Transitional Care Nurse, LPN

1 month ago

Wichita, United States KU Medical Practice Association Full time
Job DescriptionJob Description

POSITION SUMMARY

Faculty and Residents from the University of Kansas School of Medicine--Wichita’s Internal Medicine Department provide patient care primarily through our clinic. We are dedicated to continuous quality improvement while providing high quality, efficient health care to patients. The Transitional Care Nurse will be responsible for managing KU Internal Medicine patients’ transition process from inpatient hospital care to outpatient care. Outpatient care includes discharges to intermediate and temporary care facilities including, but not limited to, KU MPA ambulatory care clinics, skilled nursing facilities (SNF), nursing homes, long-term care facilities (LTCF), and assisted living facilities. Inpatient care will be provided at Ascension Via Christi St. Francis (AVCSF) Hospital and Wesley Medical Center (WMC). It is expected the Transitional Care Nurse would round between one or both hospitals (as assigned) and work with the patients’ respective medical team and ancillary teams to coordinate each patient’s transition of care.

ESSENTIAL FUNCTIONS

General Responsibilities:

  • Complies with hospital policies and guidelines required for privileging and accessing facilities
  • Identifies patients eligible for Transitional Care Management (TCM) and enrolls appropriate patients into TCM program
  • Works with KU Internal Medicine (IM) Hospitalist providers to identify patients who are not eligible for TCM but require ongoing follow-up care coordination through KU IM or GI clinics
  • Manages Transitional Care patient dashboard
  • Monitors all aspects of patient care including diet, physical activity, medication accessibility/afford-ability, and care coordination
  • Works with patients, groups, or families to plan or implement safe and effective transition of care plans
  • Schedules and confirms appointments for patients by coordinating with clinic office staff, ancillary providers, and primary care providers
  • Determines best level of outpatient care for individual patients, i.e., requires PCP visit or interprofessional shared visit
  • Attempts two phone calls to discharged patients within 2 business days post-discharge (if discharged home)
  • Attempts two phone calls to discharged patients within 2 business days post-discharge from a temporary care facility (if notified of their discharge)
  • Coordinates care with clinic staff, communicating patient needs and barriers to care
  • Documents all patient encounters in the appropriate electronic medical records systems, maintaining accurate, detailed reports and records
  • Maintains scheduling and event calendars
  • Provides or arranges for training or instruction of auxiliary personnel as scheduled
  • Engages in research activities related to nursing; if applicable
  • Participates in clinic process improvement activities and team meetings to ensure efficient operations
  • Reliable attendance and punctuality
  • Performing other duties as assigned

POSITION QUALIFICATIONS

Certificates & Licenses:

  • Kansas licensed LPN

Education: Associate’s degree (two-year college or technical school)

Experience:

  • Minimum two (2) years nursing experience required
  • Three to five years experience in clinical or community health settings preferred
  • Previous experience in caring for chronic disease patients required
  • Previous experience in Care Coordination, Case Management or Home Health preferred
  • Experience with navigation of local medical and social support systems preferred
  • Experience with health systems and data reports preferred
  • Bilingual in English and Spanish preferred
  • EHR experience required (we use eClinicalWorks)
  • Microsoft Office experience is essential for database management and word processing


  • Transitional Care Nurse, LPN

    5 days ago

    Wichita, United States KU Wichita Medical Practice Association Full time

    POSITION SUMMARY Faculty and Residents from the University of Kansas School of Medicine--Wichita’s Internal Medicine Department provide patient care primarily through our clinic. We are dedicated to continuous quality improvement while providing high quality, efficient health care to patients. The Transitional Care Nurse will be responsible for managing...

  • Wound Nurse|LPN

    1 month ago

    Wichita, United States Tutera Senior Living & Health Care Full time

    Job DescriptionJob DescriptionOverviewWound Nurse | LPNTutera Senior Living & Health CareMeridian Rehab and Health Are you a Wound Nurse | LPN seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking health care rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do...

  • Wound Care Nurse

    2 weeks ago

    Wichita, United States American Medical Associates Full time

    American Medical Associates - Wound Care Nurse Needed- LTC - Wichita, KS *Salary: Up to $35/hr - Based On Experience* Responsibilities: As a Wound Nurse | LPN, you will be responsible for the community’s general application of the skin management program. You will also be responsible for delivering safe, efficient, and effective treatment to heal various...

  • Licensed Practical Nurse | LPN | Full-Time Day

    1 month ago

    Wichita, United States Tutera Senior Living & Health Care Full time

    Job DescriptionJob DescriptionOverviewLicensed Practical Nurse | LPNTutera Senior Living & Health CareMeridian Rehabilitation and Health Care Center Are you a Licensed Practical Nurse | LPN seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking health care rockstars to join our team! If you are dedicated...

  • LPN - Clinic (Full or Part-time)

    4 weeks ago

    Wichita, Kansas, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a LPN / LVN Clinic for a travel job in Wichita, Kansas. Clinic Start Date:ASAPEmployment Type: Travel As one of the largest Healthcare jobs placement agencies in the U.Supplemental Health Care has been partnering with Lpn/lvns for more than 30 years. We're now seeking SNF, Clinic Specialty, LPN/LVN Lpn/lvns for openings...

  • Travel LPN

    4 weeks ago

    Wichita, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a LPN / LVN Long Term Care for a travel job in Wichita, Kansas. Job Description & Requirements Specialty: Long Term Care Discipline: LPN / LVN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: Supplemental Health Care is working with a hospital in Wichita, Kansas to hire LTC, SNF, Clinic...

