LPN Patient Navigator

WESTERN RESERVE AREA AGENCY ON AGING • Cleveland, OH

9d • $48,000 - $58,000

About The Position

Dedicate yourself to an Organization and Mission you can be proud of by joining the Western Reserve Area Agency on Aging! Our Mission: We provide choices for people to live independently in the place they want to call home. About Us: Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network collaborates together to create opportunities for older Ohioan's to receive needed home and community services and supports; and to age successfully in their own homes and communities. Candidates we love… Self-motivated and compassionate professionals looking to be part of a Best-in Class organization Team players who are committed to providing superior service to all they serve Enthusiastic professionals excited to grow with an organization that values dedication, innovation and collaboration. What our staff loves about us… A generous six-week PTO program and thirteen paid holidays An investment in professional development through a substantial, annual training funds allotment A 401K program with company match Medical, Dental, Vision Benefits and so much more… Position Summary: The CareSource Patient Navigator will perform member contacts/visits, telephonically, in-person and at other community locations to meet contractual obligations of Care Management Contact Schedules.

Requirements

• Current licensure as a License Practical Nurse with the Ohio Board of Nursing.
• At least one year of experience working with individuals with physical or behavioral health disabilities in a home health care, medical, or behavioral health environment is required.
• Must have a current valid Ohio driver’s license, proof of auto liability insurance.
• Must be able to travel in own personal vehicle within the 5-county WRAAA region during work hours.
• Ability to accurately and timely document in members’ electronic record
• Knowledge of use of general office equipment and computer skills.
• Proficiency in interviewing skills, listening and excellent interpersonal skills.
• Excellent written communication skills with the ability to complete documentation in grammatically correct format.
• Strong organization skills with the ability to prioritize.
• Ability to work independently within the team structure.
• Flexibility to adjust to variations in the work environment.
• Ability to work with multi-cultural members and experience with an interpreter.
• Knowledge of medical terminology and basic disease processes.
• Comfortable in going into members’ homes, hospitals and nursing facilities.
• Must be detail oriented, have excellent interpersonal communication skills and the ability to work effectively with others.

Responsibilities

• Acts as a liaison between Care Management staff, member and providers.
• Monitors the progress of home modifications through completion, communication with providers and members, and confirming satisfaction with modification via a home and/or telephonic contact/visit.
• Provides in-office telephone coverage and triaging with Care Manager Supervisor regarding the disposition of calls.
• Assists with completing Emergency Response Outreach to members at the request of the MCO during weather events or other emergency situations. (MCO= Managed Care Organization)
• Completes claims review of program member’s services, including follow up with members and providers when discovery is made of any discrepancy between services authorized and delivered.
• Assists in obtaining discharge summaries following members’ transitions of care.
• Completes reconciliation of members Service Plans, including entering of Care Manager authorized services.
• Assists members in closing HEDIS gaps of care though discussion on telephone calls or in-person visits.
• Management of spreadsheets, data, and reports required by the MCO or internal management staff.
• Assists in the review of electronic files per the direction of supervisor.
• All staff have the responsibility and authority to propose new ways to improve quality and to fully participate in quality improvement efforts.
• Performs other duties as assigned.

Benefits

• A generous six-week PTO program and thirteen paid holidays
• An investment in professional development through a substantial, annual training funds allotment
• A 401K program with company match
• Medical, Dental, Vision Benefits and so much more…

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees