Bilingual Korean/English
5 days ago
The Korean/ English Speaking LPN Care Coach supports ilumed's care management team by delivering patient-centered services that improve outcomes, reduce avoidable utilization, and advance health equity. Working under RN Care Coach and physician oversight, the LPN Care Coach engages beneficiaries through telephonic outreach, education, and coordination of chronic disease management programs. The LPN Care Coach collects data, documents patient status and implements interventions under RN/physician supervision and reports changes and outcomes to the RN Care Coach for care plan adjustments. This role emphasizes proactive patient engagement, documentation accuracy, and connecting patients to community resources, ensuring beneficiaries receive the right care at the right time.
Essential Job Functions
- Provide telephonic patient support to beneficiaries, families, and caregivers, reinforcing care plans developed by RNs and providers.
- Identify Social Determinants of Health (SDOH) needs and connect patients to internal resources to address barriers to care.
- Assist in implementing care strategies aligned with ilumed's goals: reducing disparities, improving access, and enhancing quality outcomes.
- Document patient interactions and monitor progress, escalating clinical concerns to RN or physician supervisors.
- Support care transitions by coordinating follow-up appointments, medication adherence reminders, and patient education.
- Meet departmental KPIs for outreach, call volume, and caseload management, contributing to departmental performance metrics.
- Collaborate with interdisciplinary teams to ensure integrated, patient-centered care delivery.
- Maintain compliance with HIPAA, regulatory standards, and organizational policies.
- Perform duties strictly within the scope of LPN licensure.
- Strong communication skills to engage diverse patient populations and build trust.
- Familiarity with value-based care principles and population health management.
- Adaptability & Flexibility - Ability to thrive in a fast-paced, evolving environment.
- Proficiency in Microsoft Office and EMR platforms; comfortable with virtual care technologies.
- Organizational and time management skills to balance multiple priorities effectively.
- Active LPN license in good standing (Possess a Compact License/Ability to successfully obtain a Compact Nurse License required).
- LPN licensure in New York and/or California preferred
- 2-4 years of experience in patient care, care coordination, or home health.
- Experience with Medicare and Medicare Advantage populations preferred.
- Prior exposure to value-based care or ACO programs is a plus.
- On-site hospital work environment, requiring frequent patient interactions.
- Potential travel (30%-50% per month) for care coordination efforts.
- Quarterly out-of-state travel, including bi-annual conferences in Southern Florida.
- Ability to lift, carry, and set up materials, weighing up to 35 lbs.
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- Must abide by all HIPAA, Confidentiality & Privacy Laws
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job
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