Patient Care Manager, RN Team Lead

UnitedHealth Group•Saint Petersburg, FL
•$85,196 - $127,794

About The Position

The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services. This 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 manager provides clinical services within the scope of nursing practice and coordinates care with other members of the health care team. The position includes managing referrals and clinician assignments, evaluating patient orders, scheduling start-of-care visits, and coordinating determinations of home health benefits, medical necessity, and ongoing insurance approvals. The manager ensures that patient needs are continually assessed and that care is individualized, appropriate, reasonable, consistent with eligibility criteria, and in accordance with physician orders. Assessments and plans of care are reviewed daily according to assigned workflow, with recommendations provided to clinicians as appropriate. The role requires the ability to function in any home situation regardless of a client’s age, race, creed, color, sex, disability, or financial condition.

Requirements

  • Current unrestricted RN licensure in the state of practice.
  • RN licensure must have no restrictions in Florida.
  • 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, 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 determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
  • Ensure patient needs are continually assessed and care is individualized, appropriate, reasonable, aligned with home health eligibility criteria, and consistent with physician orders.
  • Review assessments and plans of care daily according to assigned workflow, and consult clinicians with recommendations as appropriate.
  • Function in home situations regardless of the client’s age, race, creed, color, sex, disability, or financial condition.
  • Supervise and coordinate clinical services and an interdisciplinary team to support continuity of high-quality home health 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.
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