Patient Care Manager- Home Health

UnitedHealth Group•Opelousas, LA
•$85,196 - $127,794

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, following physician-prescribed plans of care and applicable state and federal laws and regulations. The manager provides nursing clinical services within the scope of practice and coordinates care with other members of the health care team. Responsibilities include managing referrals and clinician assignments, evaluating patient orders, scheduling start-of-care visits, coordinating benefit and medical-necessity determinations and ongoing insurance approvals, and ensuring care is individualized, appropriate, and consistent with eligibility criteria and physician orders. The manager also reviews assessments and plans of care according to the assigned workflow and consults with clinicians as appropriate. The position requires the ability to function in home situations regardless of a client's age, race, creed, color, sex, disability, or financial condition. The employer describes a comprehensive benefits package and says employees may receive development opportunities for other roles.

Requirements

  • Current unrestricted RN licensure in the state of practice.
  • Current driver's license and vehicle insurance, with access to a dependable vehicle or public transportation.
  • In Louisiana, at least one year of clinical experience.
  • Ability to function in any home situation regardless of the client's age, race, creed, color, sex, disability, or financial condition.

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 nursing practice defined by state law, following the plan of care and coordinating with other members of the health care team.
  • Receive referrals, ensure appropriate clinician assignments, evaluate patient orders, and plot 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 the assigned workflow, and consult clinicians with recommendations as appropriate.
  • Supervise and coordinate clinical services and an interdisciplinary team to ensure continuity of high-quality care.

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.
  • Development opportunities for other roles.
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