LPN Care Coordinator

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Comprehensive Rehabilitation Consultants (CRC)

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11 - 50 Mitarbeiter

💼 Beratung

🏥 Gesundheitswesen

🤝 Non-Profit

Consulting • Healthcare • Non-profit

CRC engagiert sich dafür, Einzelpersonen dabei zu helfen, ihr höchstes Potenzial durch gesteigerte Unabhängigkeit und Gesundheit zu erreichen. Mit dieser Mission vor Augen nutzen wir unseren interdisziplinären Ansatz, um umfassende Pflegepläne für alle Altersgruppen und Hintergründe zu entwickeln und umzusetzen. Mit über 35 Jahren umfangreicher Erfahrung sind wir in der Lage, eine echte Ressource für diejenigen zu sein, die ihre Lebensqualität maximieren möchten.

Beschreibung

• Deliver Transitional Care and Chronic Care Management services • Review EMR records to inform initial outreach and care plan focus areas • Perform comprehensive assessments of physical and psychosocial risk factors • Identify and address barriers to individual patient needs • Communicate assessment findings, care plan goals, interventions, and outcomes to providers, patients, and caregivers • Monitor patients’ ED visits and acute stays • Perform post-discharge follow-up calls and continuously assess readmission risk • Use motivational interviewing to promote patient engagement and self-management skills • Provide chronic disease education and symptom-management teaching • Communicate proactively with providers regarding changes in patient status and necessary referrals or orders • Document care plans, clinical interventions, and outreach in the care management software system • Develop and maintain professional working relationships with assigned providers and care management team members

🎯 Anforderungen

• High school diploma or equivalent required • Associates or Bachelors preferred • Licensed LPN/LVN or Registered Nurse • Minimum of two (2) years of care coordination experience, including post-discharge transitions of care, required • Experience providing care coordination to a skilled nursing and/or Medicare beneficiary population required • Experience with SNF-to-home transitions of care or SNF bundled payment care coordination highly preferred • Knowledge and experience with electronic medical records (EMR) and care management technology • Strong customer service and patient-focused orientation • Ability to work flexibly in an ambiguous and dynamic environment • Strong collaboration and conflict-resolution skills • Strong decision-making and problem-solving skills • Ability to engage diverse populations and provide culturally sensitive coaching, education, and assistance • Ability to develop, prioritize, and accomplish goals; effective time management

🏖️ Vorteile

• Great health insurance including Medical, Vision, and Dental • Short Term Disability • Life Insurance • Critical Illness coverage • Generous PTO package • Time-off on selected holidays • Highly competitive salary • Generous bonus • 401(k) plan with an annual contribution of 2-3%