
Experience in a community health or home health setting -
Supervisory experience -
Home Health experience
Proven knowledge of general office procedures
Proven excellent computer skills and knowledge of word processing
and excel
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Competencies:
Maintain privacy and confidentiality with regard to all patient,
staff & agency information
Problem solving skills
Interpersonal skills
Communication proficiency (oral & written)
Project & time management skills
Ethical conduct - follows appropriate chain of command
Adaptability & dependability
Safety & security
Thoroughness
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The salary range for this role is $71,600 to $140,600 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. In addition to your salary,
UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives. -
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.
Keywords: Optum, San Marcos , RN Home Health Clinical Team Manager San Antonio Texas, Hospitality & Tourism , San Antonio, Texas
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