Patient Care Manager - RN, OT, or PT
Company: LHC Group
Location: Newark
Posted on: June 22, 2022
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Job Description:
Company Overview The Home Health RN Patient Care Manager
(Registered Nurse, RN) 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. Newark/Irvington
Areas!! Patient Care, part of the LHC Group Family, is hiring a FT
PCM (Patient Care Manager) Medicare Certified HH experience
preferred! Excellent Pay & Benefits Career Advancement
Opportunities Tuition Reimbursement Great Culture - join our
family! Patient Care, 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 people. Essential Functions 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.
Education & Experience License Requirements 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 Equal Opportunity Employer - vets,
disability. Must be fully vaccinated or be willing to complete full
vaccination by date of hire and proof of vaccination will be
required. If permitted by state law, the company will consider
requests for religious or medical exemptions.
Keywords: LHC Group, Newark , Patient Care Manager - RN, OT, or PT, Executive , Newark, New Jersey
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