Licensed Practical Nurse
Company: Upward Health
Location: Hauppauge
Posted on: May 3, 2022
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Job Description:
Licensed Practical Nurse The Licensed Practical Nurse is
responsible for the care of an assigned cohort of high-risk,
high-need patients, as well as the implementation and ongoing
monitoring of care plans and outcomes for those patients as set
forth by the physician's plan of treatment. This role will
demonstrate a commitment to effective and efficient care leading to
high quality outcomes, while managing the total cost of care. The
focus is to deliver care in the home, or the most optimal level of
safe and effective site of care. Why is this role critical? The
Licensed Practical Nurse acts as a liaison between patients, their
families, doctors, and ancillary health care providers ensuring the
patient, family and caregivers understand the care plan and can
progress towards self-care wherever possible. The Licensed
Practical Nurse will serve in a direct care and patient advocacy
role and will ensure interdisciplinary care is optimized toward
targeted outcomes. This colleague works directly with the patient
in the field, i.e., inpatient bedside, member's home, provider's
office, hospitals, and other sites of care while collaborating with
the Clinical Services team to assess, plan, implement, coordinate,
monitor and evaluate services and outcomes to maximize the health
of the patient. Responsibilities: -- Support the physician's
assessment and evaluation of individual patients and deliver care
services to support desired patient outcomes -- Provide for the
ongoing monitoring and delivery of patient care that results in
optimized quality, clinical and financial outcomes -- Under the
supervision of a Physician or Registered Nurse, complete
comprehensive assessments and support the plan of care utilizing
clinical expertise to evaluate the patients need for additional
services -- Develop a relationship of safety and trust with
transparent communication between the patient, caregivers, and the
care team -- Identify, acknowledge, and advocate for the needs of
the patient -- Support the patient-centric care plan and
environment that incorporates the needs of the patient -- Review
the patient diagnoses and facilitates the coordination of treatment
plans of the PCP, specialists, and interdisciplinary care team --
Evaluate patient outcomes with respect to the medical record,
patient and family history and available healthcare utilization
information -- Continuously monitor and update care plans and
coordinate care across providers -- Educate patients and families
about treatment plans and options -- Accurately document and submit
medical documentation -- Maintain knowledge of diagnoses, signs and
symptoms of disease, standard therapy protocols derived from
evidence-based outcomes, medications, and warning signs of
non-optimal patient outcomes -- Provide guidance and support to
patients and families inclusive of community-based support programs
-- Review results from medical tests and ensure visibility across
all care providers -- Implement physician orders - ensuring a
linkage between all care providers throughout a patient's episodes
of care -- Communicate patient progress by conducting regular
interdisciplinary meetings and evaluations, disseminating results
and obstacles to the healthcare team and family -- Act as a
resource for non-clinical staff -- Coordinate community resources,
with emphasis on medical, behavioral, and social services. -- Apply
case management standards, maintains HIPAA standards and
confidentiality of protected health information, and reports
critical incidents and information regarding quality-of-care issues
-- Meet with patients in their homes, worksites, physician's
offices, or hospital to provide management of services. --
Participate with other care team members in regular or special
meetings such as Clinical rounds -- Utilizes clinical skills and
abilities to support the monitoring of patient vital signs with
utilization of remote patient monitoring tools as required by the
physician -- Supports the provision of care through Facilitated
Virtual Care (FVC) visits -- Perform other duties as assigned
Required Qualifications -- Unrestricted licensed practical nursing
license in the state(s) of care management activities -- Ability to
travel to patient's home, provider's office, hospitals, other
healthcare settings required with dependable car -- Experience in
home care, outpatient, or physician office site of care
provisioning patient care under a practicing medical physician
and/or registered nurse -- Must be willing to spend 80% of time
traveling in the field -- Demonstrated expertise in care
coordination across all healthcare providers, patient, and
caregivers -- Experience with completing accurate, real-time
documentation in EHR and/or Care Management systems -- Ability to
effectively communicate across a multitude of key care partners --
Ability to motivate patients and caregivers to follow care plans
and optimize self-care potential -- Excellent documentation skills
with the ability to manage multiple patient cases -- Sound critical
thinking and problem-solving skills to assess, analyze and monitor
outcomes to support patient's plan of care -- Computer literacy and
ability to effectively communicate within the business structure
Preferred Qualifications -- 3+ years of care management experience
in an outpatient setting preferred -- 3+ years in a hospital or
related healthcare business entity also considered -- Experience
serving the Medicare population -- Experience documenting in
Electronic Health Records (EHR) -- Proven experience working
independently seeing patients in the community Job Type: Full-time
Employment Type: Full Time Years Experience: 1 - 3 years
Bonus/Commission: No
Keywords: Upward Health, Westport , Licensed Practical Nurse, Healthcare , Hauppauge, Connecticut
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