LVN - Licensed Vocational Nurse - Full Time Nights - 4 LOCS

4 weeks ago

Columbus, United States NavitsPartners Full time

Title: LVN - Licensed Vocational Nurse - Full Time Nights

Responsibilities:

  • Identification of referrals to the medical director for review
  • Appropriate letter language and coding (denials, deferrals, modifications)
  • Work directly with the provider(s) and plan Medical Director to facilitate quality service to the member and provider.
  • Identifies Clinical Program opportunities and refers members to the appropriate healthcare program (e.g. case management, engagement team, and disease management).
  • Attend all mandatory meetings and training.
  • Maintains and keeps in total confidence, all files, documents and records that pertain to the business operations.
  • Collaborates, educates and consults with Customer Service/Claims Operations, Sales and Marketing and Health Care Services to ensure consistent work processes and procedural application of clinical criteria.
  • All other job related duties as it relates to the job function or as delegated by the management team.

Medication Administration:

  • Administers medications, verifying the correct medications are administered (per the six “rights” of medication administration), and that client’s response to medications is noted and documented along with any noted side effects
  • Works closely with home/facility/pharmacy staff in consulting on psychotropic medications, side effects, and medication reviews
  • Orders, reviews, monitors, and discontinues medications as ordered by physician. Dispose of unused medication per policy
  • Provides supervision and education for non-licensed staff in the provision of care and services and reports any changes
  • Complete a quarterly nursing evaluation/review of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review.
  • Ensures incidents are recorded, the individual is safe, receives required medical care, communicates to RN, operations leadership timely
  • Participates in clinics completed at the operation with PCP, psych, etc. as assigned.Participate in on-call duties to ensure weekend and after-hours access to clinicians by staff and individuals served (participates in on-call rotation as assigned)
  • Participates in quarterly quality improvement activities, weekly team/staff meetings and Interdisciplinary Team meetings (IDT/PDP) Transcribes physician phone orders and other medically related reports
  • Work hours may vary – weekends and evening shifts/visits may be required

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