Patient Care Manager RN (Home Health) LHC Group, Inc. - Tallahassee, FL
Company: LHC Group, Inc.
Posted on: January 13, 2022
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.
SunCrest OMNI, 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
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
Additional State Requirements
CA: One year prior professional nursing experience.
LA: At a minimum, one year of clinical experience. RN licensure
must have no restrictions.
AL, AR, AZ, CO, FL, GA, ID, IL, KY, MI, MD, MO, MS, NC, OH, OK, OR,
PA, RI, SC, TN, TX, VA, WA, WI, WV: No other state specific
Equal Opportunity Employer - vets, disability.
- 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)
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
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
Coordinates all aspects of care with all disciplines, physicians,
durable medical equipment providers, caregivers/family members,
transferring facilities, and any other applicable healthcare
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
Assists clinicians in coordinating the transfer and discharge of
patients from agency services as indicated by the
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
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
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
Keywords: LHC Group, Inc., Tallahassee , Patient Care Manager RN (Home Health) LHC Group, Inc. - Tallahassee, FL, Healthcare , Tallahassee, Florida
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