RN Patient Care Manager

6 months ago

Mount Juliet TN United States Deaconess HomeCare Full time

The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.


  • 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.
  • Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians.
  • Schedules, prepares for, facilitates, and documents case conference/SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary.
  • Assists clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician.
  • Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs.
  • Processes new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward.
  • Writes and processes orders when taking verbal orders directly from the physician and communicates such to field clinicians.
  • Assures payer change documentation is completed properly and timely, as required.
  • Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff. Takes necessary action to correct adverse findings and communicates trending to clinical director.
  • Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences.
  • Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy.
  • Assists in the orientation of new agency personnel.
  • Provides direction and leadership to clinical team members in collaboration with the clinical director.
  • Provides direct patient care, as necessary, in accordance to scope of practice and physician orders.
  • Participates in QAPI program.
  • Assures compliance with and ensures timely follow up on daily clinical and coding edits.
  • Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients.
  • Participates in on-call rotation.
  • Follows-up with On-Call events daily.
  • Receives report from weekend and after-hours clinicians admitting new patients.
  • Completes LHC required learning courses, additional assignments per Executive Director request, as well as any state specific required training per state regulation/practice act requirements.
  • Directs team in adherence to and participates in the Episode Management process.
  • All other duties as assigned.

Education & Experience

  • Current RN licensure in state of practice
  • Current CPR certification required
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation

  • RN Hybrid Patient Care Manager

    2 weeks ago

    Mount Juliet, TN, United States Deaconess HomeCare Full time

    We are hiring a RN Patient Care Manager with Home Health experience. At Deaconess Homecare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a...

  • RN Hybrid Patient Care Manager

    1 week ago

    Mount Juliet, United States Deaconess HomeCare Full time

    We are hiring a RN Patient Care Manager with Home Health experience.At Deaconess Homecare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a...

  • RN - Patient Care Manager - Hospice

    3 months ago

    Knoxville, TN, United States University of TN Medical Center Home Care Services- Hospice Full time

    We are hiring for a RN Patient Care Manager in Hospice. At University of Tennessee Hospice in Knoxville, TN , a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping...

  • RN Home Visits

    4 weeks ago

    Greenwich, CT, United States Patient Care Full time

    We are hiring RNs in Greenwich, CT . We have PRN and part-time opportunities with weekly pay and a loyalty bonus. At Patient Care , a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all...

  • PRN RN Home Visits

    1 month ago

    Hartford, CT, United States Patient Care Full time

    We are hiring RNs (Registered Nurses) to provide Home Visits in Hartford and surrounding areas. Flexible Schedules! * 1:1 Patient Care * Weekly Pay At Patient Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the...

  • Patient Care Manager, RN

    1 month ago

    Key West, FL, United States Island Home Care Full time

    We are hiring a Full Time Patient Care Manager, RN for our Key West office. Must be willing to work in our Key West office, must have an RN License in FL. The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity...

  • Travel Nurse RN

    1 week ago

    Mount Olive, North Carolina, United States Care Team Solutions Full time

    About the JobWe are seeking a skilled Travel Nurse RN to manage patient care in Mount Olive, North Carolina.With our agency's support, you'll have the opportunity to work in various settings and specialties while enjoying excellent pay and benefits.This travel nursing position offers a competitive salary of $1,900.00 per week, based on 12 hour shifts and 36...

  • Care Manager RN

    3 weeks ago

    Portland, OR, United States Providence RN Full time

    Care Manager RN at Providence RN summary: The Registered Nurse Clinical Case Manager provides care management and coordination for at-risk patients with complex medical and psychosocial issues. Integrating chronic care management approaches, this position plays a vital role in patient-centered medical home teams. Providence fosters a culture of...

  • Care Manager RN

    2 weeks ago

    Portland, OR, United States Providence RN Full time

    Care Manager RN at Providence RN summary: The Care Manager RN at Providence Portland Medical Center is responsible for facilitating patient care through effective coordination, transition planning, and community referrals in an acute care environment. This role requires a nursing degree, Oregon RN license, and experience in care management, emphasizing...

  • Nurse in Patient Care

    7 days ago

    Mount Juliet, Tennessee, United States LHC Group Full time

    **Caregiving at Home**We understand that receiving care in your own home can be a more comfortable and convenient option for many patients. Our Home Health Nurses work closely with patients and their families to develop personalized care plans that meet their unique needs and goals.**Job Requirements:Current RN licensure in state of practiceCurrent CPR...

  • RN - Registered Nurse

    1 month ago

    Wyomissing, PA, United States Patient Care Full time

    We are hiring for a Home Health RN in Wyomissing, PA.   At Patient Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career...

  • RN Hybrid Patient Care Manager

    1 week ago

    Mt Juliet, United States Deaconess HomeCare, LLC Full time

    We are hiring a RN Patient Care Manager with Home Health experience. At Deaconess Homecare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a...

  • RN Hybrid Patient Care Manager

    1 month ago

    Mt Juliet, United States LHC Group Full time

    Job DescriptionWe are hiring a RN Patient Care Manager with Home Health experience. At Deaconess Homecare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You...

  • RN Hybrid Patient Care Manager

    2 weeks ago

    Mt Juliet, United States LHC Group Full time

    Job Description We are hiring a RN Patient Care Manager with Home Health experience. At Deaconess Homecare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You...

  • Travel Nurse RN

    3 weeks ago

    Mount Juliet, Tennessee, United States Supplemental Health Care Full time

    We are seeking a skilled Travel Nurse RN to join our team at Supplemental Health Care, a leading provider of home health care services.About the RoleThis 13-week contract opportunity is available in Mount Juliet, Tennessee, and offers a competitive salary of $1,820-$2,010 per week. As a Travel Nurse RN, you will have the chance to work with a dedicated team...

  • Care Manager RN

    3 weeks ago

    Portland, OR, United States Providence RN Full time

    Description The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...

  • Care Manager RN

    1 week ago

    Medford, OR, United States Providence RN Full time

    Description The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes for an entire patient case load. The RN Case Manager may perform assessment, treatment or care for patients of all ages, including neonate, pediatric, adolescent, adult and geriatric, based on population...

  • Patient Care Manager RN Hospice

    1 month ago

    Rocky Mount, NC, United States Hospice of Wilson Medical Center Full time

    We are hiring for a Patient Care Manager RN in Hospice. This is a Full Time Salaried position. Position will include both managerial duties and home visits for hospice care. Position is based in our agency office in Wilson, NC. Home-Based Hospice experience required. 4 years of RN experience required. At Hospice of Wilson Medical Center, in Wilson, NC a part...

  • Patient Care Manager

    2 months ago

    Franklin, KY, United States Lifeline Health Care of Simpson Full time

    At Lifeline Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a Patient Care Manager, you can...

  • Care Manager RN

    4 weeks ago

    Wilsonville, OR, United States Providence RN Full time

    Description Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute...