RN Clinical Team Manager Home Health San Antonio Texas
Optum - Converse, TX
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WellMed, part of the Optum family of businesses, is seeking a RN Clinical Team Manager to join our team in San Antonio, Texas. 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. 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. The Clinical Team Manager is an RN position who performs management 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. 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. Primary Responsibilities:Provides direction and leadership to designated Agency personnel in an effort to ensure quality and continuity of services through competent personnel management skillsEnsures that all supervised health care staff maintains compliance of federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of careEnsures that a client's plan of care is executed as written and per physician ordersEnsures that a reassessment of a client's needs is performed by the appropriate health care professionalWhen there is a significant health status change in the client's condition; at the physician's request; or after hospital dischargeParticipates and assists in orientation and training of clinical and paraprofessional staffEnsures that on-site supervisory requirements of designated staff are met on a timely basisDemonstrates an effective leadership style and solves problems in an efficient and logical manner after accurately analyzing factsEnsures scheduling and assignments are appropriately based on patient needs, staff expertise, and geographical locationsAssists in the coordination of patient services, to include lab reports, updated patient reports, and interdisciplinary communicationReceives and coordinates patient referrals from case managers, physicians, and other referral sourcesParticipates in interdisciplinary care conferences, Agency programs and management functions, as assignedMonitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelinesEnsures that clinical notes, supply log/visit logs are accurate and turned into the office according to Agency policyProvides assistance to CTM with investigation of patient/family complaints promptly and takes corrective action as neededMakes home visits to provide patient care as neededRecognizes and reports life threatening situations and responds appropriatelyDemonstrates knowledge of emergency procedures and responds appropriatelyParticipates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirementsAssists CTM in the development of Performance Improvement Plan reports to include achieved goals, opportunities for improvement, statistical data and projectionsParticipates in home care Performance Improvement Program activities to continuously improve the quality of patient careServes as a resource person for clinical staff and management in matters pertaining to Performance ImprovementParticipates in periodic review of clinical records to promote quality patient careEducates clinical staff on documentation standards and patient care as neededMonitors assigned cases to ensure compliance with requirements of third party payersAttends all required in-service programs to maintain comprehensive home care knowledge base within the review year, as assigned by supervisorDemonstrates effective time management skills by completing assignments within projected time framesExpresses verbal and written communication in a clear, positive and cooperative mannerDemonstrates personal responsibility with regard to attendance and punctualityPromotes Agency philosophy, mission statement and administrative policies to ensure quality of careMaintains privacy and confidentiality with regard to all patient, staff and Agency informationProvides positive, supportive communication to patients, families, visitors, physicians and other personnelPromotes the Agency image by adhering to the Dress CodeMeets productivity requirements based on Agency standardDemonstrates knowledge and observance of the Patient's Bill of RightsFollows all infection control, standard precautions, and safety guidelines/standards per Agency policyFollows the appropriate chain of command in all forms of communicationDemonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others as necessaryMust be flexible with work schedule, able to work weekdays-on call and weekends per assigned schedulePerforms other duties as assigned 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. 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 nursingCurrent licensure as a Registered Licensed Nurse in good standing with the Board of Nurse Examiners for the State of TexasCertification in Basic Cardiac Life Support Course C. Familiarity with medical terminology and equipment. Additional education and/or experience may be required by individual state regulations3+ years of experience as a RN in an acute care setting or general medical/surgical settingEvidence of independent nursing practice in delivering nursing careProven basic knowledge of governmental regulations, Medicare (Medicaid, as required), regulations, and company policies and proceduresProven good organization, communication, human relations skillsDemonstrated self-motivation, assertiveness and independent decision-making skillsAbility to read and follow written and verbal instructions in English effectivelyPossesses ability to operate computer terminal, printer, fax and copier machinesDriver's License and access to reliable transportation Preferred Qualifications:Supervisory experienceProven knowledge of general office proceduresProven excellent computer skills and knowledge of word processing and excel 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 $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Created: 2026-02-16