Job Description:
• Provide a monthly care management conversation through outbound phone calls to assigned patients to address their healthcare needs.
• Communicate resources and services available to patients through the continuum of care.
• Identify patient-specific problems, goals, and interventions designed to meet the patient’s individual needs through action-oriented and time-specific goals.
• Maintain chart compliance and proper documentation, including but not limited to medical history, medication, immunizations, allergies, surgical history, and family history.
• Demonstrate awareness of a patient’s circumstances that may necessitate revisions to care plans, goals, and preferences while being aware of barriers to care and services.
• Provide appropriate health education.
• Escalate patient concerns to the triage nurse team.
Requirements:
• Current active, compact LPN/LVN license
• Excellence in following established clinical protocols and procedures
• Flexibility and adeptness in switching tasks effectively
• Eagerness to assist fellow co-workers and contribute to team success
Benefits:
• Full benefits
• Equipment provided