Patient Care Manager/RN
Company: Assured Home Health
Location: Tualatin
Posted on: October 10, 2024
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Job Description:
We are hiring a Patient Care Manager/RN with Home Health
experience, to support our Tualatin, OR area patients. Salary base
on full-time employment and max productivity: $105,000.00 to
$115,000.00 per year. At Assured Home Health, 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 Patient Care Manager, you can expect: opportunities to
get closer to patients and provide quality support to your
patient-facing teams to be valued and respected by patients and
their families a sense of security, incredible team support, and
flexibility for true work-life balance leadership development
opportunities Our Patient Care Manager role might be a great
opportunity if you believe in putting the patient at the center of
everything. Apply today! *Responsibilities The Home Health Patient
Care Manager is responsible for the supervision and coordination of
clinical services and provides and directs provisions of nursing
care to patients in their homes as prescribed by the physician and
in compliance with applicable laws, regulations, and agency
policies. Provides clinical services within the scope of practice,
as defined by the state laws governing the practice of nursing, in
accordance with the plan of care, and in coordination with other
members of the health care team. Receives referrals, ensures
appropriate clinician assignments, evaluate patient orders, and
plot start of care 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 with physician orders. Reviews assessments and plans of
care daily, per assigned workflow, and consults clinicians with
recommendations, as appropriate. The Home Health Patient Care
Manager 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. 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.
All other duties as assigned. Education & Experience 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 --s-p-m1-- By applying,
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Keywords: Assured Home Health, Gresham , Patient Care Manager/RN, Executive , Tualatin, Oregon
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