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Patient Care Manager RN
2 months ago
We are seeking a highly skilled and experienced Patient Care Manager RN to join our team at LHC Group. As a Patient Care Manager RN, you will be responsible for the supervision and coordination of clinical services, providing high-quality care to patients in their homes.
Key Responsibilities- Supervise and coordinate clinical services to ensure high-quality patient care
- Provide clinical services within the scope of practice, as defined by state laws governing the practice of nursing
- Receive referrals, ensure appropriate clinician assignments, and evaluate patient orders
- Coordinate determination of patient home health benefits, medical necessity, and ongoing insurance approvals
- Ensure 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
- Review assessments and plans of care daily, per assigned workflow, and consult with clinicians as necessary
- Coordinate all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers
- Follow-up on lab and other clinical diagnostic tests, physician contact, and significant changes in patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications
- Assist clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician
- Process new orders and updates the visit frequency as necessary
- Write and process orders when taking verbal orders directly from the physician and communicate such to field clinicians
- Assure payer change documentation is completed properly and timely, as required
- Review clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff
- Review, evaluate, and supervise service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies
- Enter infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy
- Assist in the orientation of new agency personnel
- Provide direction and leadership to clinical team members in collaboration with the clinical director
- Provide direct patient care, as necessary, in accordance with scope of practice and physician orders
- Participate in QAPI program
- Assure compliance with and ensure timely follow-up on daily clinical and coding edits
- Direct clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients
- Participate in on-call rotation
- Follow-up with On-Call events daily
- Receive report from weekend and after-hours clinicians admitting new patients
- Complete LHC required learning courses, additional assignments per Executive Director request, as well as any state-specific required training per state regulation/practice act requirements
- Direct team in adherence to and participates in the Episode Management process
- 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
LHC Group is committed to a culture of diversity, equity, and inclusion and is an equal opportunity employer. We are a leading provider of post-acute care services, dedicated to delivering high-quality, cost-effective care that supports our patients when and where they need it.
