Community Care Manager LPN/RN Position Available In Volusia, Florida

Community Care Manager LPN/RN Complete Health – 2.6 DeLand, FL Job Details $30 – $40 an hour 1 day ago Qualifications Athenahealth Medication administration RN License Word processing Triage Mid-level 3 years LPN Care plans Leadership Communication skills Home & community care

Nursing Full Job Description Schedule:

Monday-Friday Pay Range:

$30-40 per hour, dependent on experience and license

SUMMARY OF JOB DUTIES

The Community based Care Manager is responsible for performing the physical assessment, triage, care coordination, documentation, communication, and ensuring timely response to patient calls and cases for a panel of home and community based high acuity Traditional Medicare and Medicare Advantage Plan patients in the Complex Care Management Program. Complex Care Management services provide a mix of in home and in person clinic visits with patient (and/or HIPAA Representative), as well as telephonic visits in between appointments each month. The Community Care Manager facilitates shared decision making and ongoing goals of care discussions with the patient and family, collaborates with other members of the Care Management team, clinical staff, physician, or other qualified health care professionals to provide high quality care with meaningful impact. Through this collaboration, a comprehensive care plan is established, documented in the Electronic Health Record (EHR), implemented, and is reviewed or revised during each subsequent encounter. A comprehensive care plan includes an electronic summary of the patient’s physical, mental, cognitive, psychosocial, functional, environmental, and social assessments. It contains a record of all patient goals, recommended preventive care services, medication reconciliation with review of adherence and potential interactions and oversight of patient self-management of medications, an inventory of clinicians, resources, and supports specific to the patient; including how the services of agencies and/or specialists unconnected to the designated physician’s practice can be coordinated. It includes ensuring that ER and hospital clinical documents, consult notes and other records of care are current and available on the chart for review as needed. The Community Care Manager is responsible for ensuring that care and services are delivered appropriately and timely in the home or other community setting to his/her panel of patients. Under the direction of and collaboration with the primary care provider and leadership, the Community Care Manager identifies the appropriate level of care needed by each patient in his/her care and carries out in home clinical services including, but not limited to injections, obtaining specimen for laboratory evaluation, and giving IV fluids as ordered by the Primary Care Provider. He/she provides ongoing education to help patients meet their goals and facilitates ongoing goals of care conversations. The Community Care Manager coordinates efforts with the Quality Department to ensure that each patient is accurately assessed, and that Annual Wellness Visits are completed quality measures and gaps are closed. He/she accurately updates patient’s problems list, diagnoses, health conditions, mediations list and Care Team and brings additional medical concerns to the Primary Care Provider.

ESSENTIAL JOB FUNCTIONS

The Community Care Manager follows and maintains a panel of high acuity Complex Care Management patients in the community setting as assigned by leadership. Is responsible to coordinate and communicate with providers, staff, and patient’s Care Team members (including specialists, Case Managers and patient’s family and/or representative) regarding the patient’s specific and appropriate acuity level of care needed, as determined by their chronic conditions, acute care events and social/living needs. Ensures that the care patients receive is efficient, thorough, timely and is properly documented to help patients avoid ER and urgent care visits, hospital admissions and readmissions. Assists in ensuring the best quality of life possible for each patient in their care. Works with the leadership to identify specific patient social and preventative care needs. Facilitates resolutions, when possible, with resources throughout an assigned geographic area. Provides regular reporting of activities and statistical status of the CCM patients in his/her care to leadership and the Primary Care Provider as directed. The Community Care Manager helps to fill in for other Care Pod staff as needed. Participates in department rotating “on-call” schedule determined by leadership. Participates in pertinent meetings, workshops, seminars, and related forums as directed. Maintains confidentiality and follows HIPAA and OSHA guidelines. Maintains current Licensure in the State of employment.

Requirements:

KNOWLEDGE/SKILLS/ABILITIES

The Community Care Manager must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Perform nursing assessments and triage in the community setting. Monitors and reports changes or concerns to the Primary Care Provider in a timely manner. Accurately obtain and record vital signs. Administer medications, wound care, and other clinical treatments as ordered by the Primary Care Provider Must demonstrate personal effectiveness and credibility, collaborative skills, communication proficiency and flexibility. Must demonstrate strong decision making and documentation skills. Possesses organizational and critical thinking skills: Identifies and resolves problems in a timely manner; gathers, analyzes, and communicates information skillfully; develops alternative solutions in an organized manner. Knows, understands, and works within the scope of his/her practice. Able to delegate responsibilities appropriately to staff licensure, education, and experience. Able to work independently and in a multidisciplinary team. Keeps leadership informed and seeks advise and/or help from management whenever needed. Able to manage difficult or emotional customer service situations and responds to requests for customer service and assistance in a timely and appropriate manner. Has excellent written and oral communication skills. Uses reason and speaks clearly, respectfully, and persuasively in positive and negative situations, focusing on resolving conflict. Shows respect and sensitivity for cultural diversity, promotes a harassment-free environment, and fosters a non-discriminatory climate. Keeps commitments; inspires the trust of others; works with integrity and ethically. Adapts to changes in the work environment; demonstrates willingness to change approaches or methods as needed to best fit the situation within practice guidelines.

MINIMUM REQUIREMENTS

Current Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) 3 years of related care management, medical clinical experience and/or training is required; equivalent combination of education and experience considered as determined by leadership. To perform this job successfully, an individual must have knowledge of Word Processing and internet software. Athena EHR experience is Preferred.

WORKING ENVIRONMENT

The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.

DISCLAIMER

The above statements are intended to describe the general nature and level of work being performed by the Community Care Manager They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Community Care Manager may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.