Licensed Care Manager Home First

PruittHealth; Watkinsville (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

PruittHealth in Georgia seeks a Licensed Care Manager Home First to help coordinate admissions, assess needs, and connect patients with appropriate in-home services. You will screen referrals, manage documentation, and collaborate with medical providers to ensure timely and quality care.

The role requires a current LPN license, a valid driver’s license, CPR certification, and at least five years of nursing experience, with hospice or SOURCE care preferred.

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.
• Certified in Basic Cardiopulmonary Resuscitation (CPR).
• Minimum of five (5) years of nursing experience; Hospice or SOURCE care preferred.

Responsibilities

• Screens appropriate referrals and coordinates admission process.
• Coordinates services with providers and handles billing reconciliation.
• Outreach to community referral sources and attends team meetings weekly.
• Completes admission paperwork, in-home assessments, and quarterly visits.
• Manages variances, plans corrective actions, and follows up to resolution.
• Coordinates with outpatient therapy centers, home health agencies, and rehab.
• Uses own vehicle for travel; maintains mileage/time sheets for reimbursement.
• Participates in on-call rotation and communicates with regulators as required.

Education

Licensed Practical Nurse (LPN) license

Graduate of state approved accredited nursing school

Certified in Basic Cardiopulmonary Resuscitation

Job description

Job Description - Licensed Care Manager Home First (2613362)

Licensed Care Manager Home First - 2613362

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

Certified in Basic Cardiopulmonary Resuscitation

Minimum of five (5) years of nursing experience. 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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