Provider Connected, Patient Centered, and Personally Coordinated
LPN Care Coordinator – CCM/RPM
Location
United States
Posted
1 day ago
Salary
$26 - $27 / hour
Seniority
Mid Level
Job Description
LPN Care Coordinator – CCM/RPM
Alopex
• Develop and provide care coordination services directly to Alopex clients’ patients. • Manage and coordinate care for patients enrolled in Alopex’s services. • Work closely with patients, primary care providers, and other specialists to develop, implement, and monitor individualized care plans. • Ensure that patients receive the highest level of care through ongoing communication and coordination. • 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. • Monitor patient progress toward desired outcomes through assessment and evaluation. • 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.
Job 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.
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