LPN - Chronic Care Management Nurse

BOONE MEMORIAL HOSPITAL INC • Madison, WV

2d

About The Position

Boone Memorial Hospital is seeking a dedicated Chronic Care Management (CCM) Nurse (LPN) to support patients with chronic conditions through ongoing care coordination, education, and monitoring. This position focuses on improving patient outcomes by promoting self-management, facilitating communication between care teams, and providing consistent support to patients between office visits through telephonic and in-person interactions.

Requirements

• Strong communication and interpersonal skills
• Ability to work independently
• Strong assessment and care planning skills
• Ability to prioritize tasks and manage time effectively
• Knowledge of community resources and referral pathways
• Ability to use technology and electronic health records to manage patient care
• Licensed Practical Nurse (LPN) with an active license in good standing
• Experience working with patients with chronic conditions
• Knowledge of electronic health records

Nice To Haves

• Experience in chronic care management
• Experience in care coordination
• Experience in an outpatient clinic setting

Responsibilities

• Conducts patient assessments to identify needs, goals, and barriers to care
• Develops, implements, and monitors individualized care plans
• Tracks patient progress and adjusts care plans as needed
• Provides ongoing monitoring and support between office visits
• Addresses patient questions and concerns via telephone
• Collaborates closely with primary care providers and other healthcare professionals
• Facilitates communication between patients, families, and providers
• Assists patients with timely access to medical and specialty care
• Coordinates transitions of care between inpatient and outpatient settings
• Educates patients and families on chronic conditions and self-management strategies
• Provides encouragement and support
• Assists patients in accessing community resources and services
• Participation in quality improvement initiatives
• Maintaining current knowledge of best practices in chronic care management

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed