LPN - Clinical Care Coordinator - Wilmington North Carolina
LPN - Clinical Care Coordinator - Wilmington North Carolina
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Salary Not Disclosed
1 Vacancy
Job Description
Carolina Prime Internal Medicine located in Wilmington North Carolinastrives to provide individualized compassionate care for our patients through. comprehensive preventive care; aggressive treatment of developing or existing conditions with the ultimate goal in providing quality aging.
We are seeking candidates that display excellent teamwork accountability and will successfully function within a high performing organization for a LPN Clinical Care Coordinatoropportunity.
Position Duties
The LPN Clinical Care Coordinators work in concert with the Primary Care Provider (PCP) and the community to coordinate a full continuum of health care services considering the patients unique social and cultural dynamics
- Assess patients for conditions and concerns that can be addressed through community care management
- Act as a liaison between the PCP local Health Department (HD) Department of Social Services (DSS) local hospitals and other community agencies by identifying arranging and coordinating physical and/or behavioral health care services in concert with the PCP
- Collaborate with network providers in assuring appropriate client management
- Build and maintain relationships with community service providers through collaboration networking and educating at community functions
- Assist patients in addressing concerns as needed through referral for assessment counseling and communication with healthcare team
- Maintain appropriate client documentation in the EHR
- Develop and implement individualized care management plans for identified clients
- Provide direct followup and outreach services via face to face encounter (provider office visit or community encounter) phone or mail
- Educate clients and families on the importance of medical care management and the proper method to access care within the medical home environment
- Educate recipients about disease states to include medication adherence prevention and risk factor reduction
- Ensure followup with hospital discharge instructions for high risk high acuity high cost recipients; ensure continuity of care
- Act as a liaison to providers to ensure the use of Evidence Based Practices
- Assist providers with coordination of services for high risk high acuity high cost recipients by implementing Evidence Based Practices
- Coordinate develop and provide health care education programs and trainings
- Advocate for patients to receive services that will improve their health condition
- Assess patients plans of care for any duplicate or unnecessary services to control costs to payor
- Audit charts and compile data to support the disease centered initiatives
- Responsible for maintaining patient and family confidentiality in accordance with HIPAA
Required Experience:
IC
Employment Type
Full-Time
