Patient Care Manager

LHC Group, Inc.; Aiken County (SC); On-site; USD 75,000 - 82,000; Full time

Job summary

LHC Group is seeking a Patient Care Manager in South Carolina. In this role, you will oversee home health operations, coordinate patient care, and lead a dedicated team ensuring a high standard of care. This position offers leadership development opportunities and a supportive work environment focused on patient-centered care.

Qualifications

• Management of home health care services and team coordination.
• Experience in home health or primary care settings.
• Strong communication and organizational skills.

Responsibilities

• Coordinates patient care and manages home health operations.
• Ensures personalized patient care plans and communication among staff.
• Facilitates patient evaluations and oversees documentation.

Skills

Leadership

Patient Care

Communication

Education

Current RN licensure

Current CPR certification

Job description

Summary

We are hiring a Patient Care Manager with Home Health experience.

Salary based on full-time employment and max productivity: $75k to $82k per year

At Red Bud Regional Home Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.

As a Patient Care Manager, you can expect:

opportunities to get closer to patients and provide quality support to your patient-facing teams

to be valued and respected by patients and their families

a sense of security, incredible team support, and flexibility for true work-life balance

leadership development opportunities

Our Patient Care Manager role might be a great opportunity if you believe in putting the patient at the center of everything. Apply today!

Responsibilities

• Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.
• Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.
• Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders.
• Oversees and assures development, implementation, and updates to the individualized patient plan of care, as appropriate.
• Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians. Uses coordination notes to document, as needed and appropriate.
• Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate.
• Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers.
• Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians.
• Schedules, prepares for, facilitates, and documents case conference/SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary.
• Assists clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician.
• Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs.
• Processes new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward.
• Writes and processes orders when taking verbal orders directly from the physician and communicates such to field clinicians.
• Assures payer change documentation is completed properly and timely, as required.
• Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff. Takes necessary action to correct adverse findings and communicates trending to clinical director.
• Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences.
• Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy.
• Assists in the orientation of new agency personnel.
• Provides direction and leadership to clinical team members in collaboration with the clinical director.
• Provides direct patient care, as necessary, in accordance to scope of practice and physician orders.
• Participates in QAPI program.
• Assures compliance with and ensures timely follow up on daily clinical and coding edits.
• Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients.
• Participates in on-call rotation.
• Follows-up with On-Call events daily.
• Receives report from weekend and after-hours clinicians admitting new patients.
• Completes LHC required learning courses, additional assignments per Executive Director request, as well as any state specific required training per state regulation/practice act requirements.
• Directs team in adherence to and participates in the Episode Management process.
• All other duties as assigned.

Education and Experience

Education & Experience

• Current RN licensure in state ofpractice
• Current CPR certificationrequired
• Current Driver's License, vehicle insurance, and access to a dependable vehicle or publictransportation
• CA: One year prior professional nursingexperience. If acting as a nurse supervisor requires 2 years experience in the last 5 years in a home health agency, primary care clinic, or health facility
• LA: At a minimum, one year of clinical experience. RN licensure must have no restrictions.
• AK, AL, AR, AZ, CO, CT, DE, FL, GA, ID, IL, IN, KY, MA, MI, MD, MN, MO, MS, NC, NH, NJ, NM, NV, NY,OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV: No other state specificrequirements.

Company Overview LHC Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

At LHC Group we are proud to offer benefits that support your physical and emotional wellbeing. Review LHC Group's comprehensive benefits and perks:https://bit.ly/LHCGBenefits

Red Bud IL (IHL)a part ofLHC Group family of providers – the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose:It's all about helping people.