Home Health RN QA Clinical Manager

Company: CenterWell Home Health
Location: Lumberton
Posted on: March 17, 2026

Job Description:

Become a part of our caring community and help us put health first As a Home Health RN QA Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high quality care in the home setting. By guiding clinical practice, coordinating patient services, conducting quality assurance reviews, 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. Position Type: On-site Work Schedule: Full-time/40 Hours As a Home Health RN QA Clinical Manager, you will: - 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. - Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards. - Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies. - Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders. - Monitor outcome-based quality indicators and assist in developing performance improvement plans. - Participate in quality improvement projects, internal audits, and regulatory survey readiness. - Track and report quality metrics, trends, and areas for improvement to leadership. - Provide staff education and support with compliance issues and documentation standards. - Stay current on federal and state regulations related to home health care and quality assurance. - Provide direct patient care on a limited basis in exceptional or unplanned circumstances. 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. - Traditional home health experience is required. - Management and people leadership experience is preferred. - OASIS experience is required. OASIS certification (HCS-O, COQS, and/or COS-C) is strongly preferred. - Must have experience with the following OASIS assessment types: starts of cares (SOC), resumption of cares (ROC), re-certifications, discharges from care (DC), and transfer of cares. - Homecare Homebase (HCHB) experience is preferred. - Foundational knowledge and basic understanding of CMS PDGM is preferred. - Knowledge of Medicare Conditions of Participation (COP) for home health is required. Additional Information: - Normal Hours of Operation: M-F / 8a-5p (ET) - On-Call Expectation: Yes, rotating on-call shift. - Branch Size: 300 Census (4.0 STAR rating) - Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually. 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 creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 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.

Keywords: CenterWell Home Health, High Point , Home Health RN QA Clinical Manager, Healthcare , Lumberton, North Carolina