Licensed Care Manager Home First

PruittHealth; Norcross (GA); On-site; USD 52,000 - 70,000; Full time

Job summary

PruittHealth in Georgia seeks a Licensed Care Manager Home First to screen referrals, coordinate admissions, and align services with providers and billing. The role involves outreach to community referral sources and ensuring timely paperwork and in-home assessments.

You will participate in weekly team meetings with Medical Director, manage patient transitions from hospital to home health, and conduct quarterly home and PCP visits, documenting variances and action plans.

Qualifications

• Must have a valid driver’s license and automobile insurance liability.

Responsibilities

• Screen referrals and coordinate admission process.
• Coordinate services with providers and billing reconciliation.
• Provide outreach to community referral sources.
• Complete new admission paperwork and in-home assessments.
• Participate in weekly meetings with Medical Director and present new admits.
• Conduct quarterly home visits and PCP visits.
• Complete variances and follow up with action plans.
• Track hospital/ER visits and manage records with hospitals.
• Arrange transportation as required and manage records for audits.

Skills

Valid driver's license

Job description

Job Description - Licensed Care Manager Home First (2610182)

Licensed Care Manager Home First - 2610182

Description

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

POSITION SUMMARY:

POSITION SUMMARY:

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.

TRAINING, SKILLS, AND EXPERIENCE REQUIREMENTS:

Must have a valid driver’s license and automobile insurance liability

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.

We are eager to connect with you!

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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