RN Patient Care Manager

1 month ago

San Antonio, Texas, United States Lafayette Home Office Full time

We are hiring a RN Patient Care Manager.

  • Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.
  • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders.
  • Oversees and assures development, implementation, and updates to the individualized patient plan of care, as appropriate.
  • Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians. Uses coordination notes to document, as needed and appropriate.
  • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate.
  • Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.

Education & Experience
  • Current RN licensure in state of Texas
  • Current CPR certification required
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle
  • One year prior professional nursing experience.

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