About the job

    AI Summary

    Join our Chronic Care Management team as a Licensed Vocational Nurse to provide outstanding care. Utilize critical thinking and problem-solving in managing chronic care. Maintain disease knowledge, review care plans, and facilitate patient interactions. Conduct assessments, manage information flow, and support wellness visits.

    Licensed Vocational Nurse - Chronic Care Management

    Job Description:

    • Utilize critical thinking abilities and problem-solving strategies in the management of chronic care
    • Maintain current knowledge of disease processes, resources, and treatment options available
    • Achieve the set performance targets
    • HIPAA-compliant use of computer access to facilitate patient care
    • Use a care plan to guide patient interaction and direction
    • Review individual care plans and make monthly phone calls to CCM-enrolled patients
    • Manage the flow of information to and from the provider's office
    • Assist in the assessment of patient needs and health by taking patient history, medication listing, and assessing patients' physical and mental status
    • Complete all necessary documentation in the patients' medical record in accordance with the practice's charting policy
    • Support Annual Wellness Visits by contacting patients to schedule appointments and collect data
    • Perform all other duties as assigned by manager

    Requirements:

    • Active Texas LVN license with no discipline
    • Previous experience in primary care