Licensed Practical Nurse Care Coordinator - Population Health
Christus Health
- Alexandria, LA
- Permanent
- Full-time
- Manages a case load of 10,000-15,000 patients with identified gaps in care in collaboration with the Health Care Team.
- Works in collaboration with the PCMH Team in the design, implementation and evaluation of the PMH model as applicable.
- Works proactively to coordinate preventative/follow-up care for all patients receiving care from participating providers.
- Reviews patient medical record to identify care gaps.
- Schedules needed preventative services using evidenced based Physician approved protocols and documents the encounter.
- Fosters a Team approach by working collaboratively with the member, family, PCP and other members of the healthcare team to ensure coordination of services.
- Assists Nurse Navigators’ in performing transition of care outreach to discharged patients to schedule return visit with the PCP per guidelines.
- Employs knowledge of evidenced based guidelines to effectively communicate the importance of recommended procedures and testing.
- Facilitates a collaborative approach with care team for identification of and closure of care gaps.
- Utilizes educational and behavioral change strategies to promote patient collaboration with the care team.
- Incorporates excellent written, verbal and listening communication skills, positive relationship building skills and problem solving into patient care coordination practice.
- Performs duties as required or assigned for specific operational purposes for which they are qualified to perform.
- Maintains all professional CEU’s in compliance with State and Regulatory requirements.
- Maintains confidentiality in all areas at all times.
- LPN License in state of employment or compact
- BLS