Patient Care Manager

1 week ago


Brooksville, Florida, United States LHC Group Full time
Job Title: Patient Care Manager

We are seeking a highly skilled and compassionate Patient Care Manager to join our team at Mederi Caretenders Home Health in Brooksville, a part of LHC Group. As a Patient Care Manager, you will play a vital role in ensuring the delivery of high-quality patient care and services to our patients and their families.

Responsibilities:
  • Supervise and coordinate clinical services to ensure continuity of care for home health patients.
  • Coordinate and supervise an interdisciplinary team of staff to ensure timely and effective patient evaluation and care.
  • 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.
  • Oversee and assure development, implementation, and updates to the individualized patient plan of care, as appropriate.
  • Manage and document phone calls from physicians, clinicians, patients, referral sources, and communicate patient updates/new orders to clinicians.
  • Use coordination notes to document, as needed and appropriate.
  • Review assessments and plans of care daily, per assigned workflow, and consult clinicians with recommendations, as appropriate.
  • 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 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.
  • Schedule, prepare for, facilitate, and document 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.
  • Assist clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician.
  • Receive report from field clinicians prior to scheduled days off on patient status and ongoing needs.
  • Process new orders and updates the visit frequency, as appropriate, when the oncall 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.
  • Review clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff.
  • Take necessary action to correct adverse findings and communicates trending to clinical director.
  • Review, evaluate, and supervise 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.
  • 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 to scope of practice and physician orders.
  • Participate in QAPI program.
  • Assure compliance with and ensures 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.
Qualifications:
  • 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

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