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Care Coordination Coordinator (LVN)

Company: Wellvana
Location: Las Cruces
Posted on: June 12, 2021

Job Description:

The Wellvana Care Coordination Coordinator is an essential support role to the internal care management staff as well as to patients and our participating providers. The perfect Care Manager applicant will recognize and identify with these core values:

Integrity

Honesty

Humility

Passion

This position will report to the Care Coordination Coordinator in Las Cruces, NM and will be working from Las Cruces Clinics within the Wellvana network, and telephonically to support other markets.

The Care Coordination Coordinator is a patient and family advocate to ensure that services are delivered to meet the needs of patients and families while being a responsible steward of healthcare resources.

The Wellvana Care Coordination Coordinator will support the patient through complex healthcare environments for the optimization of care and outcomes. They will facilitate patient follow-up through coaching, information transfer, and communication in order to improve continuity of care and streamline the intervention process. The incumbent guides patients through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. They serve as a point of contact for referring physicians, patients, and rural hospitals to provide resources and assistance with accessing clinical and supportive care services. This role will require collaboration with local physician liaisons and leadership to conduct internal and external outreach and marketing.

The Wellvana Care Coordination Coordinator will:

Support the patient through complex healthcare environments for the optimization of care and outcomes.

Facilitate patient follow-up through coaching, information transfer, and communication in order to improve continuity of care and streamline the intervention process.

Guides patients through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

Serves as a point of contact for referring physicians, patients and rural hospitals to provide resources and assistance with accessing clinical and supportive care services.

Day to Day responsibilities:

  • Monitor practice AWV statuses and open care gaps and effectively communicate with clinic staff.
  • Review daily ADT feeds from the health information exchange and identify patients that would benefit from TCM services.
  • Identify and engage patients that would benefit from increased care coordination between primary and specialist care.
  • Assist with referral coordination.
  • Assist office staff with scheduling routine visits.
  • Coordinate and Educate Patients and providers on preventative care programs and communicate / upload statistics.
  • Work closely with all Wellvana hospitalists to ensure patients are discharged to the appropriate level of care.
  • Work directly with Wellvana Preferred Supplier Facilities to ensure pre-determined protocols are followed.
  • Maintains oversight to active inpatient census to effectively communicate about and identify patients with high risk and rising risk conditions to the physician or appropriate leadership.
  • Initiate TCM after inpatient hospital stay according to CMS guidelines.

Additional Duties and Responsibilities:

  • Assist and support Care Coordination Management staff in all preventative care programs with a focus on key groups and payers.
  • Works with the physician, hospital team, clinic team, patient/family, and Director of Clinical Programs to ensure timely, appropriate and cost-effective care is provided within supportive programs.
  • Acts as a liaison between the patient and physician or patient and clinic or post-acute facility when needed.
  • Understands that this is a developing role and will perform additional duties as assigned.

Skills and Abilities Required:

  • Experience as an acute care case manager with associated working knowledge of the discharge process
  • Proven success in case management and care coordination, within acute and post-acute settings.
  • Knowledge of EMR and healthcare-related patient quality monitoring and reporting technology.
  • Knowledge of insurance reimbursement and pre-authorization requirements across all potential payors, to ensure proper placement of patients.
  • Excellent communication skills, both written and verbal.
  • Proven critical thinking skills.
  • Effective problem solving.
  • Able to work independently or as a team.

Education / Experience Required:

  • Current licensure as an LPN/LVN or RN
  • 3-5 years experience in a healthcare setting specifically designed to develop and improve patient navigation and placement within the proper care setting with proven success in the local market.
  • Certification or industry recognized experience consistent with the high-level performance and knowledge across disparate facilities and providers in the local market.

Keywords: Wellvana, Las Cruces , Care Coordination Coordinator (LVN), Other , Las Cruces, New Mexico

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