Patient Care Manager/RN
About The Position
Assured Home Health, part of LHC Group and the Optum family of businesses, is seeking a Patient Care Manager/RN to provide clinical services and coordinate home health care. The role works with patients, families, clinicians, physicians, and other members of the health care team to ensure care is individualized, appropriate, and consistent with physician orders and home health eligibility criteria. The position receives referrals, coordinates clinician assignments and start-of-care visits, and helps determine patient benefits, medical necessity, and continuing insurance approvals. It also reviews patient assessments and plans of care and consults with clinicians as appropriate. The role requires a current, unrestricted Oregon RN license, CPR certification, and transportation access for work involving home care.
Requirements
- Current unrestricted RN licensure in the state of Oregon.
- Current CPR certification.
- Current driver’s license, vehicle insurance, and access to a dependable vehicle or public transportation.
- Ability to function in any home situation regardless of the client’s age, race, creed, color, sex, disability, or financial condition.
Nice To Haves
- Home care experience.
- Ability to work independently.
- Good communication, writing, and organizational skills.
Responsibilities
- Provide clinical services within the scope of nursing practice and state law, according to the plan of care and in coordination with the health care team.
- Receive referrals, ensure appropriate clinician assignments, evaluate patient orders, and schedule start-of-care visits.
- Coordinate determinations of patient home health benefits and medical necessity, as well as ongoing insurance approvals.
- Ensure patient needs are continually assessed and that care is individualized, appropriate, reasonable, consistent with physician orders, and meets home health eligibility criteria.
- Review assessments and plans of care daily according to the assigned workflow, and consult clinicians with recommendations as appropriate.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 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
