LPN Coach

Type: Permanent and FLSA Exempt
Pay: $55000 - $65000 annually plus bonus potential
Location: 100% remote with minimal travel
Hours: Full-time with some evening and weekend hours
Reports To: Clinical Director

About Us

Specialty Care Management (SCM) creates clinical and financial solutions that make employer health benefits more predictable affordable and sustainable. This is accomplished by providing industry leading claim analytics chronic kidney disease (CKD) Management Outpatient Dialysis Cost Containment Services and Oncology Management Services.

Role Summary

SCMs clinical LPN has strong communication planning organizational and interpersonal skills. The ideal candidate has a passion for helping members to improve their self-care and reports directly to the RN Team Lead.

The LPN will be tasked to assist in outreach and related supportive follow up work with member-patients and providers to support the work in reducing the risk of kidney disease and its progression to ESRD and dialysis. The primary responsibility of this role is to support Oncology members by facilitating access to essential resources and cancer-related social services. This role works closely with the RN team to reinforce oncology care plans assist with coordination needs and ensure timely follow-up.

How Youll Contribute

• Reporting: Responsible for amalgamation and creation of quarterly reports for each client group:
  • tallying cost-savings
  • testimonials
  • KPIs

• Medical Records: Receive and process incoming faxes: MD records including labs meds OV notes and input pertinent info into chart; file fax in member record and document in chart
• Oncology Coordination Support: Assist the oncology nursing team with supportive services social needs navigation and care coordinationMonitor for changes in claims or labs indicating disease progression or toxicity concerns and escalate to RN
• Chart Audit and QA: Audit member charts for completeness accuracy and assist with end of month reconciliation for invoice prep and Quarterly Reporting
• Manage Follow-up for graduated members for Oncology: labs and check-in call 1-2 x per year as directed by the managing RN. Refer to RN as needed.

Other Duties and Functions

• Outreach assistance as needed with peak enrollment periods: Telephone calls with members to encourage engagement with the RN Coach:
• Assist in making initial outreach calls to members and scheduling with the assigned RN
• Explains program/intake & history via telephone/secure video chat and sets appointment with the member and assigned RN
• Gather pertinent medical records including laboratory data and medications
• Performs phone number research as needed/requested
• Able to develop good relationships with providers family/support persons and all members of the care team to provide education and support.
• Perform claims reviews and eligibility verification
• Assists with mailings for outreach/introductory Build supportive rapport with members family/support persons and providers to reinforce engagement
  • Conduct eligibility and benefits checks related to oncology services
  • Assist with mail or electronic distribution of member education resources
• Adhere and comply with HIPAA regulations in a remote-working environment.
• Active unrestricted LPN license

What Youll Need

• LPN with oncology experience preferred
• Minimum of 3 years LPN/LVN experience
• Preferred to be fluent/native speaking and writing in Spanish
• Ability to work some evening and weekend hours to meet with members based on their availability
• Ability to attend and professionally engage in video meetings.
• Strong technological skills meaning you can effectively and efficiently use computers peripheral equipment and applications/systems including Microsoft products.
• Autonomous self-starter who is comfortable with ambiguity.
• Creative mindset and ability to appropriately challenge the status quo.
• Superb written and oral communication skills.
• Ability to overcome obstacles with a yes if... approach.
• Ability to effectively balance competing deadlines without losing focus on the bigger picture.
• Reliable internet and power with a designated area to conduct work with minimal interruptions.

What We Offer

• Market competitive salary.
• Potential for annual merit increases and bonuses contingent on the companys fiscal performance.
• Generous time off and paid holidays because we appreciate recharging.
• Partially paid leave for qualifying family or medical reasons once employment eligibility is met.
• A comprehensive health benefits plan with a portion of premiums covered by the company. Benefits include medical dental vision and life insurance. Eligibility to participate begins the first of the month following start date.
• 401k with employer match. Eligibility to participate begins the first day of employment.

We are proud to be an equal opportunity employer which means that our employment decisions are inclusive and welcoming regardless of race gender age color sexual orientation gender identity pregnancy status religion national origin disability or any other personal physical mental or sensory traits. All individuals who are offered a position must successfully pass a background and reference check prior to their start. All individuals must demonstrate they are legally authorized to work in the United States without sponsorship.