Licensed Vocational Nurse Care Coordinator

Summary:
An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.

Responsibilities:.
Identify quality gaps. Participate in Quality Improvement Programs as indicated. Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings. Value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance. Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics.

LVN Degree from an accredited nursing program.
3 years of clinical and home health experience
Must be licensed and reside in Texas
Excellent verbal and written communication Critical and analytical thinking skills
Demonstrated clinical competency
Working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
Understanding of pre-acute and post-acute levels of care and community resources
Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families