RN Patient Care Manager- Home Health

UnitedHealth Group•Orlando, FL
•$85,196 - $127,794

About The Position

Mederi Caretenders, part of LHC Group and the Optum family of businesses, provides home health, hospice, and community-based services. The Home Health Patient Care Manager is responsible for supervising and coordinating clinical services and an interdisciplinary team to ensure continuity of high-quality care for home health patients in the team’s service area. Care must follow physician-prescribed plans and applicable state and federal laws and regulations. The role provides nursing services within the scope of practice and coordinates care with other members of the health care team. It includes managing referrals and clinician assignments, reviewing orders and assessments, coordinating coverage and approvals, and ensuring that care is individualized, medically necessary, appropriate, and consistent with home health eligibility criteria and physician orders. The position requires the ability to function in any patient home situation regardless of the client’s age, race, creed, color, sex, disability, or financial condition. The employer describes a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution, subject to eligibility requirements. The annual salary range is $85,196 to $127,794 based on full-time employment. Candidates must pass a drug test before employment begins.

Requirements

  • Current unrestricted RN licensure in the state of practice; licensure must have no restrictions.
  • Current driver’s license and vehicle insurance, with 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, state law, and 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, eligible for home health coverage, and consistent with physician orders.
  • Review assessments and plans of care daily according to assigned workflow, and consult clinicians with recommendations as appropriate.
  • Coordinate and supervise an interdisciplinary staff team to ensure continuity of high-quality care for assigned home health patients.
  • Function in any home situation regardless of the client’s age, race, creed, color, sex, disability, or financial condition.

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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