What are the responsibilities and job description for the Patient Care Manager, RN position at LHC Group?
Summary
We are hiring a Patient Care Manager-RN.
At Home Healthcare, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.
As a RN Patient Care Manager, you can expect:
- flexibility for true work-life balance
- opportunities for career growth
- the ability to build trusted nurse-patient relationships
- employee-focused wellness and support programs
If you love nursing and want to strengthen your experience, this is a great opportunity for you.
Responsibilities
- 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.
Education and Experience
Education & Experience
- Current RN licensure in state of Arizona
- Current CPR certification required
- Current Driver's License, vehicle insurance, and access to a dependable vehicle
- One year prior professional home health nursing experience.
Company OverviewLHC 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.