The Clinical Float Manager is responsible for overseeing and supporting the delivery of high-quality home health services, clinical operations, utilization review, and documentation compliance across multiple branches and teams. This role functions as a flexible operational and clinical leader providing coverage and support where needed to ensure continuity of patient-centered care, regulatory compliance, staff development, quality outcomes, and operational efficiency.
The Clinical Float Manager oversees interdisciplinary clinical operations, reviews and approves clinical documentation and OASIS assessments, supports referral and workflow management, and collaborates with branch leadership, education, quality, and revenue cycle teams to improve patient outcomes and clinician performance. The role also provides onboarding support, coaching, and mentoring to novice and experienced clinicians while ensuring adherence to VNS Health policies, procedures, and regulatory standards. Works under general supervision.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth, career advancement and CEU credits
What You Will Do
Clinical Operations & Float Coverage
• Provides operational and clinical leadership support across multiple branches, teams, or regions based on organizational needs.
• Serves as interim leadership coverage for branch management during vacancies, PTO, leave coverage, staffing shortages, or high-volume periods.
• Oversees referral intake and management to ensure timely assessment visits and admission processing.
• Leads weekly case conferences and supports recertification/discharge planning decisions.
• Reviews and processes workflows including referral orders, physician orders, coordination notes, scheduling approvals, and after-hours coordination activities.
• Monitors rescheduled, reassigned, incomplete, and unverified visits to ensure timely patient care delivery.
• Provides weekend and after-hours management support as needed.
Clinical Documentation & Utilization Review
• Reviews and approves evaluation documentation, OASIS assessments, Plans of Care, ROC, Transfer, Follow-Up, Recertification, and Discharge documentation.
• Ensures documentation accuracy, regulatory compliance, and alignment between assessments, care plans, and visit utilization.
• Monitors utilization patterns to ensure evidence-based and efficient use of services and resources.
• Processes OASIS documentation and resolves deficiencies with clinicians in a timely manner.
• Ensures proper care types, frequencies, supplies, medications, and interventions are documented appropriately.
• Reviews clinician documentation to ensure compliance with agency policies and CMS requirements.
• Oversees Electronic Visit Verification (EVV) workflow compliance and visit accuracy.
Quality & Performance Management
• Monitors dashboards, reports, and clinical metrics to identify trends, outliers, and opportunities for improvement.
• Reviews wound documentation, vital sign alerts, utilization reports, billing hold reports, and quality indicators.
• Collaborates with Quality, Education, Revenue Cycle, Medical Records, and operational leadership to resolve workflow and documentation issues.
• Identifies trends in documentation deficiencies and develops action plans for improvement.
• Supports quality initiatives and regulatory readiness activities.
Staff Leadership, Coaching & Education
• Provides coaching, mentoring, field supervision, and clinical guidance to clinicians and branch staff.
• Participates in hiring, onboarding, orientation, and ongoing development of clinical staff.
• Conducts co-visits, shadow visits, and performance evaluations.
• Collaborates with Education and Quality departments to develop and deliver clinician training programs.
• Supports novice clinicians by facilitating onboarding plans, development milestones, and clinical skill progression.
• Addresses performance concerns through coaching, counseling, corrective action, and performance improvement activities as appropriate.
Communication & Collaboration
• Collaborates across interdisciplinary teams and departments to support patient-centered care delivery.
• Escalates operational, quality, and clinical concerns appropriately.
• Maintains effective communication with physicians, clinicians, branch leadership, and support departments.
• Promotes an inclusive, psychologically safe, and collaborative work environment aligned with organizational values.
