Having previously held the role of assistant manager at Eintracht Frankfurt II, FC St. Pauli and Viktoria Köln, he became the permanent manager at Viktoria Köln in the summer of 2019. He left the club on 13 May 2019, one game prior to the end of the season with Köln top of the table, and was appointed as the manager of 3. Liga side Chemnitzer FC in September 2019. His Chemnitz side were relegated to the Regionalliga in his first season at the club. He moved to Waldhof Mannheim for the 2020–21 season. He left Mannheim in May 2022. In November 2022, he was appointed as the new head coach of Hansa Rostock. On 20 March 2023, Patrick was relieved of his duties as Hansa Rostock manager with immediate effect.
