Licensed Care Manager Home First - Cobb County

Pruitthealth Corporation; Norcross (GA); On-site; USD 52,000 - 64,000; Full time

Job summary

PruittHealth Corporation in Cobb County seeks a Licensed Care Manager for Home First. This role screens referrals, coordinates admission processes, and collaborates with providers to ensure seamless home health services.

You will engage with community referral sources and participate in team discussions to optimize patient care. The position requires an active State LPN license, CPR certification, a valid driver's license, and at least five years of nursing experience; hospice or SOURCE care

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 (CPR).
• Minimum of five (5) years of nursing experience; hospice or SOURCE care preferred.

Responsibilities

• Screens referrals and coordinates admission process.
• Coordinates services with providers and handles billing reconciliation.
• Outreach to community referral sources.
• Participates in weekly team meetings and presents new admits and discharges.
• Completes quarterly home visits and PCP visits with required documentation.
• Tracks hospital/ER visits and coordinates with hospitals for records.
• Coordinates with outpatient therapy centers, home health agencies, and rehab services as needed.
• Performs annual reassessments in members' homes and reviews medications for appropriateness.

Education

Licensed Practical Nurse (LPN)

CPR Certification

Graduate of state approved nursing school

Job description

Job Description - Licensed Care Manager Home First - Cobb County (2612903)

Licensed Care Manager Home First - Cobb County - 2612903

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. 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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