LPN Transition of Care Specialist
1 week ago
Sea Mar Community Health Centers is seeking a skilled and compassionate Transition of Care LPN to join our team. As a Transition of Care LPN, you will play a vital role in ensuring the smooth transition of patients from one level of care to another, promoting continuity of care and improving clinical outcomes.
Job Summary:The Transition of Care LPN will work closely with the care management and transition of care teams to deliver specific time-limited services to identified patients. This includes advocating and educating patients and/or caregivers during transitional periods between hospitals and/or other facilities and the patient's home.
Key Responsibilities:- Deliver specific time-limited services to identified patients to ensure health care continuity and promote the safe and timely transfer of patients from one level of care to another.
- Collaborate with staff in hospitals and care facilities and with Sea Mar providers to resolve gaps in care and improve clinical outcomes related to plan all-cause readmission, utilization of hospital services, patient engagement after inpatient discharge, and medication reconciliation post-discharge.
- Provide support with a focus on medication self-management, patient-centered record, primary care and specialist follow-up, and knowledge of red flags.
- LPN with social service experience (home health, hospice, long-term care, case management, care coordination, wellness coaching, etc.).
- CCM or CCTM certification preferred.
- Experience working with underserved, transient populations.
- Experience working with substance use disorders, chronic mental illness, and chronic health conditions.
- Experience working with community agencies and has strong knowledge of community resources.
- Experience with motivational interviewing, the teach-back method, or patient counseling and education preferred.
- Experience in case management and care coordination.
- Attention to detail and enthusiastic problem solver.
- Active LPN License with WA State Department of Health.
- Typing proficiency of at least 45 wpm.
- Bilingual (Spanish/English) preferred.
Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies.
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LPN Transition of Care Specialist
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Olympia, Washington, United States SeaMar Community Health Centers Full timeJob Title: Transition of Care LPNSea Mar Community Health Centers is seeking a skilled and compassionate Transition of Care LPN to join our team in Olympia, WA.About the Role:The Transition of Care LPN will work closely with our care management and transition of care teams to ensure seamless transitions for patients from hospitals and other facilities to...
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Olympia, Washington, United States Sea Mar Community Health Centers Full timeJob SummarySea Mar Community Health Centers is seeking a skilled Transition of Care LPN to join our team in Olympia, WA. As a Transition of Care LPN, you will play a critical role in ensuring the smooth transition of patients from hospital to home, providing education and support to patients and their caregivers.About the RoleThis is a full-time position...
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