Patient Care Manager
4 days 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- Supervise and coordinate an interdisciplinary team of staff to ensure the delivery of high-quality patient care.
- Coordinate and supervise the development, implementation, and updates to individualized patient plans of 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.
- Manage and document phone calls from physicians, clinicians, patients, referral sources, and communicate patient updates/new orders to clinicians.
- Review assessments and plans of care daily, per assigned workflow, and consult with 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 tests, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicate such to clinicians.
- Schedule, prepare for, facilitate, and document case conference/SOC reports and facilitate 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 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 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.
- Take necessary action to correct adverse findings and communicate 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 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
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