Patient Care Manager
Company: Bayonne Visiting Nurse Association
Location: Bayonne
Posted on: May 14, 2022
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Job Description:
Company Overview: The Home Health RN Patient Care Manager
(Registered Nurse, RN) 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.Bayonne VNA, part
of the LHC Group Family, is hiring a FT RN PCM (Patient Care
Manager)!Excellent Pay & Benefits1:1 Patient CareFlexibility to
Create Your Own ScheduleCareer Advancement OpportunitiesTuition
ReimbursementGreat Culture - join our family!Bayonne VNA, a part of
LHC Group, is the preferred post-acute care partner for hospitals,
physicians and families nationwide. From home health and hospice
care to long-term acute care and community-based services, we
deliver high-quality, cost-effective care that empowers patients to
manage their health at home. Hospitals and health systems around
the country have partnered with LHC Group to deliver
patient-centered care in the home. More hospitals, physicians and
families choose LHC Group, because we are united by a single,
shared purpose: It's all about helping people.-- - Essential
Functions: 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.Oversees and assures development, implementation, and
updates to the individualized patient plan of care, as
appropriate.Manages and documents phone calls from physicians,
clinicians, patients, referral sources, and communicates patient
updates/new orders to clinicians. Uses coordination notes to
document, as needed and appropriate.Reviews assessments and plans
of care daily, per assigned workflow, and consults clinicians with
recommendations, as appropriate.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.Processes new orders and updates the visit frequency,
as appropriate, when the oncall RN takes supplemental verbal orders
which alter frequency going forward.Writes and processes orders
when taking verbal orders directly from the physician and
communicates such to field clinicians.Assures 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.Provides
direction and leadership to clinical team members in collaboration
with the clinical director.Provides direct patient care, as
necessary, in accordance to scope of practice and physician
orders.Participates in QAPI program.Assures compliance with and
ensures timely follow up on daily clinical and coding edits.Directs
clinicians in utilizing best practice interventions when finalizing
Plan of Care for all patients.Participates in on-call
rotation.Follows-up with On-Call events daily.Receives report from
weekend and after-hours clinicians admitting new patients.Completes
LHC required learning courses, additional assignments per Executive
Director request, as well as any state specific required training
per state regulation/practice act requirements.Directs team in
adherence to and participates in the Episode Management process.
Education & Experience: License RequirementsCurrent RN licensure in
state of practiceCurrent CPR certification requiredCurrent Driver's
License, vehicle insurance, and access to a dependable vehicle or
public transportationEqual Opportunity Employer - vets,
disability.Must be fully vaccinated or be willing to complete full
vaccination by date of hire and proof of vaccination will be
required.-- - If permitted by state law, the company will consider
requests for religious or medical exemptions.
Keywords: Bayonne Visiting Nurse Association, Bayonne , Patient Care Manager, Executive , Bayonne, New Jersey
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