LPN Practice Outreach Coordinator

Hackensack Meridian Health • Tinton Falls, NJ

80d • $60,174

About The Position

The core function of the LPN Practice Outreach Coordinator will focus on transitions of care including inpatient, emergency department, and skilled nursing facility transitions. Although transitions in care are a daily priority, additional functions of this role include proactive outreach to patients to minimize gaps in care. A Gap in Care is defined as the discrepancy between recommended best practices and the care that is actually obtained /provided. This most commonly includes individuals missing age-based or seasonal screenings, non-compliance with chronic disease management visits every 3 months, missing prescribed care (referrals). This team member will be central to coordinating prescribed care and preventive screenings. The work includes data mining in patients' EMRs, calling patients to facilitate prescribed care based on patient and provider preferences, and attending Quality Meetings at each assigned practice. The work will naturally flow from individual practice and provider performance against measures. This work will include telephonic outreach to patients.

Requirements

• Licensed Practical Nurse (LPN).
• Basic proficiency in standard computer programs e.g., MS Word, Excel, Google Docs, Sheets, etc.
• Ability to work on multiple projects concurrently in a fast paced, timeline driven environment.
• Strong planning and organizational skills with the ability to work independently, multi-task, and prioritize responsibilities.
• Excellent written, verbal and telephone communication skills. Must be able to facilitate webinar meetings.
• Proficiency in Electronic Medical Record required within 60 days of hire.

Nice To Haves

• Bachelor's Degree is preferred with focus on Health Care administration, principles of management, Population Health, Health Care Education, Community Health, Health Information Management, or Information Technology.

Responsibilities

• Proactive outreach to adult and pediatric primary care patients after transition of care from a healthcare facility including inpatient, emergency department, and skilled nursing facilities.
• Proactive outreach to adult and pediatric primary care patients to support lab/image/referral tracking, gaps in care and other quality measure improvement efforts.
• Effective and compassionate communication with patients and their significant others to plan, implement and follow up on gaps in care.
• Frequent telephonic interactions with patients and their significant other to close gaps in care.
• Coordination with other members of the care team, Providers on the care team and consultants to close gaps in care and update EMR.
• Acts as a liaison between patients, primary care practices and population health and Quality teams in the provision of care.
• Facilitates partnerships with community partners and resources to assist patients in closing gaps in care.
• Uses evidence-based coaching techniques to help patients design realistic health goals, implement positive lifestyle changes and achieve desired plan in support of a healthier lifestyle and disease state.
• Works as part of the interdisciplinary team to meet the goals of the Practice, the provider and the patient.
• Provides quality customer service- follows HIPAA rules/regulations.
• Documents in the EMR, the patient interactions and care planning activities as directed by the Provider and care team.
• Identifies and appropriately escalates patient related issues to Provider when required.
• Utilizes data to better understand tailor interventions to the patient populations.
• Attends/presents status updates at meetings.
• Supports the Transformation efforts as needed.
• Regional travel required, use of personal vehicle with mileage reimbursement (consistent with company policy) - drivers license required.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid leave
• Tuition reimbursement
• Retirement benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees