RN Patient Care Manager

UnitedHealth Group•Dallas, TX
•$89,680 - $134,520

About The Position

DFW Home Health, part of LHC Group and the Optum family of businesses, is hiring a full-time Home Health RN Patient Care Manager in Dallas, Texas. The role is responsible for the overall supervision and coordination of clinical services and for coordinating and supervising an interdisciplinary team to ensure continuity of high-quality care for assigned home health patients. Care must follow the physician-prescribed plan of care and applicable state and federal laws and regulations. The manager provides nursing services within the scope of practice, coordinates referrals and clinician assignments, evaluates patient orders, and schedules start-of-care visits. The role also coordinates benefit and medical-necessity determinations and ongoing insurance approvals, ensures care is individualized and appropriate, and reviews assessments and plans of care according to assigned workflows. The role requires the ability to function in home situations involving clients of varied ages and backgrounds.

Requirements

  • Current unrestricted RN licensure in the state of practice.
  • RN licensure must have no restrictions.
  • Current driver’s license, vehicle insurance, and access to a dependable vehicle or public transportation.
  • Ability to function in home situations regardless of a 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, in accordance with the plan of care and in coordination with other members of the health care team.
  • Receive referrals, ensure appropriate clinician assignments, evaluate patient orders, and plot start-of-care visits.
  • Coordinate determinations of patient home health benefits and medical necessity, as well as 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 assigned workflow and consult clinicians with recommendations as appropriate.
  • Coordinate and supervise an interdisciplinary team to ensure continuity of high-quality care for assigned patients.

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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