Patient Care Manager RN
Company: Ochsner Home Health of New Orleans
Location: Metairie
Posted on: October 26, 2024
Job Description:
Job DescriptionWe are hiring for a
Patient Care Manager with Home Health experience.
Sign on Bonus Offered $5000
At [Ochsner 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 serveāit 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
- LA: At a minimum, one year of clinical experience. RN licensure
must have no restrictions.
- No other state specific requirements.
Keywords: Ochsner Home Health of New Orleans, Metairie , Patient Care Manager RN, Executive , Metairie, Louisiana
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