RN Patient Care Manager - Home Health
Company: SunCrest Home Health - Smyrna GA
Location: Smyrna
Posted on: May 14, 2022
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Job Description:
Company Overview: Registered Nurse RN Patient Care Manager -
Home Health-- -The Home Health RN Patient Care Manager (Registered
Nurse) is responsible for the overall supervision and coordination
of clinical services. Coordinates and supervises an
interdisciplinary team of staff to assure the continuity of high
quality care to home health patients assigned to the team's area in
accordance with physician prescribed plan of care, and all
applicable state and federal laws and regulations.-Sign on Bonus--
--Comprehensive Benefit Plans-Generous Paid Time Off-- --- --Best
Company Happiness 2021 (Comparably)-401K Match & Stock
Options-Tuition Reimbursement Program-Company Provided PPESunCrest
Home Health, a part of-- -LHC Group, is the preferred post-acute
care partner for hospitals, physicians and families nationwide.
From home health and hospice care to long-term acute care and
community-based services, we deliver high-quality, cost-effective
care that empowers patients to manage their health at home.
Hospitals and health systems around the country have partnered with
LHC Group to deliver patient-centered care in the home. More
hospitals, physicians and families choose LHC Group, because we are
united by a single, shared purpose:-- -It's all about helping
people.-- - Essential Functions: Receives referrals and ensures
appropriate clinician and/or therapist(s) assignments for timely
patient evaluation by signing off after authorization and plotting
start of care (SOC) visits.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 to physician orders.Oversees and assures development,
implementation, and updates to the individualized patient plan of
care, as appropriate.Manages and documents phone calls from
physicians, clinicians, patients, referral sources, and
communicates patient updates/new orders to clinicians. Uses
coordination notes to document, as needed and appropriate.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 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.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 oncall 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 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.
Education & Experience: License RequirementsCurrent RN licensure in
state of practiceCurrent CPR certification requiredCurrent Driver's
License, vehicle insurance, and access to a dependable vehicle or
public transportationEqual Opportunity Employer - vets,
disability.Must be fully vaccinated or be willing to complete full
vaccination by date of hire and proof of vaccination will be
required.-- - If permitted by state law, the company will consider
requests for religious or medical exemptions.
Keywords: SunCrest Home Health - Smyrna GA, Smyrna , RN Patient Care Manager - Home Health, Healthcare , Smyrna, Georgia
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