Patient Care Manager (Pcm) - Metairie

LHC - Icims Metairie , LA 70002

Posted 2 weeks ago

OverviewLHC 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. 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.Additional Details

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 branch manager.

  • 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 branch manager and/or 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 DON 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.

  • All other duties as assigned.

QualificationsLicense Requirements

  • Current RN licensure in state of practice

  • Current CPR certification required

  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation

Additional State Requirements

  • CA: One year prior professional nursing experience.
  • LA: At a minimum, one year of clinical experience. RN licensure must have no restrictions.
  • AL, AR, AZ, CO, FL, GA, ID, IL, KY, MI, MD, MO, MS, NC, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV: No other state specific requirements.
icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinic Operations Manager Metairie Primary Care

Hancock Medical Center

Posted 5 days ago

VIEW JOBS 3/22/2019 12:00:00 AM 2019-06-20T00:00 We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health System and discover your future today! The Manager manages and oversees the daily operations of the clinics and provides reports, as necessary, to administration. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion. Education Required - High School Diploma or equivalent Preferred - Bachelor's degree in Healthcare, Business Administration or related field Work Experience Required - High School diploma with 7 years related health care experience including 2 years of supervision or management experience OR Bachelor's degree with 3 years of related healthcare experience including 2 years of supervision or management experience. Knowledge Skills and Abilities (KSAs) * Must have computer skills and dexterity required for data entry and retrieval of patient information. * Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. * Must be proficient with Windows-style applications, various software packages specific to role and keyboard * Financial acumen in order to manage within a budget and understand financial statements sufficient to analyze trends and make recommendations Job Duties * Manages systems and relationships to ensure quality care, safety, regulatory compliance and patient satisfaction. * Determines appropriate staffing levels and interviews, hires, onboards, conducts performance reviews and works with Human Resources on progressive discipline of employees within practice unit(s). * Acts as practice unit liaison for System-wide information distribution and feedback. * Monitors and distributes monthly or ad hoc operating reports to all providers and reviews information monthly with departmental physician leader and Director. * Assists with growth through business planning and special projects. * Manages the Physical & Technology Infrastructure Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Complies with the Ochsner Health System Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Must be able to sit for prolonged periods of time. Must be able to travel throughout and between facilities. Must be able to work a flexible work schedule (e.g., more than 8 hours a day). Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases Are you ready to make a difference? Apply Today! Ochsner Health System endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Service Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. EEO is the Law links in English or Spanish. Affirmative Action Policy Statement Hancock Medical Center Metairie LA

Patient Care Manager (Pcm) - Metairie

LHC - Icims