Clinical Manager – Home Health (RN)

$95,000 Salary + Annual Performance Bonuses + $7,000 Sign‑On Bonus
Location: St. Louis, MO
Position Type: Full‑Time
Setting: Home Health

About Breakthrough Healthcare
Breakthrough Healthcare is a nurse‑founded, privately owned home health agency serving the Greater St. Louis area. We are known for high clinical standards, strong compliance, and a culture that values leadership, accountability, and patient‑centered care.
We are seeking a Clinical Manager who is ready to step into a visible leadership role and partner closely with executive leadership to ensure clinical excellence, staff support, and regulatory compliance.

Position Overview
The Clinical Manager is a senior clinical leadership role responsible for overseeing nursing operations, ensuring quality outcomes, supporting field staff, and maintaining compliance with Medicare and Medicaid regulations.
This role blends clinical expertise, leadership, and operational oversight and is ideal for an RN who enjoys mentoring staff, improving systems, and driving quality across the agency.

Key Responsibilities

Provide clinical oversight and leadership to nursing staff (RNs, LPNs, HHAs)
Ensure compliance with Medicare Conditions of Participation, Medicaid requirements, and agency policies
Review and oversee OASIS documentation, Plans of Care, and clinical records for accuracy and quality
Support admissions, case management, and coordination of care as needed
Serve as a clinical resource for field staff, providing guidance, coaching, and problem‑solving
Participate in quality improvement initiatives, audits, and survey readiness activities
Collaborate with executive leadership to improve workflows, outcomes, and staff performance
Address clinical concerns, escalations, and patient care issues in a timely and professional manner
Participate in case conferences, clinical meetings, and performance reviews
Support hiring, onboarding, and ongoing clinical education of nursing staff
On‑call rotation

Compensation & Benefits

$95,000 annual salary
Annual performance‑based bonuses
$7,000 sign‑on bonus
Leadership autonomy and executive support
Professional growth and advancement opportunities
A respected voice in clinical and operational decision‑making


Why Join Breakthrough Healthcare

Nurse‑led organization that values clinical judgment
Strong compliance culture and leadership support
Opportunity to make a meaningful impact on patient care and staff development
Stable, growing agency with high standards and clear expectations

Qualifications

Active and unrestricted Registered Nurse (RN) license in the State of Missouri
Minimum of 2–3 years of clinical nursing experience (home health strongly preferred)
Demonstrated experience with OASIS documentation and home health regulations
Prior experience in a lead, supervisory, or management role preferred
Strong working knowledge of Medicare and Medicaid compliance standards
Excellent leadership, communication, and organizational skills
Ability to manage competing priorities while maintaining attention to detail
Comfortable providing feedback, coaching staff, and enforcing standards
Strong documentation, critical‑thinking, and problem‑solving abilities