LVN Complex Case Manager Float

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Job description

Maintain patient confidentiality, be flexible and adaptable.

Obtain and document all pertinent patient information and notes in NextGen.

Strive for positive and professional relationship with providers, patients, and families.

Provide effective communication with various health care providers, including specialists.

Attend all scheduled patient office visits and execute provider orders in a timely manner.

Evaluate patient's level of acuity based on the clinical criteria and update level with changes in patient health status.

Create a comprehensive and working care plan following NCQA, CMS, & Health Plan guidelines, with input from the IDCT and patient or caregiver.

Be knowledgeable regarding disease processes and medications to ensure the ability to assess patient needs and provide education as indicated.

Ensure the patient progresses through the continuum of care by coordinating the integration of social services, case management, patient care needs, and home planning processes.

Coordinates the provision of community resources to patients and families to enable them to cope with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.

Mobilizes resources and intervenes, as needed to achieve expected goals to assist in achieving desired clinical outcomes within the desired timeframe.

Ensure patient tests are appropriate and necessary and are carried out within the established timeframe and that the results are promptly available.

Collaborate with clinical staff in the development and execution of the plan of care and the achievement of goals.

Ability to be proactive with treatment options.

Aggressively assist in information gathering to allow for insightful decisions.

Strive for timely admissions and discharges from Complex Case Management Program

Ensure a smooth transition of care back to Primary Care Provider after discharge from Complex Case Management Program.

Initiate/participate in Code Red, Code White and Code Blue situations as directed.

Requires familiarity with the clinical structure of CCPN and the health care services with which it contracts.

Understand patient healthcare benefits and help establish expectations for services within those benefit limits.

Educate and assist in decisions regarding end-of-life care including Advance Directive Forms, Durable Power of Attorney, POLST Forms, etc.

Facilitate any Transitional Care needs and ensure follow-through on all discharge orders.

Participate in the Utilization Review process regarding any assigned patients ensuring proper hand off report to U.R. Case Manager.

Willing to work at any company location or department, depending on business/staffing needs (if driving for company then employee must provide current CDL and Auto Insurance).

Qualifications:

Graduate from an accredited Licensed Vocational Nursing program

Current California LVN license.

Current BLS certification.

Minimum of two years clinical nursing experience.

Ability to utilize electronic mail effectively.

Must have valid California Driver's License and current vehicle insurance

Job Type: Full-time

Pay: $35.00 - $40.99 per hour

Expected hours: 40 per week

Benefits:
401(k)
401(k) matching
Continuing education credits
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Free parking
Health insurance
Life insurance
Paid sick time
Paid time off
Referral program
Travel reimbursement
Tuition reimbursement
Vision insurance
Medical Specialty:
Primary Care
Physical Setting:
Clinic
Supplemental Pay:
Signing bonus

License/Certification:
LVN License (Preferred)
BLS Certification (Preferred)

Ability to Relocate:
San Luis Obispo, CA: Relocate before starting work (Required)

Work Location: Multiple locations

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