What are the responsibilities and job description for the EDWP Care Manager LPN/RN - Muscogee, Sumter & Macon Counties position at Visiting Nurse Health System Inc?

Job Description

Candidates will also be required to travel to surrounding counties to see clients.

Visiting Nurse Health System is the largest non-profit Home Health & Hospice Agency in the State of Georgia!

Celebrating 75 years of active service, our mission is to improve the lives of those we serve.

If you’re one of those people who won’t settle for ordinary and want to be extraordinary by touching the lives of others, Visiting Nurse | Hospice Atlanta may be the ideal career choice for you.

As the leading provider of home health and hospice care in Atlanta, we offer a great variety of highly rewarding job opportunities for unique individuals just like you. We understand that you want to truly make a difference in the lives of patients and their families.

As a member of our team, you can utilize your skills, share your compassion and rare talents to provide a full continuum of care in the comfort of a patient’s home. In addition, you can apply your gifts by providing aging services and hospice care to adults and children.

Benefits :

Medical Insurance

Vision Insurance

Dental Insurance

Long-Term & Short-Term Disability

403B Retirement Benefits

6 Paid Holidays

Mileage Reimbursement

And more!

About the Position :

The EDWP Care Manager Nurse performs work of considerable difficulty in the professional assessment and determination of a level of care and appropriateness for community-based services for Medicaid recipients or potential Medical Assistance Only clients for the Elderly and Disabled Waiver Program. Functions as a member of an interdisciplinary team including client’s physician and serves large geographic areas which may include parts of one large county and / or many small counties which involve extensive travel. May supervise Case Management team at direction of the Program Direction.

MAJOR JOB DUTIES AND RESPONSIBILITIES :

Receives referral for initial Traditional / Enhanced EDWP assessment from AAA / ADRC or SOURCE intake.

Schedules appointment for face-to-face interview with prospective client at client's residence, hospital, long-term care facility, or another appropriate site as indicated.

Conducts comprehensive interview with client and / or representative using intermediate level of care criteria and MDS-HC that allows for compilation of pertinent social information, functional status, physical, mental, nutritional status, adequacy / inadequacy of support system, and physical environment as well as the client's preference for community-based or institutional services.

Reviews Medicaid eligibility and establishes approximate cost share, if indicated, using established guidelines.

Explains to client and / or representative all aspects of the program and obtains client signature on all necessary forms.

Analyzes and interprets all medical and social information as compiled, and obtains additional information as needed, e.g. consultation with physician and other professionals.

Uses a comprehensive approach, to discuss and clarify client's needs in an interdisciplinary team meeting.

Determines with Case Management appropriate service and service setting necessary to maintain or improve the health / functional status of clients. Refers client / representative to non-Medicaid resources as available.

Reviews all levels of cares for Traditional / Enhanced EDWP for uploading appropriate applicant documents to Alliant Health Solutions (AHS) while also making recommendations for denial if applicable.

Signs all local level LOC denial letters and attends hearings as requested. Traditional / Enhanced EDWP Case Management XVIII-202

Develops with Case Management an initial care plan.

Completes a reassessment of clients following the appropriate guidelines.

Collaborates with Provider RN to determine ECM / TCM eligibility when applicable.

Coordinates disease management education and referral to physician and other healthcare providers to manage chronic disease.

MINIMUM JOB REQUIREMENTS

Education & Experience : Completion of a course of study in nursing with obtaining and maintaining a current LPN / RN License through the Georgia State Board of Nursing. Must have at least two years of experience as a professional registered nurse / licensed practical nurse in geriatric nursing, community health, long term care or chronic diseases of adults.

Certification : CPR preferred.

Knowledge / Training : Able to structure and process qualitative or quantitative data and draw insightful conclusions from it. Identifies problems and opportunities. Relates and compares data from different sources. Determines root causes and subtle relationships. Exhibits probe the mind and achieves penetrating insights. Able to see and communicate the big picture in an inspiring way to provide seniors and persons with functional and / or cognitive impairments stay in their homes and communities. CCSP / SOURCE knowledge preferred

Computer Skills : Must be proficient with general use and functions of computer technology including starting programs, using files and basic Windows Applications, using navigation buttons, and toolbars.

Transportation : Must have reliable transportation.

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EDWP Care Manager LPN/RN - Muscogee, Sumter & Macon Counties

What are the responsibilities and job description for the EDWP Care Manager LPN/RN - Muscogee, Sumter & Macon Counties position at Visiting Nurse Health System Inc?

What is the career path for a EDWP Care Manager LPN/RN - Muscogee, Sumter & Macon Counties?

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