LPN Population Health Coach

2 weeks ago


Naples, Florida, United States NCH Healthcare System Full time
LPN Population Health Job Summary

The LPN Population Health Coach provides coaching and disease management services to identified populations. This role requires a strong understanding of healthcare documentation and the ability to communicate effectively with patients and healthcare providers.

Key Responsibilities:
  • Provides individual health coaching via telephone to support patients in understanding and adhering to discharge instructions and medication regimens.
  • Manages patient populations, including care transitions, to ensure seamless coordination of care.
  • Collaborates with patients, caregivers, and providers to develop comprehensive plans of care that address individual patient needs.
  • Utilizes motivational interviewing techniques to support patients in understanding and adhering to treatment plans.
  • Supports medical home and care coordination principles by following assigned activities and protocols.
  • Participates in data collection and monitoring to inform process improvement initiatives.
  • Identifies medication adherence barriers and works with patients, providers, and other resources to alleviate these barriers.
  • Completes clinical outreach to patients with outstanding care gaps identified by insurance plans or healthcare providers.
Requirements:
  • Minimum of 2 years' experience in a related field.
  • Licensed as a Licensed Practical Nurse in the State of Florida.
  • Basic Life Support (BLS) certification from the American Red Cross or American Heart Association.
  • Basic computer skills and excellent verbal and written communication skills.


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