Pros: working as team with onsite team and insurance company., visits to patients. patient discharge for meeting all goals, excellent benefits.
Cons: days were long, on call 24/7, lunch at desk, stayed after hours almost everyday. discharging patients before goals met.
Director, RN Case Manager for Medicaid Home Health. Communicated with RN's, LVN's about schedule and any changes patient's needed to change. Reviewed all paperwork and time sheets from previous visits made in the last 48 hrs. Patient's with any issues were called so that resolution to any problem could be solved ASAP. Communicated with insurance company, Discharge planner, RN Navigator, RN Case Manager Admit nurse, reviewed all referrals for Medicaid criteria, report to 30 day monitoring nurse. Worked with onsite team and insurance team to ensure best care for patient. Reviewed all new PCP orders, PT, OT, and Speech therapy notes. Obtained all authorizations with proper codes, Communicated with Administrator about patients. Any hospitalizations of patients, hospital called for progress, estimate of discharge. Triaged all patient calls. Admission of patients. Developed inidividualized plan of care for patient meeting all healthcare and holistic needs. Referrals as needed. Supervisory visits, field visits as needed. Billing, coding, ordered supplies. Spreadsheet for all patients with status, date of admit, goals, teaching, and estimated time patient may reach all goals. QA, UR of all documentation and charts. Communicated with nurses about changes needed, trained for improved documentation, ensured plan of care be followed. Audits of charts for proper forms, filed accurately. Evaluations of nurses every 3 months. Discussed with each nurse individually for improvement of skills, documentation. Case conference scheduled, prepared all documents needed, worked with onsite team on any problems or issues patient experiencing. Continued communication with Dr.'s, staff. Monitored all orders received in a timely manner.