Licensed Care Manager Home First

Position Summary Screens appropriate referral and coordinates admission process. Coordinates services with providers, billing reconciliation. Provides outreach to community referral sources. Essential Functions, Duties, and Responsibilities Markets 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 weekly team meetings with Medical Director 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 home visits and quarterly PCP visits with all required documentation. Completes variances when a care path goal is not met; lists variance plan of actions and follows up to resolution or repeat variance with a new plan. 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 Current State License as a Licensed Practical Nurse, LPN. 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. 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. #J-18808-Ljbffr PruittHealth