We are hiring a RN Patient Care Manager.
Responsibilities
- 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..
Qualifications
Education & Experience :
- Current RN licensure in state of Texas
- Current CPR certification required
- Current Driver's License, vehicle insurance, and access to a dependable vehicle
- One year prior professional home health nursing experience.
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