Licensed Care Manager Home First Macon

Pruitthealth Corporation; Macon (GA); On-site; USD 48,000 - 72,000; Full time

Job summary

Pruitthealth Corporation is seeking a Licensed Care Manager for Home First Macon, GA. The role focuses on screening referrals, coordinating admissions, and coordinating services with providers to ensure patient safety and appropriate care in the home setting.

The position requires ongoing outreach to community referral sources, collaboration with Medical Director and care teams, and adherence to compliance and documentation standards. Local travel within the Macon area is anticipated.

Qualifications

• Must have a valid driver's license and automobile insurance liability.
• Certified in Basic Cardiopulmonary Resuscitation (CPR).

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, annual assessments, hospitalizations, Home Health admits and discharges, variances, and discharge-related updates.
• Completes quarterly home visits and quarterly PCP visits with all requirements for each completed.
• Completes variances and documents action plans with follow-up until resolution.
• Coordinates with outpatient therapy centers, home health agencies, healthcare centers (short term), and rehab; reevaluates member needs and service effectiveness.
• Uses own vehicle for travel; completes mileage/time sheets; arranges transportation; participates in audits; completes annual reassessments in member homes; reviews medications for appropriateness.
• Attends trainings, trains new hires, and participates in on-call rotation; communicates with regulatory and DFACS agencies for APS and CPS referrals.

Skills

Driver's license

Automobile insurance

CPR certification

Job description

Job Description - Licensed Care Manager Home First Macon (2612812)

Licensed Care Manager Home First Macon - 2612812

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:

• Must have a valid driver's license and automobile insurance liability
• Certified in Basic Cardiopulmonary Resuscitation

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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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