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Patient Care Manager

$85.2k - $127.79k

UnitedHealthcare

Home Health Patient Care Manager And RN Hybrid

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

The Home Health Patient Care Manager and RN Hybrid is responsible for the supervision and coordination of clinical services and provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.

Primary Responsibilities:

  • Coordinates referrals, authorizations, start-of-care (SOC) visits, and clinician assignments to ensure timely, appropriate patient evaluations
  • Manages ongoing patient care coordination, including benefits verification, medical necessity, insurance approvals, and payer change documentation
  • Oversees clinical documentation quality and timeliness, including OASIS assessments, visit notes, orders, care plans, and productivity standards
  • Serves as a central communication hub with physicians, clinicians, patients, families, referral sources, and interdisciplinary partners to ensure continuity of care
  • Monitors patient status, labs, diagnostic results, on-call events, and significant condition changes, ensuring physician notification and plan-of-care updates Facilitates case conferences, admissions, transfers, discharges, and interdisciplinary collaboration to ensure appropriate utilization of services and resources
  • Provides clinical leadership through supervision, orientation, quality oversight, risk reporting, and support of staff performance and regulatory compliance

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current unrestricted RN licensure in state of practice
  • Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation

State Specific Requirements:

  • RN licensure must have no restrictions AK, AL, AR, AZ, CO, CT, DE, FL, GA, ID, IL, IN, KY, MA, MI, MD, MN, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV:

Preferred Qualifications:

  • Current CPR certification or ability to complete within 90 days of hire
  • Home care experience

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $85,196 to $127,794 annually based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealthcare
Vacancy posted 20 hours ago
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