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Full-time
professional certificate
Posted 63d ago
~40 hrs/week
Responsibilities
Coordinates the admission process and manages ongoing care services for members, including conducting home visits and collaborating with healthcare providers. Responsible for monitoring patient variances, tracking hospitalizations, and ensuring regulatory compliance through detailed documentation.
Requirements
Requires a current State License as a Licensed Practical Nurse (LPN) and a minimum of five years of nursing experience. Must possess a valid driver's license, automobile insurance, and CPR certification.
Full job description
POSITION SUMMARY:
Screens appropriate referral and coordinates admission process. Coordinates services with providers, billing reconciliation. Provides outreach to community referral sources.
ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
• Markets their area for awareness of SOURCE and PRN meetings with new PCPs.
• Completes all new admission paperwork for signed forms and in-home assessments.
• Participates in team meetings with Medical Director each week and presents all new admits, annual assessments, hospitalizations, Home Health admits and discharges, repeat variances, People with potential for discharge and actual discharges and situations threatening someone’s health or functional status.
• Completes quarterly homes visits and quarterly PCP visits with all requirements for each completed.
• Completes variances at any given time when a care path goal is not met. Must list the variance plan of actions and must have follow up to resolution or a repeat variance with a new plan outlined. Tracks all hospital/ER visits by completing paperwork, requesting records and communicating with hospitals.
• Coordinates with outpatient therapy centers, home health agencies, healthcare centers (if short term), and rehab by working with their staff and completing skilled care track form. Makes PRN contacts and home visits if needed to assess member needs. Reevaluates member needs for service, level of service and evaluates service effectiveness.
• Uses own vehicle for travel. Completes mileage and time sheets for reimbursement. Arranges transportation as required. Is available for internal record audits as requested. Completes annual reassessments in member’s homes. Reviews medicine for appropriateness.
• Attends trainings when required. Trains new hires as needed. Is available for on-call rotation as designated by CMS referrals. Communicates with regulatory and DFACS agencies for APS and CPS referrals.
TRAINING, SKILLS, AND EXPERIENCE REQUIREMENTS:
Current State License as a Licensed Practical Nurse, LPN
Must have a valid driver’s license and automobile insurance liability
Graduate of a state approved accredited nursing school
Certified in Basic Cardiopulmonary Resuscitation
Minimum of five (5) years of nursing experience. Hospice or SOURCE care preferred.
Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
We are eager to connect with you! Apply Now to get started at PruittHealth!
As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
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For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com
At PruittHealth, Family Makes Us Stronger, and it is at the center of everything we do. We don’t just hire employees. We welcome partners into our family.
Since its inception in 1969, PruittHealth has been a family-owned, innovative organization committed to providing exceptional care across a wide spectrum of services including: skilled nursing, assisted & independent living, home health, end-of-life hospice, rehabilitation, pharmacy/infusion services, and more.
Today, the organization spans across the Southeast, touches 170 communities, cares for 24,000 patients daily, and is driven by 13,000 passionate partners.
For more information please visit: www.PruittHealth.com
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