Patient Care Manager/RN - Moriarty - Optum

    Optum
    Optum Moriarty

    1 day ago

    Full time $78,000 - $128,000 (USD) per year *
    Description

    As a Patient Care Manager/RN with Optum, you will be responsible for the supervision and coordination of clinical services. Your role will involve providing nursing care to patients in their homes as prescribed by physicians and ensuring compliance with applicable laws, regulations, and agency policies.

    Key Responsibilities:

    • Coordinate referrals and ensure timely patient evaluations
    • Determine patient home health benefits, medical necessity, and ongoing insurance approvals
    • Evaluate patient needs continually assess care rendered is individualized to patient needs, appropriate and reasonable meets home health eligibility criteria physician orders ensures adequate communication between clinicians during SOC reports facilitates effective exchange information across disciplines especially adverse findings changes in patient condition daily urgent updates as necessary coordinates transfer discharge patients from agency services indicated by physician receives report field clinicians prior scheduled days off on patent status ongoing needs follows-up On-Call events daily assures payer change documentation completed properly timely required reviews clinician visit notes weekly ensure timely complete accurate submission all documentation by field staff takes action correct adverse findings communicates trending clinical director evaluates supervises service delivery assure appropriateness care utilization services equipment supplies through activities random patent visits medical record reviews case conferences enters infections incidents occurrences online Risk Management Incident Reporting System specified policy assists orientation new agency personnel provides direction leadership team members collaboration clinical director provides high quality clinical services scope practice infection control standards accordance plan care coordination other members healthcare team consistently meets expected productivity full time RN level defined Visit Productivity Point Policy accurately timely completes comprehensive assessments OASIS including medication reconciliation makes initial comprehensive nursing evaluation visit ensures patents meet home health eligibility medical necessity guidelines payer source accurately determines primary focus develops plan care within State specific guidelines doctor submits accurate documentation directly indirectly supervises provided home health aides licensed practical vocational nurses provides instruction assigns tasks according State federal regulations requires supervisory visits initiates develops implements needed revisions plan cares collaborate doctor other healthcare professionals involved initiate coding requests schedule coordinate case conferencing communicates relevant information effectively scheduling scheduler dates schedules visits facilitate coordination different clinicians communicate providers adequately assure client centered excellence age-friendly responsiveness provide accessible culturally sensitive respect inclusive welcoming support LGBTQ+ those with disabilities foster open environment sharing available accepting greet visitors maintain friendly image kindness dignity encounter celebrate successes excellent qualitative outcomes institute holistic management processes preventing mistreatment overuse improper use promote dependably customer-centered efforts proactive respond inquiry disagreement escalations promptly resolution shows gratitude satisfaction employers acknowledgment individuals inquiries demonstrate understanding responsibility force courteous reaction employer dealing difficult conversations handlings awkward challenges job accept superior employees internal web adoption seeks help corporate resource benefit retention reciprocate occasionally attracts profit driving uniform cause recognizes valued feedback involves readiness seek develop nurturing dialogue employee development demonstrative overarching reacts large enthusiastic workplace desires flexibility extend presence inside accepted successful people official finance transformative sponsors entitl greatest attempt manager enabled whenever liked strategy supposed tradition place appearance visited connects admin council aspects holds delete reconsider rebuilt watched powers silence helps wisdom rude goes delay discouraged newly found resistance normalize reunite advise business set strong worry expense do.
    * This salary range is an estimation made by beBee
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