LPN Patient Care Coordinator

 

Job Summary:

The Patient Care Coordinator provides prospective, retrospective and concurrent review of inpatient admissions, outpatient procedures, homecare services, and durable medical equipment. 

Essential Functions:

  • Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost-effective manner
  • Identify and refer quality issues to Quality Improvement
  • Identify and refer appropriate members for Care Management
  • Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care
  • Provide guidance to non-clinical medical management staff
  • Provide guidance to and assist with oversight of LPN and LISW medical management staff
  • Attend medical advisement and State Hearing meetings, as requested
  • Assist Team Leader with special projects or research, as requested
  • Perform any other job-related instructions, as requested

Education and Experience:

  • Completion of an accredited registered nursing (RN) degree program is required or License Practical Nurse (LPN)
  • Minimum of two (2) years clinical experience is required
  • Med/surgical, emergency acute clinical care or home health experience is preferred
  • Medical management experience is preferred
  • Medicaid/Medicare/Commercial experience is preferred

Competencies, Knowledge and Skills:

  • Basic data entry skills and internet utilization skills
  • Working knowledge of Microsoft Word, Excel and Access
  • Effective oral and written communication skills
  • Ability to work independently and within a team environment
  • Attention to detail
  • Familiarity of the healthcare field
  • Proper grammar usage and phone etiquette
  • Time management and prioritization skills
  • Customer service oriented
  • Decision making/problem solving skills
  • Strong organizational skills
  • Change resiliency

Licensure and Certification:

  • Current, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required -or-
  • Current, unrestricted Licensed Practical Nurse (LPN) Licensure in state(s) of practice is required

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time