Licensed Care Manager Home First

PruittHealth; Norcross, Northern (GA, KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

PruittHealth seeks a Licensed Care Manager for Home First to coordinate admissions and services, ensuring timely, appropriate care for members in Georgia. The role emphasizes collaboration with providers, hospitals, and therapy teams to manage care paths and discharge planning.

The candidate must hold an LPN license, CPR certification, and at least five years of nursing experience (hospice or SOURCE preferred), with a valid driver's license and the ability to travel within the service area.

Qualifications

• Current State License as a Licensed Practical Nurse (LPN).
• Valid driver’s license with automobile liability insurance.
• Graduate of a state approved accredited nursing school.
• Certified in Basic Cardiopulmonary Resuscitation (CPR).
• Minimum of five (5) years of nursing experience; Hospice or SOURCE care preferred.

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 weekly team meetings with Medical Director and presents new admits and discharges.
• Performs quarterly home visits and PCP visits per requirements.
• Documents variances and action plans; follows up to resolution.
• Coordinates with outpatient therapy centers, home health agencies, and rehab services; arranges transportation as needed.
• Maintains mileage/time sheets for reimbursement and participates in audits.
• Attends trainings, trains new hires, and participates in on-call rotations; communicates with APS/CPS referrals.

Skills

Care coordination

Nursing experience

CPR certification

Education

LPN license

State-approved nursing school

Job description

Job Description - Licensed Care Manager Home First (2612880)

Licensed Care Manager Home First - 2612880

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

Current State License as a Licensed Practical Nurse, LPN

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

Graduate of a state approved accredited nursing school

Certified in Basic Cardiopulmonary Resuscitation

Minimum of five (5) years of nursing experience. Hospice or SOURCE care preferred.

Family Makes Us Stronger.

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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