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Patient Care Manager - (SR26562)

PATIENT CARE MANAGER
PRIMARY FUNCTION
The Patient Care Manager reports to the Director of Operations and has responsibility for the day-to-day operations of assigned hospice programs/site, including managing, overseeing, and directing the services and performance of all team members.
JOB SPECIFIC RESPONSIBILITIES
Supervising and directing the work of the nurse(s), social worker(s), and chaplain(s), including assigning of admit and evaluation visits, scheduling visits at the beginning of benefit period, and ensuring staff are completing visits in a timely manner.
Participating in selecting, hiring, and counseling high-caliber staff.
Managing the site in the absence of the Clinical Manager or Director of Operations (DOO), or as otherwise designated by Clinical Manager or DOO from time to time.
Preparing for, serving on, and facilitating the Interdisciplinary Group (IDG), as assigned, including presiding over IDG, presentation of patients for review, coordination of minutes, review of patient charts to note and address any changes to patient condition and/or the plan of care, and soliciting input from various care team members.
Overseeing and managing rescheduled, declined, missed, and reassigned visit requests, including making decisions as to priority and staffing based on clinical judgment.
Managing all components of the calendar-changing of service codes, visit dates, clinicians assigned, scheduling out of PRN visits, etc.
Managing and overseeing clinical and administrative and recordkeeping functions, including documenting referrals, new physicians and facilities, durable medical equipment (DME) pick up, Medicare patient eligibility, obtaining authorization and reauthorization as needed, commercial insurance verification, transfer patient documentation, satisfaction surveys, and patient benefit periods and events.
Overseeing process at death and discharge, including making decisions regarding notification of appropriate staff (pharmacy, physician, supply company, etc.).
Responding to phone referrals/inquiries in a timely, professional, and compassionate manner, including triage of medical concerns within scope of practice.
Participating in on-call nursing schedule and providing direct skilled bedside nursing care in patient home or IPU, as needed.
Consistently promoting company values.
Completing required Curo annual training.
This is a safety-sensitive position.
QUALIFICATIONS
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 individuals with disabilities to perform the essential functions.
Education: Degree in Nursing. Registered Nurse with ASN or BSN from an accredited school of nursing required.
Experience:
o Three years' experience in direct patient care in a clinical setting. Minimum one year management experience. Two or more years' experience in hospice, home health, and oncology.
o Desired: Three to five years nursing management experience. Three or more years' hospice experience.
Licenses, Certifications and/or Registration:
o Current license to practice nursing in the state of requested employment
o CPR Certification
o Current automobile insurance and valid driver's license
Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools and computer, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work.
Personal Traits, Qualities and Aptitudes: Sensitivity to feelings of the terminally ill and their families before and after patient's death. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Influence people in their opinions, attitudes or judgments about ideas or things. Make generalizations, evaluations or decisions based on sensory or judgmental criteria. Display evidence of patient advocacy. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team.
Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
Working Conditions: Office environment. Occasional travel to patient's homes and/or institutional setting. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.
PHYSICAL 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 requested by individuals with disabilities to allow them to perform the essential functions.
Exchange information and communicate verbally and by written word
Must be able to read, write, and comprehend English
Demonstrate active listening skills
Specific vision abilities include close vision, distance vision, depth perception, and ability to adjust focus.
Ambulate on rough surfaces and climb stairs
Sit for prolonged periods of time
Occasional driving
Occasional walking and standing
Occasional bending, kneeling, crouching, reaching, pushing, pulling
Demonstrate manual dexterity
Lift or move up to 25 lbs. when transporting supplies and occasionally lift and turn patients in excess of 50 lbs.
The ability to work in a constant state of alertness and safe manner.
STANDARDS
Maintains high standards of integrity and business ethics.
Abides by company rules, policies and procedures, and applicable laws and regulations.
Conducts self in an honest, ethical manner.
Reports promptly any suspected violation of compliance standards via the open door policy.
DIRECTION RECEIVED
Reports directly to Director of Operations

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