LPN Care Coordinator

Community Health Network of Connecticut, Inc.•Wallingford, CT

About The Position

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking an LPN Care Coordinator to join our team. Primary Responsibilities: Responsible for telephonic/videoconference outreach from post hospital discharge, predictive modeling and other data or claim reports to identify members that would benefit from Intensive Care Management (ICM) services. Conducts focused proactive coaching and education. Functions as a vital team player to facilitate successful member outcomes. Tasks Performed: Works in collaboration with the RNs to outreach to members to confirm written discharge plans, DME, HHC, transportation arrangements, and post discharge medical appointments; and completes medication reconciliation. Completes risk screenings/scripts for identification of member needs/opportunities/SMART goals. Refers members to RN Care Manager when gaps in care or medical and/or behavioral needs are identified or may manage average/emerging risk members in collaboration and oversight of an RN as appropriate. Responds to telephonic inquiries from members. Coaches and assists members in achieving successful self-management skills. Identifies appropriate written educational mailings to support the member’s learning. Enters appropriate documentation in the electronic care management system. Essential Functions: Telephonic/videoconference member outreach, education and coaching. Review of the appropriate data analytics and post hospital discharge reports to identify, assess and stratify the member’s medical needs and appropriateness for participation in the Intensive Care Management Program.

Requirements

1 to 5 years nursing experience; required
Excellent organizational skills, ability to manage multiple priorities concurrently.
Strong oral and written communication skills.
Strong computer and keyboard skills.
Team player.
Ability to exercise independent and sound judgment in decision making.
LPN license must be current and unrestricted.
Active Licensed Practical Nurse License

Nice To Haves

Managed Care experience preferred.
Knowledge of HUSKY Health contract requirements preferred.
Two years' post-secondary schooling
Associates degree preferred
Vocational nursing

Responsibilities

Responsible for telephonic/videoconference outreach from post hospital discharge, predictive modeling and other data or claim reports to identify members that would benefit from Intensive Care Management (ICM) services.
Conducts focused proactive coaching and education.
Functions as a vital team player to facilitate successful member outcomes.
Works in collaboration with the RNs to outreach to members to confirm written discharge plans, DME, HHC, transportation arrangements, and post discharge medical appointments; and completes medication reconciliation.
Completes risk screenings/scripts for identification of member needs/opportunities/SMART goals.
Refers members to RN Care Manager when gaps in care or medical and/or behavioral needs are identified or may manage average/emerging risk members in collaboration and oversight of an RN as appropriate.
Responds to telephonic inquiries from members.
Coaches and assists members in achieving successful self-management skills.
Identifies appropriate written educational mailings to support the member’s learning.
Enters appropriate documentation in the electronic care management system.
Telephonic/videoconference member outreach, education and coaching.
Review of the appropriate data analytics and post hospital discharge reports to identify, assess and stratify the member’s medical needs and appropriateness for participation in the Intensive Care Management Program.