Patient Care Manager RN
2 weeks ago
We are seeking a highly skilled and compassionate Patient Care Manager/RN to join our team at LHC Group. As a Patient Care Manager, you will play a vital role in ensuring the delivery of high-quality, patient-centered care to our patients in their homes.
About the Role:- Supervise and coordinate clinical services to ensure continuity of care for patients assigned to your team.
- Coordinate and supervise an interdisciplinary team of staff to provide high-quality care to patients.
- Develop, implement, and update individualized patient plans of care in accordance with physician orders and applicable laws and regulations.
- Communicate effectively with patients, families, physicians, and other healthcare providers to ensure seamless care coordination.
- Ensure timely and accurate documentation of patient information, including assessments, plans of care, and progress notes.
- Participate in case conferences and SOC reports to ensure effective exchange of information across disciplines.
- Assist in the orientation of new agency personnel and provide direction and leadership to clinical team members.
- 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.
- 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 tests, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications.
- 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 on-call 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 with scope of practice and physician orders.
- 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.
- CA: One year prior professional nursing experience.
LHC Group 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.
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