Home Health RN Care Manager
3 weeks ago
LHC Group is seeking a highly skilled Registered Nurse (RN) to join our team as a Home Health RN Care Manager. This is an exciting opportunity to work in a dynamic and patient-centered environment, providing high-quality care to patients in their homes.
Job Summary:The Home Health RN Care Manager is responsible for coordinating and supervising the delivery of clinical services to patients in their homes. This includes assessing patient needs, developing individualized care plans, and ensuring that patients receive high-quality, patient-centered care.
Responsibilities:- Coordinate and supervise an interdisciplinary team of staff to ensure the continuity of high-quality care to patients assigned to the team's area.
- Assess patient needs and develop individualized care plans that meet the patient's needs and are in accordance with physician orders.
- Ensure that patients receive high-quality, patient-centered care that is individualized to their needs and is in accordance with physician orders.
- 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 the 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 appropriate, when the on-call RN takes supplemental verbal orders which alter frequency going forward.
- Write and process orders when taking verbal orders directly from the physician and communicates such to field clinicians.
- Assure 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.
- 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.
- 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 deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare.
We are united by a single shared purpose: It's all about helping people.
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