Care Coordinator LPN

5 days ago


Alexandria, Virginia, United States Christus Health Full time
Job Summary

Christus Health is seeking a highly skilled Licensed Practical Nurse Care Coordinator to join our team. As a key member of our care coordination team, you will play a vital role in ensuring the seamless delivery of patient care.

Key Responsibilities
  • Manage a caseload of 10,000-15,000 patients with identified gaps in care, collaborating with the healthcare team to develop and implement personalized care plans.
  • Work closely with the Population Health Director of Care Management and Nurse Manager to design, implement, and evaluate care coordination programs.
  • Proactively coordinate preventative and follow-up care for patients receiving care from participating providers, utilizing evidenced-based protocols and guidelines.
  • Review patient medical records to identify care gaps and develop strategies to address them.
  • Schedule necessary preventative services and document encounters, ensuring timely and effective care delivery.
  • Foster a collaborative approach by working with patients, families, primary care physicians, and other healthcare team members to ensure coordination of services.
  • Assist Nurse Navigators in performing transition of care outreach to discharged patients, scheduling return visits with primary care physicians as needed.
  • Employ knowledge of evidence-based guidelines to effectively communicate the importance of recommended procedures and testing.
  • Facilitate a collaborative approach with the care team to identify and close care gaps, promoting patient engagement and collaboration.
  • Utilize educational and behavioral change strategies to promote patient collaboration with the care team.
  • Perform duties as required or assigned for specific operational purposes, maintaining all professional CEUs in compliance with state and regulatory requirements.
  • Maintain confidentiality in all areas at all times.
Requirements
  • LPN License in the state of employment or compact
  • BLS Certification


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