Description

A Brief Overview

Under the supervision of the Nursing Supervisor for Care Management, Primary Care Institute (PCI), and Ambulatory Site Clinical Lead provider (MD/DO, APRN, PA), this position provides safe, age specific nursing care to patients/families using the nursing process, including planning, implementation/delivery, and evaluation of care, as delegated by the RN Care Manager assigned to the clinical site. The LPN Care Manager will assist with chronic disease care plans and transitional care management; will document using established processes, and report findings to RN Care Manager, and patient's Primary Care Provider.

What You Will Do

Function in accordance with their scope of practice and professional standards of the Ohio Board of Nursing.
Exercise professional nursing judgment appropriate to the level of care needed, and prioritize patient acuity and workload demands. Will function with greater level of autonomy by consistently demonstrating ability to participate in collaborative clinical decision making.
Demonstrates knowledge of care delivery interventions that result in safe practice and positive care outcomes.
Provide chronic care management support. Contributes to plan of care to include planning, implementation and monitoring outcomes of interventions.
Provides health and diagnosis specific education for patients and families to promote self-care management and behavior modification interventions
Escalate concerns to PCP and RN Care Manager as needed based on changes in patient status or condition
Communicate with patient/family to support plan of care and physician orders
Support and facilitate advanced care planning for patients and their families
Provide 1 on 1 office or virtual visits to provide education, implement and support plan of care
Provide transition of care support, including medication review and patients/family/caregiver education on diagnosis and self-care management
Coordinate continuity of care with patients and families following hospital admission, discharge and ER visits
Collaborate with multidisciplinary team in the coordination of individual patient care needs

Additional Responsibilities

Participates in multidisciplinary team to analyze sources of data to identify high risk patients and member groups
Advocate for patients by assisting in navigation of the health system
Participate in quality improvement initiatives
Develops self and contributes to the professional practice of nursing.
Displays leadership that influences optimal clinical and operational outcomes.
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

Graduate of an accredited school of Practical Nursing (Required)

Work Experience

2+ years Clinical experience in a healthcare environment. (Required)
Experience working multiple healthcare data sources that include Electronic Medical Record applications(s), registration and scheduling systems. (Required)
Experience facilitating telephonic patient outreach. (Required)

Knowledge, Skills, & Abilities

Understanding of value-based care program trends and strategies. (Required proficiency)
Excellent verbal and written communication skills. (Required proficiency)
Proven time management and organizational skills. (Required proficiency)
Demonstrated excellence in customer service with all stakeholders (Patient, employer staff, providers, etc.). (Required proficiency)
Demonstrated ability to apply concepts, utilize sound judgment and work independently. (Required proficiency)
Ability to work within a team environment. (Required proficiency)
Knowledge of healthcare resources, key quality measures and benefits. (Required proficiency)
Skilled in the use of Microsoft Office products (Required proficiency)

Licenses and Certifications

Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Required)

Physical Demands

Standing Frequently
Walking Frequently
Sitting Rarely
Lifting Frequently 50 lbs
Carrying Frequently 50 lbs
Pushing Frequently 50 lbs
Pulling Frequently 50 lbs
Climbing Occasionally 50 lbs
Balancing Occasionally
Stooping Frequently
Kneeling Frequently
Crouching Frequently
Crawling Occasionally
Reaching Frequently
Handling Frequently
Grasping Frequently
Feeling Constantly
Talking Constantly
Hearing Constantly
Repetitive Motions Constantly
Eye/Hand/Foot Coordination Constantly

Travel Requirements

University Hospitals

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