Demo

Care Management RN Leader

Southern Home Health
Nederland, TX Full Time
POSTED ON 3/7/2025
AVAILABLE BEFORE 4/5/2025

About Us

Southern Home Health is a leading provider of home health care services, dedicated to delivering high-quality care to our patients. We are committed to providing exceptional service and support to our patients, families, and healthcare partners.

We are seeking a qualified Patient Care Manager, RN to join our team, who shares our commitment to excellence and has the skills and experience necessary to excel in this role.

In this position, you will have the opportunity to work closely with our interdisciplinary staff to provide comprehensive care to our patients. You will be responsible for overseeing the supervision and coordination of clinical services, including developing and implementing individualized plans of care.

  • You will ensure that 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.
  • You will oversee and assure development, implementation, and updates to the individualized patient plan of care, as appropriate.
  • You will manage and document phone calls from physicians, clinicians, patients, referral sources, and communicate patient updates/new orders to clinicians. You will use coordination notes to document, as needed and appropriate.
  • You will review assessments and plans of care daily, per assigned workflow, and consult clinicians with recommendations, as appropriate.
  • You will coordinate all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.

Key Responsibilities

  • Coordinates clinical services and develops individualized plans of care
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs
  • 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

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