Licensed Vocational Nurse Care Coordinator - HP Medical Management
CHRISTUS Health•Irving, TX
About The Position
Provides care under the direct supervision of the Population Health Director of Care Management or Nurse Manager, using physician-approved patient protocols according to established standards and best-practice guidelines. Facilitates communication among patients and caregivers, physicians, and the outpatient care team to optimize health and wellness, reduce inpatient admissions and readmissions, and improve medical stability in the population served. Collaborates with Nurse Navigators to manage medical stability for patients with high-risk diseases and complex comorbid conditions.
Requirements
- LVN license in the state of employment or a compact license.
Responsibilities
- Manages a caseload of 10,000–15,000 patients with identified gaps in care in collaboration with the Health Care Team.
- Collaborates with the PCMH Team in the design, implementation, and evaluation of the PMH model, as applicable.
- Proactively coordinates preventive and follow-up care for patients receiving care from participating providers.
- Reviews patient medical records to identify care gaps.
- Schedules needed preventive services using evidence-based, physician-approved protocols and documents the encounter.
- Works collaboratively with members, families, primary care providers, and other healthcare team members to coordinate services.
- Assists Nurse Navigators with transition-of-care outreach to discharged patients and schedules return visits with the PCP according to guidelines.
- Uses knowledge of evidence-based guidelines to communicate the importance of recommended procedures and testing.
- Facilitates a collaborative care-team approach to identifying and closing care gaps.
- Uses educational and behavioral-change strategies to encourage patient collaboration with the care team.
- Uses written, verbal, and listening communication, relationship-building, and problem-solving skills in patient care coordination.
- Performs other duties as required or assigned for operational purposes when qualified.
- Maintains professional CEUs in compliance with state and regulatory requirements.
- Maintains confidentiality at all times.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
