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Home Health Patient Care Manager RN Hybrid - Creve Coeur Missouri
Company: Brookdale Home Health St. Louis
Location: Creve Coeur, Missouri
Posted On: 05/03/2024
We are hiring for a full-time Home Health Patient Care Manager RN Hybrid to join our passionate team! This candidate will spend half their time in the office and the other half in the field. Home health experience required for consideration.
-At Brookdale 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 serve-it truly is all about helping people.---You can find a home for your career here.--------- -
---As a---Registered Nurse with us, you can expect:--- -
- flexibility for true work-life balance------ -
- opportunities for career growth -
- the ability to build trusted nurse-patient relationships--- -
- employee-focused wellness and support programs--- -
---If you love nursing and want to strengthen your experience, this is a great---opportunity for you. -
The Home Health Patient Care Manager and RN Hybrid 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. -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.
- Manages and documents phone calls and new orders from physicians, clinicians, patients, referral sources, and -communicates patient updates/new orders to clinicians. Uses coordination notes to document, as needed and appropriate. -Receives report from weekend and after-hours clinicians admitting new -patients.
- 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.
- Follows-up with On-Call events -dailyAssures 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 and provides direction and leadership to clinical team members in collaboration with the clinical -director.
- 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. -Consistently meets expected productivity at 50% of full time RN level as defined in the Visit Productivity Point Policy.
- Accurately and timely completes the comprehensive assessments (OASIS) including medication -reconciliation. Makes the initial and/or comprehensive nursing evaluation visit, ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines primary focus of care, develops the plan of care within State specific guidelines with the physician, and submits accurate documentation.
- Directly and/or indirectly supervises care provided by the home health aides and licensed practical vocational nurses, provides instruction as appropriate, and assigns tasks according to State and federal regulations. -Also provides required supervisory -visits.Initiates, develops, implements, and makes necessary revisions to the plan of care in collaboration with -the physician and other health care professionals involved in -care.
- 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.
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