Patient Care Manager

Job Description

We are hiring a Patient Care Manager 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
3 days ago