LPN Assessment Nurse Case Manager for Care Management Services

CHSGa•Rome, GA

11d

About The Position

The LPN Assessment Nurse Case Manager provides assessment and case management services to members of the SOURCE Program. The role contacts members and/or informal caregivers at least monthly, conducts in-home visits at least every 90 days, coordinates member Care Paths with case managers and multidisciplinary teams, and communicates with providers and other appropriate parties about member needs and status changes. The position completes admission, reassessment, and significant-change assessments, determines appropriate levels of care, and supports referrals and member screening in accordance with applicable regulations and organizational guidelines. The role also supports quality improvement, community education, compliance, record management, and coordination and attendance at required meetings. It performs Assessment Nurse duties as well as Case Manager duties when assigned, provides on-site assistance during state surveys, and may assist other SCM locations. The work requires extensive travel within Georgia, including visits to members’ homes and community, hospital, institutional, and professional settings. The role works in a normal office noise environment and has no supervisory responsibilities.

Requirements

Valid Georgia LPN license and at least one year of experience in the health and human services field, or a valid Georgia RN license.
Valid driver’s license.
Reliable transportation.
Ability to organize and prioritize responsibilities, manage multiple deadlines and changing priorities, and work a demanding, primarily self-directed schedule.
Effective communication and interpersonal skills, including the ability to read and interpret documents, write routine reports and correspondence, and speak effectively with customers or associates.
Ability to provide customer service while maintaining confidentiality and to react effectively and calmly in emergency situations.
Proficiency with MS Outlook, MS Excel, and MS Word.
Ability to travel extensively within Georgia and perform member visits in home, community, hospital, institutional, and professional settings.
Physical ability to stand, walk, and sit for prolonged periods; use hands to finger, handle, or feel; reach with hands and arms; and occasionally move or lift up to 25 pounds.
Ability to perform work requiring distance vision and focus adjustment.
Ability to perform basic arithmetic and apply common-sense understanding to written, oral, or diagrammed instructions and standardized problems.

Nice To Haves

Experience in social work, home and community-based services, healthcare, or geriatrics.

Responsibilities

Contact members and/or informal caregivers as needed and at least once per month, and conduct an in-home visit at least every 90 days.
Collaborate with case managers and multidisciplinary team members to establish and update member Care Paths, document assessment findings and significant status changes, and resolve Care Path variances.
Contact member providers as needed and promptly notify appropriate parties of changes in member status.
Ensure assigned members visit their primary care physician at least every three months, or more often when needed.
Accept referrals and ensure potential members are screened promptly in accordance with organizational and governmental policies.
Consult with the Administrator before each member discharge and as needed, and consult the assigned Assessment Coordinator as appropriate.
Take call on a rotating basis as assigned.
Send assessments to the Assessment Coordinator on time and complete new admission, reassessment, and significant-change assessments within required time frames.
Determine appropriate levels of care in accordance with state regulations and SCM Operational Guidelines.
Collaborate with Quality Assurance, the Education Coordinator, Assessment Coordinator, and Administrator to support quality assurance plans, initiatives, and processes.
Seek community education opportunities and make recommendations to the Administrator and/or Community Education Coordinator.
Maintain knowledge of and comply with current regulations, SCM Personnel and Operational Guidelines, and best practices related to SOURCE Program and SCM operations.
Perform Assessment Nurse duties and, when assigned, Case Manager duties under state regulations and SCM Operational Guidelines.
Provide on-site assistance for state surveys and appropriately report corporate compliance, privacy, and security concerns.
Report work time and business expenses according to organizational guidelines.
Maintain prompt, accurate, secure documentation regarding member needs, contacts, and plans; file documentation in member charts according to SCM Operational Guidelines.
Use the designated log book to track member charts in and out and ensure charts are not removed from the office for more than three business days.
Attend and participate in weekly multidisciplinary team and staff meetings, monthly provider meetings, quarterly meetings with assigned members’ PCPs, and required SCM meetings and in-services.
Assist with recruitment of new PCPs or other community service providers when requested.
Assist with Assessment Nurse Case Manager and Case Manager duties at other SCM locations as needed.
Deliver timely, accurate, efficient, and thorough work; organize and prioritize assignments; manage changing priorities and multiple deadlines; and maintain a demanding, primarily self-directed schedule.
Communicate and interact constructively and professionally with supervisors, organizational leadership, peers, and internal and external contacts.
Represent the organization positively and communicate its guiding principles, mission, vision, and values.
Use good judgment and decision-making, demonstrate strong organization and planning, provide excellent customer service, protect confidentiality, and respond effectively and calmly in emergencies.
Travel extensively within Georgia and visit members in homes, community environments, hospitals, and other institutional and professional settings.
Read and interpret documents, write routine reports and correspondence, and communicate effectively with customers and associates.
Perform basic arithmetic and apply common-sense reasoning to instructions and problems involving several concrete variables.
Use MS Outlook, MS Excel, and MS Word proficiently.