Jobs · Healthcare · New Mexico

RN Care Manager, Albuquerque NM

Optum · Albuquerque, NM · 1 wk ago
Healthcare$90k–$135k/yrFull-time

Explore opportunities with At Home Healthcare, a part of 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.

About the role

As the Home Health Patient Care Manager, you are 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

  • 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, evaluates patient orders, and schedules 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
  • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

Requirements

  • Current unrestricted RN licensure in state of practice
  • Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
  • Home care experience

State Specific Requirements

RN licensure must have no restrictions in the following states: AK, AL, AR, AZ, CO, CT, DE, FL, GA, ID, IL, IN, KY, MA, MI, MD, MN, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV.

Preferred Qualifications

  • Current CPR certification or ability to complete within 90 days of hire

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

Pay

The salary for this role will range from $89,680 to $134,520 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

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