The Patient Care Manager is responsible for ensuring that patient care is coordinated and managed appropriately.
Provides leadership and management of identified Interdisciplinary Team Members to assure that clinical care is provided according to policies and procedures, following state, federal, and ACHC regulations.
Essential Job Functions/Responsibilities Responsible for the management of the hospice program in matters of clinical operation at the team level.
Manages exceptional service to patients, families, referral sources, co-workers and other customers.
Assists team members as needed to ensure that this level of service is consistently provided.
Active participant in receiving case referrals.
Reviews available patient information related to case to determine hospice/home care needs.
Assigns appropriate hospice personnel to case as needed.
Conferences with MEDICAL DIRECTOR regarding any questions about an individual’s eligibility for services.
Ensures that care is provided in accordance with Medicare, Medicaid, Federal and state guidelines.
Ensures that all direct care clinical staff are assigned appropriately.
Ensures that Interdisciplinary Group (IDG) meetings are regularly conducted and records maintained.
Attends IDG meetings to facilitate coordination of care and discussion of interdisciplinary group involvement.
Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care.
Regularly reviews assigned patients’ prognosis/decline, medications, supplies, equipment and clinical course.
Actively participates in the quality assessment performance improvement program.
Conducts quarterly record reviews and communicates findings and recommendations to Executive Director, Education & Compliance Department and hospice personnel.
Interviews, hires and ensures complete and appropriate orientation and training of all assigned clinical staff.
Conducts annual employee evaluations for assigned staff.
Participates in/conducts employee counseling.
Follows-up on any patient, employee, or customer complaint/concern for assigned team.
Reports issue, findings, and action plan to Executive Director in a timely manner.
Ensures adherence to admission, revocation and discharge processes as per agency policy.
Ensures updated policies, forms and job descriptions are reviewed with appropriate staff and utilized in the office.
Manages Administrator on-call program.
Manages clinical on-call, manages caseload as staffing/census level mandate.
Complies with accepted professional standards and principles.
May be appointed as Alternate Administrator.
Must be a full time employee residing within the agency geographic service area.
Must be Registered Nurse with current State license.
BSN preferred.
One year hospice experience required.
Two years healthcare management experience preferred.
Must have good knowledge of hospice Medicare, Medicaid, State and Federal guidelines.
Must have demonstrated ability to supervise and motivate staff.
Must have excellent observation and communication skills and good clinical judgment.
Understands hospice philosophy and issues of death/dying.
Maintains a current CPR certification.
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
Demonstrates excellent observation, problem solving, verbal and written communications; skills per competency checklist.
Shows ability to organize and prioritize workload independently.
May be required to work in undesirable areas.