Patient Care Manager Nurse for Hospital at Home Program

Job Description

Job Description

Job Location: On- Site at Lakeland Regional

Shift: 7am-5pm 4X10's (rotating weekends)

Job Purpose:

As a Patient Care Manager, you will be at the forefront of our innovative Hospital at Home care model that allows patients who are clinically appropriate to have the option to receive acute care in the comfort of their own homes in lieu of an inpatient hospital setting. As a Patient Care Manager, you will be fully integrated into the clinical teams at our health system partner, working directly with patients as well as the clinical teams on the floor of the hospital and telephonically from an office setting.

This role offers the unique opportunity to work directly with the patient and their providers to not only coordinate the patient's recovery from the acute illness, but also to develop the deep relationships with patients needed to successfully engage them with the resources they will need to improve their health and quality of life.

As a Patient Care Manager, you will leverage our technology suite as well as our interdisciplinary network of doctors, nurses, pharmacists, and ancillary service providers to improve the health and well-being of patients and ease the burden on caretakers.

Job Duties:

• Manages patient requests, telephonically or through our technology platform, to coordinate the appropriate care and bring it to the attention of the providers as needed.
• Works with partner physicians to educate patients on the HaH Care model; provides education regarding use of the telehealth system and processes.
• Manages Hospital at Home tools and technology, ensuring systems are properly set up prior to a patient's admission. Also responsible for tracking and ordering inventory as needed.
• Works with our partner's providers to confirm admission health and home assessment data collection is accurate, ensuring the home environment is safe.
• Builds and maintains collaborative professional working relationships with physicians, Medical Directors, clinicians, and the community at large to develop and implement a successful cross-continuum care management process.
• Follows clinical and operational workflows.
• Maintains all required documentation in all interactions with our health systems' patients and the care team.
• Watches for trends and hurdles involved in health care system and incorporates operational solutions for system challenges, including patient, family and physician responses into an evolving process and model that increases quality and satisfaction- patient or physician.
• Communicates discharge information to other clinical departments or members of the Care Team.
• Generates operational quality reports and presents updates to our partners' physicians and nurses.
• Assists as needed in recruiting, client and community outreach and critical incident/complaint management.

Experience/ Education:

• Education:  ASN - Associate of Science in Nursing, BSN preferred
• Licensure: Current, active RN licensure in good standing
• Experience: 3-5 years of recent acute nursing experience (ED and ICU strongly preferred). Possess a high level of competence in recognition of clinical implications of diagnostic information and a general knowledge of clinical standards and outcome measurement. Prior experience in Case Management a plus
• Background: Able to pass detailed criminal background check according to company policy

Required Skills:

• Comfort with engaging providers in intense work environments such as the ED.
• Comfort with using technology, learning new software applications, and managing multiple documentation and communication streams simultaneously.
• Ability to provide superior customer service; every decision needs to be made with the patient in mind. Patient safety is our number one priority.
• Strong attention to detail and ability to maintain written records and reports. Excellent verbal and written communication that is clear, well-organized, and demonstrates an understanding of audience needs.
• Exhibits exceptional interpersonal skills and proper judgment when dealing with provider partners, staff, and patients.
• Ability to predict needs as best as possible and stay one step ahead of the patient's care.
• Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals. A positive outlook and a can-do attitude are a must.
• Enjoys working within teams; dependable in both productivity and attendance.
• Ability to consistently communicate with teammates; open to opinions and feedback from team members and follows through on all commitments.

Employment Type :

Salaried employee + bonus