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Home Health Clinical Manager
2 months ago
We are seeking a highly skilled and experienced Patient Care Manager to join our team at LHC Group. As a Patient Care Manager, you will be responsible for the overall supervision and coordination of clinical services, ensuring the continuity of high-quality care to home health patients.
Key Responsibilities- Coordinates and supervises an interdisciplinary team of staff to ensure the delivery of high-quality care to patients.
- 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.
- Oversees and assures development, implementation, and updates to the individualized patient plan of care.
- 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 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.
- Assists clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician.
- 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.
- 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.
- 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.
