Care Manager

We are hiring a Patient Care Managerwith Home Care experience, for the Lexington KYarea!

This position is full time, Monday-Fridaywith occassional after hours.

Travel to localcounties is required.

As a Patient Care Manager,you can expect :

• Opportunities to get closer to patients and providequality support to your patient-facing teams
• To be valued and respected by patients and theirfamilies
• A sense of security, incredibleteam support, and flexibility for true work-lifebalance
• Leadership developmentopportunities

AtCommonwealth Community Based Services, a part of LHC Group, weembrace a culture of caring, belonging, and trust and enjoy themeaningful connections that come from it : for the whole patient,their families, each other, and the communities we serve it trulyis all about helping people.

You can find a home for your careerhere.

Our Patient Care Manager role mightbe a great opportunity if you believe in putting the patient at thecenter of everything. Apply today!

The Home Health Patient Care Manager is responsiblefor the overall supervision and coordination of clinical services.Coordinates and supervises an interdisciplinary team of staff toassure the continuity of high-quality care to home health patientsassigned to the team's area in accordance with physician prescribedplan of care, and all applicable state and federal laws andregulations.

• Receives referrals andensures appropriate clinician and / or therapist(s) assignments fortimely patient evaluation by signing off after authorization andplotting start of care (SOC) visits.
• Coordinates determination of patient home healthbenefits, medical necessity, and ongoing insuranceapprovals.
• Ensures patient needs arecontinually assessed and care rendered is individualized to patientneeds, appropriate and reasonable, meets home health eligibilitycriteria, and is in accordance with physician orders.
• Oversees and assures development, implementation, andupdates to the individualized patient plan of care, asappropriate.
• Manages and documents phone callsfrom physicians, clinicians, patients, referral sources, andcommunicates patient updates / new orders to clinicians.

Usescoordination notes to document, as needed andappropriate.

• Reviews assessments and plans ofcare daily, per assigned workflow, and consults clinicians withrecommendations, as appropriate.
• Coordinatesall aspects of care with all disciplines, physicians, durablemedical equipment providers, caregivers / family members,transferring facilities, and any other applicable healthcareproviders.
• Follows-up on lab and otherclinical diagnostic test, physician contact, and significantchanges in the patient condition to ensure adequate physiciannotification, follow-up, and needed plan of care modifications andcommunicates such to clinicians.
• Schedules,prepares for, facilitates, and documents case conference / SOCreports and facilitates effective exchange of information acrossdisciplines especially with adverse findings, changes in patientcondition, daily and urgent updates, as necessary.
• Assists clinicians in coordinating the transfer anddischarge of patients from agency services as indicated by thephysician.
• Receives report from fieldclinicians prior to scheduled days off on patient status andongoing needs.
• Processes new orders andupdates the visit frequency, as appropriate, when the on-call RNtakes supplemental verbal orders which alter frequency goingforward.
• Writes and processes orders whentaking verbal orders directly from the physician and communicatessuch to field clinicians.
• Assures payer changedocumentation is completed properly and timely, asrequired.
• Reviews clinician visit notes weeklyto ensure timely, complete, appropriate, and accurate submission ofall documentation by field staff.

Takes necessary action to correctadverse findings and communicates trending to clinicaldirector

• Reviews, evaluates, and supervisesservice delivery to ensure appropriateness of care and utilizationof services, equipment, and supplies through activities such asrandom patient visits, medical record reviews and caseconferences.
• Enters infections andincidents / occurrences into the online Risk Management IncidentReporting System, as specified by policy.
• Assists in the orientation of new agencypersonnel.
• Provides direction and leadershipto clinical team members in collaboration with the clinicaldirector.
• Provides direct patient care, asnecessary, in accordance to scope of practice and physicianorders.
• Participates in QAPIprogram.
• Assures compliance with and ensurestimely follow up on daily clinical and coding edits.
• Directs clinicians in utilizing best practiceinterventions when finalizing Plan of Care for allpatients.
• Participates in on-callrotation.
• Follows-up with On-Call eventsdaily.
• Receives report from weekend andafter-hours clinicians admitting new patients.
• Completes LHC required learning courses, additionalassignments per Executive Director request, as well as any statespecific required training per state regulation / practice actrequirements.
• Directs team in adherence to andparticipates 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 accessto a dependable vehicle orpublic transportation

Byapplying, you consent to your information being transmitted byHourlyJobsNearMe to the Employer, as data controller, through theEmployer’s data processor SonicJobs.

See LHC GroupPrivacy Policy at https : / / lhcgroup.com / privacy / and SonicJobsPrivacy Policy at https : / / www.sonicjobs.

com / us / privacy-policy andTerms of Use athttps : / / www.sonicjobs.com / us / terms-conditions