A

Alternate Solutions Health Network

Forms strategic post-acute care partnerships for growth

Registered Nurse Manager of Clinical Homecare

Full-TimeUpdated on 10/23/2026
No salary listed
Mid
Detroit, MI, USA
In PersonWork is at the assigned location; field visits and on-call work may be required.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • At least three years of experience as an RN or PT in an acute care setting.
  • A current RN or PT license in the state of employment; RN is strongly preferred.
  • A valid driver's license and auto insurance.
  • Knowledge of nursing and therapy best practices and the scope of practice for licensed nursing and therapy personnel.
  • Knowledge of ASHN billing, authorization, intake, clinical review, and workflow processes.
  • Ability to problem-solve clinical needs and make appropriate nursing judgments.
  • Ability to resolve conflicts and make decisions about clinical situations.
  • Ability to provide direction to internal and field staff and clinically triage department needs.
  • Ability to prioritize work and complete it on time.
  • Ability to use a computer and phone continually, including to maintain contact with field staff, physicians, referral sources, internal staff, and other departments.
  • Ability to complete computer documentation, including the dexterity and vision required to do so.
  • Ability to complete and submit required documentation within company requirements.
Responsibilities
  • Ensure quality and safe delivery of home health services.
  • Collaborate with intake by providing daily direction and managing referral volume based on staffing availability.
  • Oversee liaison workflow to ensure timely completion and identify education needs for field staff and liaisons; ensure workflow needs and staffing skill sets are aligned.
  • Ensure Start of Care compliance.
  • Focus on assigned Outcome Monitors.
  • Implement field quality improvement programs.
  • Participate in liaison and administrative on-call rotations and patient staffing as needed to manage after-hours teams, staffing needs, and patient-related issues.
  • Manage the on-call calendar for internal and field staff.
  • Manage paid time off, call-offs, and daily and weekly productivity reviews to ensure staffing coverage for business needs in the field and internally.
  • Complete field visits as needed.
  • Help manage costs by monitoring supply costs, overtime, staffing, bonuses, and visits per episode.
  • Collaborate with the billing department to address authorization pro bono requests and ensure patient contact regarding authorization exceptions.
  • Provide new and ongoing liaison training as defined by the Administrator.
  • Manage the staffing budget at the Administrator's direction, including overtime and bonus oversight, reporting budget exceptions, entering field staff bonuses in payroll, and reviewing and approving liaison timecards.
  • Provide the Administrator or Director of Nursing with objective data related to internal and field employee performance evaluations.
  • Maintain working relationships with referral sources, including physicians, hospitals, skilled facilities, assisted living facilities, and families.
  • Assist with monthly case manager, nurse, and therapy meetings.
  • Review clinical documentation in accordance with agency protocol and Medicare and federal guidelines.
  • Process complaint workflows and report staffing trends, neglect, abuse, or theft to the Administrator for resolution and follow-up.
  • Complete field clinician check-in reviews on time.
  • Participate in in-service program development.
  • Understand, implement, and follow agency policies and procedures.
  • Act as backup Administrator as needed.
  • Arrive at the assigned location on scheduled workdays, work designated hours, and perform on-call office and field nursing duties as needed.
  • Perform assigned duties using a computer and phone.
  • Perform other duties as assigned.
  • Manage field staff day to day.
  • Interview, hire, train, and terminate department personnel.
  • Coach direct reports and provide them with challenges and opportunities.
  • Supervise direct reports with consistent and clear expectations.
  • Complete yearly evaluations accurately and on time.
  • Coach, counsel, and discipline employees as needed.
  • Work with direct reports to support employee satisfaction and resolve issues and concerns.
  • Manage timecards.
Desired Qualifications
  • RN is strongly preferred over PT.

About the company

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Alternate Solutions Health Network

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Alternate Solutions Health Network builds strategic post-acute care partnerships to help healthcare providers grow, improve profitability, enhance quality outcomes, and ensure compliance. It uses in-depth market analyses to identify weaknesses, vulnerabilities, and opportunities, then designs partnerships that align culturally and operationally with partner organizations. Its services cover post-acute offerings such as rehabilitation and home health, aiming to boost efficiency and brand awareness. The firm differentiates itself through a narrow focus on post-acute care, strong cultural alignment with partners, and a seasoned team with deep sector experience that translates insight into practical guidance and measurable results.

Company Size

501-1,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Kettering, Ohio

Founded

1999

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Simplify Jobs

Simplify's Take

What believers are saying

  • ASHN announced Redcrest Healthcare with IU Health on September 17, 2025.
  • On August 31, 2026, ASHN and Kettering Health launched EMR-integrated home-health workflows.
  • Southwest General expanded its ASHN JV on May 20, 2025, reinforcing recurring deal flow.

What critics are saying

  • EEOC's 2023 pay-discrimination case against ASHN forced a consent decree and wage audit.
  • JV concentration makes Baptist, IU Health, and Kettering negotiations an annual renewal risk.
  • If one major health system insources home health, ASHN loses volume and bargaining power quickly.

What makes Alternate Solutions Health Network unique

  • ASHN has 40-plus health-system partnerships and 90-plus provider relationships across seven states.
  • Its JV model lets hospitals launch branded home health fast, like Redcrest in 2025.
  • Workato-backed automation underpins admissions and integrations for hundreds of patients daily.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Vacation
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Life Insurance
  • Disability Insurance
  • Mental Health Support

Growth & Insights and Company News

6 month growth

6%

1 year growth

6%

2 year growth

6%
Hospice News
Jul 10th, 2024
Adena Health, ASHN Form Hospice, Home Health JV

The Ohio-based health system Adena Health has unveiled a hospice and home health joint venture with Alternate Solutions Health Network (ASHN).

U.S. Equal Employment Opportunity Commission
Dec 1st, 2023
EEOC Sues Alternate Solutions Health Network for Disability Discrimination

EEOC sues Alternate Solutions Health Network for disability discrimination.

Bloomberg Law
Feb 27th, 2023
Home Health Care Companies Face EEOC Pay Discrimination Lawsuit

Inova Home Health LLC and Alternate Solutions Health Network LLC face a pay discrimination lawsuit brought by the US Equal Employment Opportunity Commission, the agency said Monday.

Business Wire
Dec 1st, 2022
Alternate Solutions Health Network Invests in its Digital Transformation with Workato

Workato, the leading enterprise automation platform, has teamed up with Alternate Solutions Health Network (ASHN), an award-winning home health leader

Business Wire
Nov 30th, 2022
Alternate Solutions Health Network Invests in its Digital Transformation with Workato | Business Wire

After comprehensive proofs-of-concept, ASHN partnered with Workato in 2021 to leverage Workato’s platform as the backbone of ASHN’s workflow automation in building APIs and integrations supporting both real-time and batch processing for a mission-critical application.