Home Health LVN

Nursing Amarillo, Texas Full Time


Description

Service Area: Amarillo TX

MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position):

• Conducts care management follow up telephone calls post-discharge per RN direction

• Conducts follow-up visits in a variety of acute and post-acute care settings to conduct assigned patient assessment tasks as determined by the RN Care Manager, when required

• Fosters continuity of care by providing excellent customer service through effective communication and collaboration with all services involved

• Ensures post-discharge follow-up with the community physician within 7-10 days of discharge

• Provides education to patients regarding red-flag symptoms and actions to take to avoid escalation of symptoms

• Reminds the patient to take his/her portable personal health record to all physician follow-up appointments

• Performs medication reconciliation after follow-up physician appointments

• Maintains knowledge of Medicare Regulations and restrictions related to home health and out-patient services.

• Assists in program planning, development and implementation. Assist in policy development, as needed.

• Establishes portable personal health record to be shared at all physician follow-up appointments

• Monitors specified reports for identification of  participants

• Determines eligibility of potential  Care Management candidates

• Updates  participant eligibility information as required

• Enters referral for eligible  participants in to the electronic medical record (EMR)

• Assists in maintaining/updating admission/discharge information in the EMR

• Performs other duties as assigned

• Complies with applicable legal requirements, standards, policies and procedures including, but not limited to the Compliance Program:  Code of Conduct, HIPAA and Documentation Standards.

• Maintains a commitment to the values and mission of AccentCare Health Management