Patient Care Manager Senior

We're looking for a Patient Care Manager Senior to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is responsible for supervising, teaching, evaluating, and developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies.

• Preparing for, serving on, and facilitating the Interdisciplinary Group (IDG), as assigned, including presiding over IDG, presentation of patients for review, coordination of minutes, review of patient charts to note and address any changes to patient condition and/or the plan of care, and soliciting input from various care team members.
• Managing and overseeing clinical and administrative and recordkeeping functions, including documenting referrals, new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed, commercial insurance verification, transfer patient documentation, satisfaction surveys, and patient benefit periods and events.
• Directing the work of clinical associates including assigning of admit and evaluation visits, scheduling visits at the beginning of benefit period, and ensuring staff are completing visits in a timely manner.

• Graduate of accredited school of nursing; bachelor’s degree in nursing preferred
• Current Registered Nurse licensure in state of residence and requested employment
• At least three years’ experience of direct patient care and two years’ experience in hospice or home-based care setting.
• Demonstrates knowledge and compliance with accepted hospice principles and practice, including industry standards, regulations, and best practices (i.e., Medicare, Medicaid, JCAHO, ACHC), company policies/procedures, and understanding of terminally ill patients and their families.
• Thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, ACHC, and human resource) management principles
• Ability to provide program management and oversight, including documentation to ensure quality, compliance, and accuracy