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Senior Care Manager- RN

Company: UHS-Pruitt
Location: Albany
Posted on: June 10, 2019

Job Description:

Category : Home CareLocation/City : GA - AlbanyId : 24262Title: Senior Care Manager- RNLocation: Albany, GAPOSITION SUMMARY:Screen appropriate referrals and coordinates admission process. Coordinates services, coordinates services with providers, billing reconciliation. Provides outreach to community referral sources.ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:?? Primary responsibility for taking and coordinating referrals and admissions.?? Coordinates admission process through assignment to clinical staff and/or performing field admission visits.?? Coordinates admission paperwork to promote timely completion and accuracy.?? Makes field visits to evaluate appropriateness, determine eligibility for services, and present SOURCE Program using the MDS-HC Assessment Tool.?? Provides communication of assessment findings to Medical Director and makes sure that plan of care is followed and services are appropriate.?? Assigns clinical staff to patients and families per care path..?? Assists in providing training on SOURCE Program issues to clinical staff, patients/families, healthcare centers, physicians, and providers.?? Performs routine chart audits to ensure timelines and accuracy of documentation/MD orders.?? Assists with maintaining compliance with federal/state/agency regulations.?? Identifies, completes and follows up on performance improvement/quality assurance reports, including monitoring of infection and opportunity occurrence program reports.?? Facilitates team meetings.?? Responsible for monthly care management supervisor review.?? Schedules on-call RN duties and provides backup coverage.?? Completes competency assessments for clinical staff.?? Performs billing reconciliation each month.?? Maintains grievance logs.?? Responsible for changes in level of service.LICENSURE, CERTIFICATION, EXPERIENCE AND EDUCATION REQUIREMENTS:?? BSN preferred?? Current State license as a Registered Nurse.?? Certified in Basic Cardiopulmonary Resuscitation?? Minimum of five years nursing experience.?? Hospice/Home Care or SOURCE experience preferred.?? 3-5 years of management experience.?? Must have a valid drives license and automobile liability insurance.

Keywords: UHS-Pruitt, Albany , Senior Care Manager- RN, Executive , Albany, Georgia

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