Qualifications
Licenses and Certifications:
Current New York State license and registration as a Registered Professional Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist required
Oasis certification required within one year of hire. required
Education:
Bachelor’s degree in nursing or Master's n Physical Therapy
Master's degree preferred
Work Experience:
Minimum of three (3) years of clinical experience in home health or community healthcare. required
Minimum of one (1) year home health experience. required
Prior clinical management, utilization review, care management, or operational leadership experience. preferred
Experience with OASIS review, clinical documentation oversight, and interdisciplinary care coordination. preferred
Demonstrated analytical, organizational, and problem-solving skills. required
Proficiency in Microsoft Office applications and electronic medical record systems. required
Pay Range
USD $98,200.00 - USD $130,800.00 /Yr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth, career advancement and CEU credits
What You Will Do
Clinical Operations & Float Coverage
• Provides operational and clinical leadership support across multiple branches, teams, or regions based on organizational needs.
• Serves as interim leadership coverage for branch management during vacancies, PTO, leave coverage, staffing shortages, or high-volume periods.
• Oversees referral intake and management to ensure timely assessment visits and admission processing.
• Leads weekly case conferences and supports recertification/discharge planning decisions.
• Reviews and processes workflows including referral orders, physician orders, coordination notes, scheduling approvals, and after-hours coordination activities.
• Monitors rescheduled, reassigned, incomplete, and unverified visits to ensure timely patient care delivery.
• Provides weekend and after-hours management support as needed.
Clinical Documentation & Utilization Review
• Reviews and approves evaluation documentation, OASIS assessments, Plans of Care, ROC, Transfer, Follow-Up, Recertification, and Discharge documentation.
• Ensures documentation accuracy, regulatory compliance, and alignment between assessments, care plans, and visit utilization.
• Monitors utilization patterns to ensure evidence-based and efficient use of services and resources.
• Processes OASIS documentation and resolves deficiencies with clinicians in a timely manner.
• Ensures proper care types, frequencies, supplies, medications, and interventions are documented appropriately.
• Reviews clinician documentation to ensure compliance with agency policies and CMS requirements.
• Oversees Electronic Visit Verification (EVV) workflow compliance and visit accuracy.
Quality & Performance Management
• Monitors dashboards, reports, and clinical metrics to identify trends, outliers, and opportunities for improvement.
• Reviews wound documentation, vital sign alerts, utilization reports, billing hold reports, and quality indicators.
• Collaborates with Quality, Education, Revenue Cycle, Medical Records, and operational leadership to resolve workflow and documentation issues.
• Identifies trends in documentation deficiencies and develops action plans for improvement.
• Supports quality initiatives and regulatory readiness activities.
Staff Leadership, Coaching & Education
• Provides coaching, mentoring, field supervision, and clinical guidance to clinicians and branch staff.
• Participates in hiring, onboarding, orientation, and ongoing development of clinical staff.
• Conducts co-visits, shadow visits, and performance evaluations.
• Collaborates with Education and Quality departments to develop and deliver clinician training programs.
• Supports novice clinicians by facilitating onboarding plans, development milestones, and clinical skill progression.
• Addresses performance concerns through coaching, counseling, corrective action, and performance improvement activities as appropriate.
Communication & Collaboration
• Collaborates across interdisciplinary teams and departments to support patient-centered care delivery.
• Escalates operational, quality, and clinical concerns appropriately.
• Maintains effective communication with physicians, clinicians, branch leadership, and support departments.
• Promotes an inclusive, psychologically safe, and collaborative work environment aligned with organizational values.
Licenses and Certifications:
Current New York State license and registration as a Registered Professional Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist required
Oasis certification required within one year of hire. required
Education:
Bachelor’s degree in nursing or Master's n Physical Therapy
Master's degree preferred
Work Experience:
Minimum of three (3) years of clinical experience in home health or community healthcare. required
Minimum of one (1) year home health experience. required
Prior clinical management, utilization review, care management, or operational leadership experience. preferred
Experience with OASIS review, clinical documentation oversight, and interdisciplinary care coordination. preferred
Demonstrated analytical, organizational, and problem-solving skills. required
Proficiency in Microsoft Office applications and electronic medical record systems. required