Enhanced Care Manager- Licensed Vocational Nurse (LVN) - Sacramento
Description
The ECM Care Manager – Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care Physician and Registered Nurse, the LVN coordinates care for patients needing support by collaborating with the patient, family, physician, nurses, and other members of the ECM healthcare team to identify needs and expedite valuable, appropriate, and cost-effective care. The LVN will support an individualized care plan focused on disease management and prevention, and or development of improved strategies to benefit patients at risk. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices, adopt life-long healthy behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions.
Duties
- Implement and support individualized patient care plans
- Address patient risk factors and/or obstacles to care, including hospital/ER utilization
- Facilitate engagement between the PCP and patient
- Demonstrated ability to influence others while motivating them to change
- Participation in required care coordination conferences
- Maintain a predetermined patient caseload
- Exercise sound clinical judgment, seek advice, and sign off from a Registered Nurse as appropriate
- Take initiative in finding solutions to difficult and/or sensitive problems
- Participate in quality gap closures
Knowledge And Skills/Expected Competencies
- Willingness & ability to interact with healthcare personnel within a variety of clinical settings
- Understanding of HIPAA, Confidentiality Obligations, and nursing best practice
- Demonstrated ability to work as part of a team
- Excellent interpersonal and organizational skills
- Candidate must be able to execute workflows and work together with RNs and other members of the multi-disciplinary care team
- Knowledge of Payor programs and Quality Metrics
- Able to review clinical data to address care opportunities and healthcare utilization trends
- Critical thinking skills & able to adapt to a fast, complex working environment
- Strong autonomous problem-solving ability
- Excellent time management skills
- Multitasking and prioritization, working in a high-volume environment with minimal supervision
- Able to undertake a variety of diverse care tasks and work in a multidisciplinary team
- Documentation accuracy in medical records
- Adaptable to new technologies and software
Physical/Mental Demands and Work Environment
- Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions
- The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job
- The noise level in the work environment is usually low to moderate
- The employee may need to travel to healthcare practices
Qualifications
- Current Vocational Nurse License
- Two (2) + years of experience in one or more of the following settings: Ambulatory Care Management
Benefits
The Company offers comprehensive, affordable insurance plans for team members and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. Learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.
To Apply
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.