Sr Care Manager Unihealth

PruittHealth; Valdosta (GA); On-site; USD 65,000 - 80,000; Full time

Job summary

PruittHealth in Georgia seeks a Registered Nurse to coordinate admissions for hospice/SOURCE care, and to outreach referral sources. You will review patient needs, manage paperwork, and collaborate with physicians, therapists, and social services to ensure smooth transitions.

The role requires 5+ years nursing experience, CPR certification, a valid driver’s license, and willingness to travel within the region.

Qualifications

• Must hold a State-licensed Registered Nurse (RN)
• Valid driver’s license and automobile insurance liability
• CPR certification
• Minimum of five (5) years of nursing experience; Hospice or SOURCE care preferred

Responsibilities

• Markets their area for 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 admit information and discharges.
• Completes quarterly home visits and PCP visits with all requirements.
• Tracks hospital/ER visits and coordinates with hospitals and records.
• Uses own vehicle for travel and arranges transportation as needed.
• Attends trainings, may train new hires, and participates in on-call rotations.

Skills

RN license

Driver's license

CPR

Nursing experience

Education

State-licensed Registered Nurse

Job description

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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