Patient Care Manager/RN

Role Overview

The Home Health Patient Care Manager/RN supervises and coordinates clinical services, providing nursing care to patients in their homes in accordance with physician orders, laws, regulations, and agency policies.

Responsibilities

• Manage patient referrals, assessments, and develop individualized care plans.
• Coordinate care with interdisciplinary teams, physicians, and external providers.
• Ensure timely documentation, communication of patient updates, and adherence to regulatory requirements.
• Monitor clinical quality, review documentation, and address adverse findings.
• Supervise and instruct home health aides and licensed practical nurses, ensuring compliance with state and federal regulations.
• Facilitate patient transfers, discharges, and updates from field clinicians.
• Complete comprehensive assessments, including OASIS, and develop plans of care collaboratively with physicians.
• Participate in case conferences, manage care modifications, and ensure proper documentation for billing and compliance.
• Contribute to team orientation, provide clinical guidance, and ensure high-quality care delivery.

Qualifications & Skills

• Current RN licensure in the relevant state.
• CPR certification and a valid driver’s license with reliable transportation.
• Strong communication, organizational, and independent working skills.