Home Health LVN Nacogdoches TX

Accentcare Nacogdoches , TX 75961

Posted 3 weeks ago

MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position):

  • Conducts care management follow up telephone calls post-discharge per RN direction

  • Conducts follow-up visits in a variety of acute and post-acute care settings to conduct assigned patient assessment tasks as determined by the RN Care Manager, when required

  • Fosters continuity of care by providing excellent customer service through effective communication and collaboration with all services involved

  • Ensures post-discharge follow-up with the community physician within 7-10 days of discharge

  • Provides education to patients regarding red-flag symptoms and actions to take to avoid escalation of symptoms

  • Reminds the patient to take his/her portable personal health record to all physician follow-up appointments

  • Performs medication reconciliation after follow-up physician appointments

  • Maintains knowledge of Medicare Regulations and restrictions related to home health and out-patient services.

  • Assists in program planning, development and implementation. Assist in policy development, as needed.

  • Establishes portable personal health record to be shared at all physician follow-up appointments

  • Monitors specified reports for identification of participants

  • Determines eligibility of potential Care Management candidates

  • Updates participant eligibility information as required

  • Enters referral for eligible participants in to the electronic medical record (EMR)

  • Assists in maintaining/updating admission/discharge information in the EMR

  • Performs other duties as assigned

  • Complies with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program: Code of Conduct, HIPAA and Documentation Standards.

  • Maintains a commitment to the values and mission of AccentCare Health Management

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