Job Title : Licensed Practical Nurse Care Manager - Portsmouth, Virginia
Job Description
This is a full-time position for an LPN, providing care coordination / management along with implementing prescribed medical treatments, to include patient care and education services.
LPN role will include the provision of care coordination including Medicare Wellness Vitis, Chronic Disease Care Management, and Transitional Care Management for high risk patients.
- Utilize excell spreadsheets to track pateints due for Medicare Wellness visits
- Work with Medical Assistant and other practice team members. Review patient lists, quality measures, outreach lists and coordinate care for those members who are in need of Medicare Wellness Visits or identified as having quality gaps.
- Attend Care Management Meetings, Primary Care Collaborative meetings, and other educational sessions as scheduled. Will complete recommended educational modules as assigned.
- Follow chronic disease and preventive care guidelines and ensure that appropriate plans for completion are developed.
- Assist patients in developing a personalized wellness plan that includes realistic goals and a plan of action, including advanced care planning.
- Provide education and supports patients in learning how to make good choices for themselves that will lead to optimal well-being and a higher quality of life.
- Promote patient engagement and compliance with appointments, treatment recommendations and other recommended services.
- Complete all tracking and reporting requirements for outcomes and evaluation.
- Phone triage, patient scheduling, calling pharmacies. Authorize refills. Respond to tasks, patient messages. Print medication list / call select patients, reconcile medication lists.
- Maintain knowledge of all office procedures : ECG, in-house labs, spirometry, administration of nebulizer treatments, insertion and monitoring of IVs, Holter Monitor, assistance with minor surgical procedures and GYN procedures.
- Appropriately document all nursing interventions in the electronic medical record. Review the chart for completeness, test results and billing.
- Scan upcoming appointments for additional medical record information necessary. Obtain medical records from other physician offices, hospitals, labs, emergency rooms, and radiology departments prior to patient visit.
Hard Skills
- Licensed Practical Nurse license required
- Outpatient experience preferred
- Scheduling preventative / screening tests
- Coordination of transitions of care from the Hospital to LTC
Soft Skills
- Attention to detail
- Strong communication skills
- Organizational skills
- Patient care
Work Site
This is a fully on-site position in Portsmouth, Virginia.
Work Environment
- Outpatient office
- Shift Details : M-F 8-5, hour lunch.
- NO WEEKENDS NO HOLIDAYS
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