Patient Care Manager/RN
About the role
The Home Health Patient Care Manager/RN 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. This role 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.
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.
- Captures and communicates patient updates/new orders to clinicians via coordination notes.
- 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.
- Manages and documents phone calls and new orders from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders 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.
- Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff.
- Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy.
- Provides high quality clinical services within the scope of practice and within infection control standards, in accordance with the plan of care, and in coordination with other members of the health care team.
- Communicates relevant information timely and effectively with appropriate agency staff including but not limited to: any patient care issues or needs, visit assignments, dates of scheduled visits, and schedule changes to scheduler, orders and OASIS data sets, coding requests, schedule home visits, to coordinate care with other clinicians.
- Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence.
Qualifications
- Current RN licensure in state of Oregon
- Current CPR certification required
- Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
Preferred Qualifications
- Able to work independently
- Good communication, writing, and organizational skills
Benefits
Our comprehensive benefits package includes:
- Comprehensive benefits
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
Additionally, we offer a range of other benefits designed to help you live well, including:
- Life resources and support
- Emotional education, tools, and resources
- Physical health plans and other coverage
- Financial benefits for today and to help you plan for the future
We are committed to creating a diverse and inclusive workplace where everyone feels valued and respected. At UnitedHealth Group, we strive to mitigate our impact on the environment and enable and deliver equitable care that addresses health disparities and improves health outcomes.