LPN Care Coordinator Population Health (Sign-On Incentive Available)
Company: CHRISTUS Health
Posted on: April 30, 2021
Summary: Provides care under the direct supervision of the
Population Health Director of Care Management or Nurse Manager
utilizing physician approved patient protocols according to
established standards and best practice guidelines.Facilitates the
communication between patient/caregiver, physician and the
outpatient care team to optimize health and wellness, reduce
inpatient admission, reduce re-admissions and improve medical
stability in the patient population served.Works collaboratively
with Nurse Navigators to manage medical stability in patients with
high risk disease management with complex comorbid conditions.
Manages a case load of patients with identified gaps in care in
collaboration with the Health Care Team.
Works in collaboration with the PCMH Team in the design,
implementation and evaluation of the PMH model as applicable.
Works proactively to coordinate preventative/follow-up care for all
patients receiving care from participating providers.
Reviews patient medical record to identify care gaps.
Schedules needed preventative services using evidenced based
Physician approved protocols and documents the encounter.
Fosters a Team approach by working collaboratively with the member,
family, PCP and other members of the healthcare team to ensure
coordination of services.
Assists Nurse Navigators' in performing transition of care outreach
to discharged patients to schedule return visit with the PCP per
Employs knowledge of evidenced based guidelines to effectively
communicate the importance of recommended procedures and
Facilitates a collaborative approach with care team for
identification of and closure of care gaps.
Utilizes educational and behavioral change strategies to promote
patient collaboration with the care team.
Incorporates excellent written, verbal and listening communication
skills, positive relationship building skills and problem solving
into patient care coordination practice.
Performs duties as required or assigned for specific operational
purposes for which they are qualified to perform.
Maintains all professional CEU's in compliance with State and
Maintains confidentiality in all areas at all times.
Non-remote Requirements: Vocational/technical school graduate
Basic LVN Nursing skills
Knowledge of lab procedures and diagnostic testing
Ability to write clear documentation and ability to write detailed
Solid organizational skills including attention to detail and
Basic computer skills
3 years clinical experience with at least 2 years in a primary care
clinic preferred LVN/LPN License in the state of TX or where
positions is located within the enterprise
CPR Certification, if applicable Work Type: Full Time
Keywords: CHRISTUS Health, Alexandria , LPN Care Coordinator Population Health (Sign-On Incentive Available), Healthcare , Alexandria, Louisiana
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