Care Manager Home First

PruittHealth; Valdosta (GA); Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

PruittHealth is seeking a Care Manager for Home First to coordinate admissions, services, and outreach in the community. The role involves home assessments, paperwork, and collaboration with PCPs and specialists.

Travel is required, and CPR certification plus a nursing degree are essential. This position emphasizes coordination across home health, rehab, and outpatient services within a Medicare/insurance framework.

Qualifications

• Must have a valid driver’s license.
• Graduate of a state approved accredited nursing school.
• Certified in Basic Cardiopulmonary Resuscitation (CPR).
• Hospice or SOURCE care preferred.

Responsabilités

• Markets area for awareness of SOURCE and PRN meetings with new PCPs.
• Completes all new admission paperwork and in-home assessments.
• Participates in weekly team meetings with Medical Director; presents new admits and discharges.
• Implements quarterly home visits and PCP visits with required documentation.
• Tracks hospital/ER visits; completes paperwork and coordinates with hospitals.

Connaissances

Care coordination

Communication with providers

Documentation & recordkeeping

Community outreach

Formation

Registered Nurse (RN) degree

Description du poste

Job Description - Care Manager Home First (2612972)

Care Manager Home First - 2612972

Description

POSITION SUMMARY:

Screens appropriate referral and coordinates admission process. Coordinates services with providers, billing reconciliation. Provides outreach to community referral sources.

ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:

• Markets their area for awareness of SOURCE and PRN meetings with new PCPs.
• Completes all new admission paperwork for signed forms and in-home assessments.
• Participates in team meetings with Medical Director each week and presents all new admits, annual assessments, hospitalizations, Home Health admits and discharges, repeat variances, People with potential for discharge and actual discharges and situations threatening someone’s health or functional status.
• Completes quarterly homes visits and quarterly PCP visits with all requirements for each completed.
• Completes variances at any given time when a care path goal is not met. Must list the variance plan of actions and must have follow up to resolution or a repeat variance with a new plan outlined. Tracks all hospital/ER visits by completing paperwork, requesting records and communicating with hospitals.
• Coordinates with outpatient therapy centers, home health agencies, healthcare centers (if short term), and rehab by working with their staff and completing skilled care track form. Makes PRN contacts and home visits if needed to assess member needs. Reevaluates member needs for service, level of service and evaluates service effectiveness.
• Uses own vehicle for travel. Completes mileage and time sheets for reimbursement. Arranges transportation as required. Is available for internal record audits as requested. Completes annual reassessments in member’s homes. Reviews medicine for appropriateness.
• Attends trainings when required. Trains new hires as needed. Is available for on-call rotation as designated by CMS referrals. Communicates with regulatory and DFACS agencies for APS and CPS referrals.

Qualifications

TRAINING, SKILLS, AND EXPERIENCE REQUIREMENTS:

• Must have a valid driver’s license and automobile insurance liability
• Graduate of a state approved accredited nursing school
• Certified in Basic Cardiopulmonary Resuscitation
• Hospice or SOURCE care preferred.

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As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

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