  • RN or LPN Nurse

    4 weeks ago

    Wichita, United States Advena Living on Woodlawn Full time

    *Do you have a passion to serve the underserved? Do you love to take care of others? Do you enjoy a fast pace always challenging environment?*Position is for LPN or RN.Nurse RN/LPN Benefits include:* Paid time off* Employee Appreciation events & awards* Employee referral program* Ongoing training offered.* Health insurance* Life insurance* 401K and more!We...

  • RN or LPN Nurse

    7 days ago

    Wichita, United States Advena Living on Woodlawn Full time

    *Do you have a passion to serve the underserved? Do you love to take care of others? Do you enjoy a fast pace always challenging environment?*Position is for LPN or RN.Nurse RN/LPN Benefits include:* Paid time off* Employee Appreciation events & awards* Employee referral program* Ongoing training offered.* Health insurance* Life insurance* 401K and more!We...

  • RN or LPN Nurse

    4 weeks ago

    Wichita, United States Advena Living on Woodlawn Full time

    *Do you have a passion to serve the underserved? Do you love to take care of others? Do you enjoy a fast pace always challenging environment?*Position is for LPN or RN.Nurse RN/LPN Benefits include:* Paid time off* Employee Appreciation events & awards* Employee referral program* Ongoing training offered.* Health insurance* Life insurance* 401K and more!We...

  • RN or LPN Nurse

    2 weeks ago

    Wichita, United States Advena Living on Woodlawn Full time

    *Do you have a passion to serve the underserved? Do you love to take care of others? Do you enjoy a fast pace always challenging environment?*Position is for LPN or RN.Nurse RN/LPN Benefits include:* Paid time off* Employee Appreciation events & awards* Employee referral program* Ongoing training offered.* Health insurance* Life insurance* 401K and more!We...

  • Nurse LPN, LPN IV, RN

    1 month ago

    Wichita, United States Miller Medical Staffing LLC Full time

    Job DescriptionJob DescriptionSUMMARYMiller Medical Staffing provides PRN staffing to LTC, SNU, and AL communities in Kansas. We have several communities that we partner with in the Wichita & Hutchinson areas. We are looking for good nurses to join our team.LPN $38-42LPN IV $39-43RN $46-50 Company DescriptionMiller Medical Staffing provides high quality...

  • LPN (Licensed Practical Nurse)

    1 month ago

    Wichita, United States AXIOM HEALTHCARE SERVICES MASTER Full time

    Job DetailsJob Location Avita Assisted Living at Rolling Hills - Wichita, KS Calling all change-makers, advocates, innovators, and allies...We value diversity and hire Licensed Practical Nurses (LPNs) from all backgrounds.At Avita Rolling Hills, we value people, foster belonging, respect gifts and serve others.We are leaders in:Diversity. Equity....

  • Transitional Care Liaison Center

    1 month ago

    Wichita, United States Haysville Nursing & Rehab Center Full time

    Overview Smile, You’ve Found Us! Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply. We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a...

  • Licensed Practical Nurse

    1 month ago

    Wichita, United States VitalCore Health Strategies Full time

    Join the VitalCore Team in Kansas! We’re people fueled by passion, not by profit! VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, is hiring Licensed Practical Nurses at Sedgwick County Adult Detention Facility in Wichita, Kansas for Full-Time, Day Shift. Wages are competitive and based on experience! Drug Screen and...

  • Licensed Practical Nurse

    1 month ago

    Wichita, United States VitalCore Health Strategies Full time

    Job DescriptionJob DescriptionJoin the VitalCore Team in Kansas! We’re people fueled by passion, not by profit!VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, is hiring Licensed Practical Nurses at Sedgwick County Adult Detention Facility in Wichita, Kansas for Full-Time, Day Shift.Wages are competitive and based on...

  • LPN Home Health

    1 month ago

    Wichita, United States Phoenix Home Care and Hospice Full time

    Job DescriptionJob DescriptionSeeking an experienced Licensed Practical Nurses to join our Home Health team in Wichita, KS and surrounding areas.As a Phoenix Home Health LPN, you will be the responsible for making skilled nursing visits by managing the healthcare needs of our clients in the comfort of their own home. The LPN should possess strong skills in...

  • Weekend LPN Home Health

    1 month ago

    Wichita, United States Phoenix Home Care & Hospice Full time

    Seeking an experienced Licensed Practical Nurses to join our Home Health team in the Wichita, KS and surrounding areas. As a Phoenix Home Health LPN, you will be the responsible for making skilled nursing visits by managing the healthcare needs of our clients in the comfort of their own home. The LPN should possess strong skills in physical assessment,...

  • LPN Supervisor for Private Duty Home Care

    6 days ago

    Wichita, United States Interim HealthCare of Wichita Full time

    LPN Supervisor for PCSS Wichita, KS Not all nursing paths are the same—some are genuinely better. No doubt, nursing is a demanding profession, but as an LPN for Interim HealthCare® Staffing, you’ll have total control over your schedule and the assignments you work! As the nation’s first healthcare staffing company, Interim HealthCare Staffing has...

  • Licensed Practical Nurse

    1 month ago

    Wichita, United States Interim HealthCare of Wichita Full time

    Licensed Practical Nurse (LPN)  in Kansas Not all nursing paths are the same—some are genuinely better. No doubt, nursing is a demanding profession, but as an LPN for Interim HealthCare® Staffing, you’ll have total control over your schedule and the assignments you work! As the nation’s first healthcare staffing company, Interim HealthCare Staffing...

  • LPN Supervisor for Private Duty Home Care

    7 days ago

    Wichita, United States Interim HealthCare of Wichita Full time

    LPN Supervisor for PCSSWichita, KSNot all nursing paths are the same—some are genuinely better.No doubt, nursing is a demanding profession, but as an LPN for Interim HealthCare® Staffing, you’ll have total control over your schedule and the assignments you work!As the nation’s first healthcare staffing company, Interim HealthCare Staffing has created...