Licensed Care Manager Home First

Pruitthealth Corporation; Rome (GA); On-site; USD 60,000 - 75,000; Full time

Job summary

Pruitthealth Corporation is seeking a Licensed Care Manager Home First in Georgia to screen referrals and coordinate admissions. You will work with families, hospitals, and home health teams to ensure appropriate care paths and timely services in the member’s home.

Responsibilities include outreach to PCPs, completing paperwork, and coordinating with therapy centers while tracking visits and outcomes. Travel in-state may be required.

Qualifications

• Current State License as a Licensed Practical Nurse (LPN).
• Valid driver’s license and automobile insurance liability.
• Graduate of a state approved accredited nursing school.

Responsibilities

• Screens referrals and coordinates admission process.
• Coordinates services with providers and handles billing reconciliation.
• Outreach to community referral sources.
• Participates in team meetings and presents new admits and discharges.
• Completes reassessments, reviews medications, and arranges transportation as needed.

Skills

Nursing

Care coordination

Patient advocacy

Education

LPN license

Nursing degree

Job description

Job Description - Licensed Care Manager Home First (2610178)

Licensed Care Manager Home First - 2610178

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:

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

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

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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For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com