COPE Health Solutions→
Enhanced Care Manager- Licensed… at COPE Health… · Sacramento
Skills
Job Description
The ECM Care Manager – Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care Physician and Registered Nurse, the LVN coordinates care for patients needing support by collaborating with the patient, family, physician, nurses, and other members of the ECM healthcare team to identify needs and expedite valuable, appropriate, and cost-effective care.
The LVN will support an individualized care plan focused on disease management and prevention, and or development of improved strategies to benefit patients at risk. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices, adopt life-long healthy behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions.
| FLSA Status | Exempt | Salary Range | $75,000K - 93,000K |
|---|---|---|---|
| Reports To | Director Of Medical Management | Direct Reports | n/a |
| Location | Sacramento, CA | Travel | Up to 75% |
| Work Type | Regular | Schedule | Full Time |
Position Description:
The duties include, but are not limited to:
- Implement and support individualized patient care plans
- Address patient risk factors and/or obstacles to care, including hospital/ER utilization
- Facilitate engagement between the PCP and patient
- Demonstrated ability to influence others while motivating them to change
- Participation in required care coordination conferences
- Maintain a predetermined patient caseload
- Exercise sound clinical judgment, seek advice, and sign off froma Registered Nurse as appropriate
- Take initiative in finding solutions to difficult and/or sensitive problems
- Participate in quality gap closures
- Work as a patient advocate
- Performs miscellaneous job-related duties as assigned
Knowledge and Skills/Expected Competencies
Willingness & ability to interact with healthcare personnel within a variety of clinical settings
Understanding of HIPAA, Confidentiality Obligations, and nursing best practice
Demonstrated ability to work as part of a team
Excellent interpersonal and organizational skills
Candidate must be able to execute workflows and work together with RNs and other members of the multi-disciplinary care team
Knowledge of Payor programs and Quality Metrics
Ability to review clinical data to address care opportunities and healthcare utilization trends
Critical thinking skills & able to adapt to a fast, complex working environment
Strong autonomous problem-solving ability
Excellent time management skills
Multitasking and prioritization, working in a high-volume environment with minimal supervision
Ability to undertake a variety of diverse care tasks and work in a multidisciplinary team
Compassionate and able to handle stress
Documentation accuracy in medical records
Adaptable to new technologies and software
Physical/Mental Demands and Work Environment
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to walk, bend, sit, talk, lift, or hear*.* The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate.
The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. ****
Qualifications:
- Current Vocational Nurse License
- Two (2) + years of experience in one or more of the following settings:, Ambulatory Care Management
- Must have a valid driver’s license and be able to travel
Benefits: ****
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health SolutionsCOPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.
To Apply: ****
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.