Licensed Vocational Nurse Care Coordinator - Irving

Care Coordinator

Provides care under the direct supervision of the Population Health Director of Care Management or Nurse Manager utilizing physician-approved patient protocols according to established standards and best practice guidelines. Facilitates the communication between patient/caregiver, physician, and the outpatient care team to optimize health and wellness, reduce inpatient admission, reduce re-admissions, and improve medical stability in the patient population served. Works collaboratively with Nurse Navigators to manage medical stability in patients with high-risk disease management with complex comorbid conditions.

Job Description

• Manages a case load of 10,000-15,000 patients with identified gaps in care in collaboration with the Health Care Team.
• Works in collaboration with the PCMH Team in the design, implementation, and evaluation of the PMH model as applicable.
• Works proactively to coordinate preventative/follow-up care for all patients receiving care from participating providers.
• Reviews patient medical records to identify care gaps.
• Schedules needed preventative services using evidence-based physician-approved protocols and documents the encounter.
• Fosters a team approach by working collaboratively with the member, family, PCP, and other members of the healthcare team to ensure coordination of services.
• Assists Nurse Navigators in performing transition of care outreach to discharged patients to schedule return visits with the PCP per guidelines.
• Employs knowledge of evidence-based guidelines to effectively communicate the importance of recommended procedures and testing.
• Facilitates a collaborative approach with the care team for identification and closure of care gaps.
• Utilizes educational and behavioral change strategies to promote patient collaboration with the care team.
• Incorporates excellent written, verbal, and listening communication skills, positive relationship-building skills, and problem-solving into patient care coordination practice.
• Performs duties as required or assigned for specific operational purposes for which they are qualified to perform.
• Maintains all professional CEUs in compliance with state and regulatory requirements.
• Maintains confidentiality in all areas at all times.

Requirements

• LVN License in state of employment or compact

Work Schedule

8 AM - 5 PM Monday-Friday

Work Type

Full Time