RN Patient Care Manager
Company: Brookdale Home Health St. Louis
Location: Saint Louis
Posted on: October 10, 2024
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Job Description:
We are hiring for a full-time Home Health Patient Care Manager
RN to join our passionate team in Creve Coeur! This is an office
position. At Brookdale 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 Registered Nurse with us, you can expect:--- flexibility
for true work-life balance opportunities for career growth the
ability to build trusted nurse-patient relationships
employee-focused wellness and support programs ---If you love
nursing and want to strengthen your experience, this is a great
opportunity for you. The Home Health Patient Care Manager and RN
Hybrid 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. 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
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Keywords: Brookdale Home Health St. Louis, Belleville , RN Patient Care Manager, Executive , Saint Louis, Illinois
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