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RN Patient Care Manager Home Health Specialist
1 month ago
We are seeking a highly skilled and experienced RN Patient Care Manager to join our team at LHC Group, Inc. in the Lexington, KY area.
Job Summary:The RN Patient Care Manager is responsible for the overall supervision and coordination of clinical services for our home health patients. This includes coordinating and supervising an interdisciplinary team of staff to ensure the continuity of high-quality care to patients assigned to the team's area.
Key Responsibilities:- Coordinates and supervises an interdisciplinary team of staff to ensure the continuity of high-quality care to patients assigned to the team's area.
- Receives referrals and ensures appropriate clinician and/or therapist assignments for timely patient evaluation.
- 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 with 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.
- 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.
- Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs.
- Writes and processes orders when taking verbal orders directly from the physician and communicates such to field clinicians.
- Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff.
- 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.
- Provides direct patient care, as necessary, in accordance to scope of practice and physician orders.
- Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients.
- Participates in on-call rotation.
- 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.
LHC Group, Inc. is committed to a culture of diversity, equity, and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.
