LPN Care Coordinator - CCM/RPM- Spanish Speaking Required
Overview:
The Care Coordinator is responsible for developing and providing care coordination services directly to Alopex clients’ patients.
Reports To:
RN Supervisor
Department:
Clinical Operations
Job Description:
Conduct a detailed review of EMR records.
Develop and maintain individualized Care Plans for management of patients.
Implement and coordinate all care management activities relating to patients across the continuum of care.
Communicate with the patient’s clinical care team. Care management must be performed in a timely manner.
Maintain accurate and detailed documentation related to medication, problems, goals, interventions, preventative care, etc.
Conduct monthly care calls to the patients enrolled in the program.
Address all needs/concerns including any follow up needed for patients.
Educate patients on chronic conditions and reinforce the provider’s directions related to chronic conditions.
Evaluate and address social determinants to health and begin to link community resources; then, enter them in the system.
Evaluate/assess medical conditions and be able to identify and address changes in a clinically appropriate manner.
Adhere to all policies & procedure as outlined by Medicare and Shifox/Alopex
Perform other duties as assigned.
Requirements:
Bilingual (English/Spanish) Required
Possess a minimum of two (2) years’ experience providing patient-centered care.
Possess a minimum of one (1) year experience in skilled nursing.
Have experience working with electronic medical records.
Can perform nursing assessments, problem identification, and care plan development.
Is adaptable to new technology – experience with computer documentation.
Has excellent time management skills.
Can assess, evaluate, and problem-solve patients’ conditions and concerns.
Possesses strong verbal and written communication skills.
Is meticulous and dedicated to providing accurate documentation.
Is dependable and focused on achieving goals.
Compensation:
$26 - $27 / hour