Clinical Manager, Home Health & Hospice RN

As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health.

Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:

• Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff).
• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff).
• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match.
• A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit.
• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary.
• Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee.

Enrich the lives of older adults through community, choice, and continuing care in the licensed Clinical Manager, Home Health & Hospice role. We are seeking a dedicated licensed Clinical Manager to oversee and coordinate the daily clinical operations of our Home Health & Hospice programs in Washington State . The licensed Clinical Manager is responsible for ensuring high-quality patient care, compliance with state and federal regulations, and efficient management of clinical staff . This position plays a key role in maintaining DOH (Washington State Department of Health) compliance, Medicare/Medicaid regulations, and accreditation standards while fostering a culture of excellence, teamwork, and compassionate care. Find your sense of belonging at Wesley!

 You will provide continuing care through these responsibilities

Essential functions of this position include the following.

Clinical Oversight & Quality Assurance

• Ensure all patient care services adhere to Washington State Department of Health (DOH) home care and hospice licensing regulations .
• Maintain compliance with Medicare/Medicaid Conditions of Participation (CoPs) and accreditation standards (Joint Commission, CHAP, or ACHC).
• Oversee patient assessments, care planning, and documentation to ensure accuracy, quality, and compliance.
• Implement and monitor quality assurance and performance improvement (QAPI) programs to enhance patient outcomes.
• Stay current with Washington State’s opioid prescribing laws, advanced directives regulations, and end-of-life care policies .

Team Leadership & Staff Management

• Supervise and support RNs, LPNs, therapists, social workers, chaplains, bereavement staff, volunteers, and home health and hospice aides .
• Conduct staff training and competency evaluations per Washington State DOH guidelines.
• Lead case conferences and interdisciplinary team meetings to promote continuity of care.
• Ensure compliance with Washington’s continuing education (CE) requirements for nursing professionals .
• Build a culture of belonging through active use of the company’s recognition and reward platform.
• Create an engaged and high-performing team through adoption and visual support of the company’s people strategies.

Regulatory Compliance & Documentation

• Ensure timely, accurate, and complete documentation in Electronic Health Records (EHR) in compliance with Washington State home health & hospice documentation standards.
• Prepare for state DOH inspections, Medicare audits, and accreditation surveys .
• Maintain compliance with Washington’s POLST (Physician Orders for Life-Sustaining Treatment) and Advance Directive requirements .
• Address and resolve patient grievances and complaints in accordance with Washington State Patient Rights regulations.

Operational & Financial Efficiency

• Manage staff scheduling and resource allocation to optimize care delivery while maintaining cost efficiency.
• Work with leadership to ensure financial sustainability and proper utilization of Medicare and Medicaid reimbursements under Washington State guidelines.
• Assist in the development of policies and procedures specific to home health and hospice services in Washington .

Patient & Family Advocacy

• Serve as a liaison between patients, families, caregivers, and community resources to ensure comprehensive support.
• Educate patients and families on Washington’s Death with Dignity Act , hospice eligibility criteria, and palliative care options.
• Promote community outreach, patient education, and end-of-life planning initiatives .
• Leverage Lean thinking and methodology to develop contingency plans and staff competency with service recovery.

Our requirements and qualifications for success

• Active, unrestricted RN (Registered Nurse) license in Washington State (WA DOH licensed) or out-of-state MSL.

o Follow the Washington Nurse Practice Act.

o If MSL, complete Suicide Prevention Training in advance of hire per state regulations.

o If MSL, complete Washington State Board of Nursing (WABON) MSL demographic survey in advance of hire per state regulations.

• Bachelor’s degree in Nursing (BSN) required; Master’s degree (MSN, Healthcare Administration, or related field) preferred.
• Minimum of 2-4 years of experience in home health, hospice, or a related healthcare field.
• Strong knowledge of Washington State DOH home health and hospice regulations, Medicare/Medicaid requirements, and accreditation standards.
• Leadership experience with staff supervision, team management, and performance evaluations.
• Proficiency in Electronic Health Records (EHR) and case management software.
• Strong organizational, problem-solving, and decision-making skills.
• Excellent communication and interpersonal skills with a focus on patient-centered care.
• Experience with survey readiness, quality assurance, and performance improvement programs.
• Knowledge of Washington Medicaid Home and Community-Based Services (HCBS) waiver programs.
• Certification in Hospice & Palliative Nursing (CHPN), OASIS (Outcome and Assessment Information Set), or other relevant credentials.
• Bilingual skills; preferred but not required.

Physical, environmental, and mental requirements

• Ability to give direct patient care, including participating in lifting, transferring, positioning, and assistance of residents with walking or in wheelchairs.
• Able to lift 40lbs on a regular basis.
• Ability to use a laptop, tablet or touch screen to document resident records.
• Apply your physical and muscle strength to lift, push, pull or carry objects.
• Ability to utilize your lower back and abdominal muscles to support part of the body repeatedly and continuously over time without fatiguing.
• Ability to listen to and comprehend information and ideas provided through conversation, email, and text.
• Ability to maintain focus and concentration.

Salary Range: $87,318.40 to $125,403.20 per year