Patient Care Manager - RN

UnitedHealth Group•Ebensburg, PA

5d•$80,712 - $121,068

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 assigned 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.

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 schedule start-of-care visits.
Coordinate determination 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.