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Home Health Patient Care Manager

United Health Group
USD 94,164 - 141,246 / year

About this role

Home Health Patient Care Manager

Primary Responsibilities:

  • Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
  • Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
  • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
  • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate

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