Sr Care Manager Unihealth

Pruitthealth Corporation; Valdosta (GA); In loco; USD 65.000 - 85.000; Tempo pieno

Descrizione del lavoro

Pruitthealth Corporation in Valdosta, GA is seeking an experienced Registered Nurse to coordinate admission processes, referal outreach, and collaborate with providers. The role involves managing paperwork, in-home assessments, and service coordination with therapy and home health teams.

The ideal candidate has an active RN license, CPR, a valid driver's license, and at least five years of nursing experience, preferably in hospice or SOURCE care.

Competenze

• Current State License as a Registered Nurse (RN).
• 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 years of nursing experience; hospice or SOURCE care preferred.

Mansioni

• Markets area for awareness of SOURCE and PRN meetings with new PCPs.
• Completes all new admission paperwork and in-home assessments.
• Participates in weekly team meetings with Medical Director and presents admits, annual assessments, hospitalizations, and discharges.
• Completes quarterly home visits and quarterly PCP visits with all requirements.
• Tracks variances and follows through with action plans and follow-up.
• Coordinates with outpatient therapy centers, home health agencies, and rehab services; reevaluates member needs.

Conoscenze

Nursing experience

RN license

Driver's license

CPR certification

Hospice/SOURCE care

Formazione

Nursing degree from approved school

Descrizione del lavoro

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 Registered Nurse, RN

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