LPN Assessment Nurse Case Manager for Care Management Services

CHSGa•Rome, GA

12d

About The Position

The LPN Assessment Nurse Case Manager provides assessment and case management services to members in the SOURCE Program. The position coordinates care with members, caregivers, providers, the multidisciplinary team, and internal staff; completes required assessments; supports quality improvement and compliance; and maintains accurate member records. The role includes regular home visits and extensive travel within Georgia, with visits also taking place in community, hospital, institutional, and professional settings. The position performs Assessment Nurse and Case Manager duties as assigned and takes rotating call as assigned.

Requirements

Valid Georgia LPN license with 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 assignments and manage multiple deadlines and changing priorities.
Ability to work a demanding, primarily self-directed schedule.
Effective communication and interpersonal skills, including the ability to speak effectively with customers and colleagues and write routine reports and correspondence.
Ability to provide excellent customer service and maintain confidentiality.
Ability to react effectively and calmly in emergency situations and demonstrate sound judgment.
Ability to read and interpret safety rules, operating and maintenance instructions, procedure manuals, and other documents.
Ability to perform basic arithmetic and apply common-sense reasoning to written, oral, or diagrammed instructions and standardized situations.
Proficiency with MS Outlook, MS Excel, and MS Word.
Ability to travel extensively within Georgia and visit members in homes, community environments, hospitals, and other institutional and professional settings.
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.
Required vision abilities include distance vision and the ability to adjust focus.

Nice To Haves

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

Responsibilities

Contact members and/or informal caregivers at least monthly and conduct an in-home visit at least every 90 days.
Collaborate with the Case Manager and multidisciplinary team to establish and update member Care Paths, document assessment findings and significant status changes, and identify and resolve variances from Care Paths.
Contact members’ providers as needed and promptly notify appropriate parties of changes in member status.
Ensure assigned members visit their PCP at least every three months, or more often as 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 the appropriate level of care for assigned members under state regulations and SCM operational guidelines.
Collaborate with the Quality Assurance and Education Coordinator, Assessment Coordinator, and Administrator to support quality assurance and education 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 SOURCE Program and SCM best practices.
Perform Assessment Nurse and Case Manager duties as assigned 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 in accordance with organizational guidelines.
Maintain prompt, accurate, and secure documentation of member needs, contacts, and plans; file documentation promptly in member charts.
Use the appropriate log book to sign member charts in and out and ensure charts are not removed from the office for more than three business days.
Participate in weekly multidisciplinary team meetings, prepared to discuss assigned members and present new members; attend weekly staff meetings, monthly provider meetings, and required SCM meetings and in-services.
Meet with assigned members’ Primary Care Physicians at least quarterly.
Assist with recruiting 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.
Organize and prioritize assignments, manage multiple deadlines and changing priorities, and work a demanding, primarily self-directed schedule.
Communicate and interact professionally and respectfully with supervisors, organizational leadership, peers, and internal and external contacts; maintain customer confidentiality and provide excellent customer service.
Use sound judgment, remain calm and effective in emergencies, and consistently report to work on time prepared to perform assigned duties.
Read and interpret documents, write routine reports and correspondence, speak effectively with customers and associates, perform basic arithmetic, and apply common-sense reasoning to instructions and standardized problems.
Use MS Outlook, MS Excel, and MS Word.