Patient Care Manager RN
About The Position
The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services. The role coordinates and supervises an interdisciplinary team to ensure continuity of high-quality care for home health patients in the team’s area, in accordance with physician-prescribed plans of care and applicable state and federal laws and regulations. The position provides clinical services within the scope of nursing practice and coordinates care with other members of the health care team. It also manages referrals and clinician assignments, evaluates patient orders, coordinates start-of-care visits, and supports determinations of home health benefits, medical necessity, and ongoing insurance approvals. The Patient Care Manager ensures that care is individualized, appropriate, reasonable, consistent with physician orders, and meets home health eligibility criteria. Assessments and plans of care are reviewed daily according to the assigned workflow, with clinicians consulted and recommendations provided as appropriate.
Requirements
- Current unrestricted RN licensure in the state of practice.
- Current driver’s license, vehicle insurance, and access to a dependable vehicle or public transportation.
Nice To Haves
- Current CPR certification or ability to complete it within 90 days of hire.
- Home care experience.
Responsibilities
- Provide clinical services within the scope of practice defined by state nursing laws, in accordance with the plan of care and in coordination with other health care team members.
- Receive referrals, ensure appropriate clinician assignments, evaluate patient orders, and plot start-of-care visits.
- Coordinate determinations of patient home health benefits, medical necessity, and ongoing insurance approvals.
- Ensure patient needs are continually assessed and that care is individualized, appropriate, reasonable, meets home health eligibility criteria, and follows physician orders.
- Review assessments and plans of care daily according to the assigned workflow and consult clinicians with recommendations as appropriate.
- Function in any home situation regardless of the client's age, race, creed, color, sex, disability, or financial condition.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
