Jobs · Healthcare · Pennsylvania

Patient Care Manager, Therapy

Optum · Hazleton, PA · 1 mo ago
Healthcare$81k–$121k/yrFull-time

About the role

Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As 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.

Responsibilities

  • Oversees patient admissions and care coordination, including referral intake, clinician assignment, Start of Care (SOC) planning, insurance authorization, and verification of home health eligibility and medical necessity
  • Manages and ensures the development, review, and ongoing updates of individualized patient plans of care in accordance with physician orders, regulatory requirements, and best practices
  • Serves as the central clinical communication hub, coordinating with physicians, clinicians, patients, families, and interdisciplinary partners to manage orders, labs, changes in condition, and transitions of care
  • Provides clinical oversight and quality assurance through documentation review, case conferences, utilization monitoring, risk reporting, and compliance with clinical, coding, and payer requirements
  • Provides clinical leadership and support, including staff guidance, orientation, direct patient care as needed, participation in quality improvement initiatives, and adherence to on call and episode management processes
  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

  • Required: Current Physical Therapist or Occupational Therapist licensure in state of practice
  • Required: Current Driver's License, vehicle insurance, and access to a dependable vehicle

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