Care Coordination Specialist LPN

Trinity Health Corporation Boise, ID
Department:

ID601_60040 Corporate Accounts Liaison

Expected Weekly Hours:

40

Shift:

Position Purpose:

The Care Coordination Specialist provides care coordination and other services for patients attributed to specially defined populations within the Saint Alphonsus Health System and/or Saint Alphonsus Health Alliance network.

The goals of the Care Coordination Specialist (CCS) are to coordinate and assist in the management of care to assist in meeting the multiple healthcare needs of the patient, ensure continuity of services, and to decrease fragmentation of care and services. The CCS utilizes available resources, and interacts with patients, patient support person(s), and providers to promote cost effective, quality clinical outcomes.

The position may serve as a referral base for clinical questions and questions regarding appropriate level of care, and network utilization questions. This may be a continuous or intermittent process; the CCS works under the direction of a licensed registered nurse (RN), and within scope of practice: assesses individual patient needs, coordination of services, communication with patient providers, payers, and Third Party Administrators (TPAs), and other members of the care team, facilitates access to resources, monitors and evaluates ongoing health status of the patient and related outcomes, updates individualized plans of care, and documents such interventions appropriately within the medical record. Some travel may be expected.

Job Description Details:

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

* Currently licensed in the State of Idaho as an LPN as defined by the Idaho State Board of Nursing required

* May need to obtain Oregon LPN license within 90 days of hire, depending on patient populations..

* American Heart Association Basic Life Support for HealthCare Provider (BLS/HCP) certification required.

* 5 years of clinical experience in an ambulatory, home health agency, or skilled nursing facility care setting.

* Care and/or care management experience preferred.

* Previous experience with health networks, insurance products and/or Third Party Administrators preferred.

* Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.

* Knowledge of chronic conditions, evidence based guidelines, prevention, wellness, health risk assessment, and patient education.

* Moderate to high computer knowledge and capability to use computer; ability to document/access effectively within multiple electronic health records, heath-related databases and other care related platforms.

* Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, payers, and families with diverse opinions, values, religious and cultural beliefs.

* Demonstrates ability to work autonomously and be accountable for practice.

* Ability to make decisions and initiate action under stress and in critical situations.

* Customer service oriented attitude/behavior.

* Effective verbal and written communication skills.

* Intermediate computer skills including Microsoft Office products.

* Ability to provide own means of transportation to various locations throughout the day.

ESSENTIAL FUNCTIONS:

* Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.

* Directs patients to appropriate providers, programs, information and tools available, including network hospital programs and services.

* Provides relevant and timely information to individuals and providers to facilitate health outcomes and compliance to evidenced based medicine guidelines for individual care.

* Conducts accurate and timely comprehensive chart reviews as necessary.

* Participates in quality improvement initiatives as requested, including data collection, monitoring and evaluation.

* Complies with all organization and department policies and procedures and provide feedback for development of new policies and procedures and revisions to current.

* Communicates with TPA and provider/contact person as needed regarding current treatments, member progress/prognosis and future treatments.

* Participates in annual performance evaluations in accordance with established policies and implements performance improvement plans as indicated.

* Assists in the assessment, planning, implementation, and evaluation of patient needs within scope of practice and documents such interventions appropriately.

* Aids in identifying methods of improving patient care.

* Maintains confidentiality regarding patients and business functions of the organization, i.e. HIPAA.

* Routes billing information as appropriate.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Similar jobs you might like