Patient Care Manager

UnitedHealth Group•Tyler, TX
•$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 area, in accordance with physician-prescribed plans of care and applicable state and federal laws and regulations. The manager provides nursing services within the scope of practice and coordinates care with other members of the health care team. Responsibilities also include managing referrals and clinician assignments, evaluating patient orders, coordinating home health benefits and insurance approvals, and reviewing assessments and plans of care. Care must be individualized, appropriate, medically necessary, and consistent with eligibility criteria and physician orders. The employer describes a culture of caring, connection, and growth, with performance recognition, clear direction, and development opportunities. The role is with CHRISTUS HomeCare - Tyler, part of LHC Group and the Optum family of businesses.

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 certification within 90 days of hire.
  • Home care experience.

Responsibilities

  • Provide clinical services within the scope of nursing practice and in accordance with the plan of care, coordinating 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 care is individualized, appropriate, reasonable, consistent with home health eligibility criteria, and in accordance with physician orders.
  • Review assessments and plans of care daily according to assigned workflow and consult clinicians with recommendations as appropriate.
  • Supervise and coordinate clinical services and an interdisciplinary staff team to ensure continuity of high-quality home health care.
  • Function in any home situation regardless of a client's age, race, creed, color, sex, disability, or financial condition.

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401(k) contribution
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