LPN Patient Care Coordinator
5 days ago
We are seeking an exceptional LPN to join our team as a Patient Care Coordinator at Ballad Health Corporate. This is a full-time position that offers a competitive salary and excellent benefits.
About the RoleThe successful candidate will be responsible for ensuring the overall success of our patients by working collaboratively with them, physicians, practice teams, and health plans to integrate key features of the medical home. The ideal candidate will engage patients in an active role in managing their disease or medical condition, promote member education and self-management skills, and assist in identifying appropriate providers, facilities, and community resources to improve or maintain patients' social, emotional, functional, and physical health status.
Approximately eighty-five percent of the work schedule time is spent with BlueCross Blue Shield of Tennessee (BCBST) membership, while fifteen percent is allocated to data extraction, monitoring of performance metrics, and cross-functional team meetings. The Patient Care Coordinator enhances the partnership between the PCMH and BCBST by facilitating engagement in appropriate programs and services offered through BCBST to provide health support.
Responsibilities- Carry out key functions related to the success of the PCMH program, including member outreach, PCMH reporting, performance measurement, and acting as a liaison between practice and BCBST.
- Perform outreach functions, as necessary, to members identified as having chronic conditions that meet eligibility requirements for the PCMH program.
- Assess, identify, and prioritize individual needs and build rapport and trust with members.
- Review and assess members' available data, including clinical/claims history, outpatient treatments, inpatient treatments, emergency room visits, medications, medical benefits from electronic Medical Records (EMR), chart reviews, or other information, to assist in monitoring and facilitating adherence to prescribed care plans.
- Collaborate regarding opportunities for optimizing care and facilitate member understanding of the physician's treatment plan, including prescriptions, refills, medical supplies, referrals, authorization of services, and when to seek care.
- Interview members and/or family to further assess social, emotional, functional, and physical health status.
- Evaluate the care plan and ensure it includes guidance in quality and cost alternatives for medications, DME, and supplies, referral and coordination to network specialists, and facilitated engagement with appropriate resources, such as a Case Manager or health coach, for ongoing condition management or wellness education and support.
- Graduate of an accredited LPN program.
- Case management experience preferred.
- Must be PC literate.
- Proficient with Motivational Interviewing and/or other behavioral change techniques.
- Ability to build rapport and engage members in effective dialogue related to their treatment plan.
- Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions.
- Exceptional level of critical thinking, analytical, and creative problem-solving skills required.
- Exceptional level of independence, organization, and interpersonal skills required.
- Proficient with team-building processes and participation in cross-functional teams.
The estimated annual salary for this position is $65,000-$75,000 based on industry standards and location. We offer comprehensive benefits, including health insurance, retirement savings, and paid time off.
Location and Work RequirementsThis is a full-time position located at Ballad Health Corporate. Shift: Day; On Call: No; Weekends: Rotating; Travel Required: No Travel.
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