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LPN / RN Care Manager

Company: DaVita Medical Group
Location: Pinellas Park
Posted on: August 23, 2019

Job Description:

At DaVita Medical Group we strive to behave as a Community first and a Company second. That means creating a legitimately differentiated workplace where our mission "to be the provider, partner, and employer of choice" for patients, as well as our core values and guiding principles to be "physician-led, patient-centered, and clinically-focused" live with unusual reverence and energy.

We are now hiring an LPN/RN Care Manager.

As the LPN/RN Care Manager you will be responsible for:
--- Ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits.
--- Facilitating continuum of patients' care utilizing advanced nursing knowledge, experience, and skills to ensure appropriate utilization of resources and patient quality outcomes.
--- Performing care management functions on-site or telephonically as the need arises.
--- Working in conjunction with the care team and PCP as care team leader. -----Ensuring evaluation is in alignment with site based goals.
Education requirements --- High school diploma or GED.
--- Graduate of an accredited school of nursing.
--- Bachelor's degree in Nursing preferred.
Experience requirements --- Previous experience in an acute clinical care setting or equivalent required.
--- Previous care management, utilization review, or discharge planning experience required.
--- 1 year of experience in an acute clinical care setting preferred.
--- HMO experience preferred.
Qualifications --- Ability to obtain CPR certification within 90 days of employment (Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).
--- Must possess a current and valid LPN or RN Florida state license.
--- LPNs: IV Certification or ability to obtain IV Certification within 90 days of employment required.
--- RNs: Associates or Bachelor's degree in Science required.
--- Knowledge of current standards of patient care.
--- Knowledge and skill in the applications of the techniques and practices of the nursing profession.
--- Knowledge of HIPAA regulations.
--- Thorough understanding of RN scope of practice and LPN scope of practice.
--- Valid Florida driver's license, insurance and vehicle for work-related travel.
--- Must display initiative, accountability, and resourcefulness.
--- Must be computer literate.
Responsibilities --- Consistently exhibit behavior and communication skills that demonstrate DaVita Medical Group's Mission Vision and Values, and commitment to superior customer service, including quality and care and concern with each and every internal and external customer.
--- Represent the company in a professional manner, following all company policies and procedures.
--- Use, protect, and disclose DaVita Medical Group patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
--- Prioritize patient care needs upon initial visit and address emerging issues.
--- Meet with patients, patients' family, and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program.
--- Identify and assist with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial, and ambulatory settings.
--- Consult with physician and other team members to ensure that care plan is successfully implemented.
--- Coordinate treatment plans with the care team and triage interventions appropriate to the skill set of the team members.
--- Use protocols and pathways in line with established disease management and care management programs and approved by medical management.
--- Monitor and coach patients using techniques of motivational interviewing and behavioral change to maximize self-management.
--- Oversee provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care.
--- Work in coordination with the care team and demonstrate accountability with patient management and outcome.
--- Discuss Durable Power of Attorney (DPoA) and advanced directive status with PCP when applicable.
--- Maintain effective communication with the physicians, disease management, hospitalists, extended care facilities, patients, and families.
--- Provide accurate information to patients and families regarding plan benefits, community resources, referrals, and other related issues.
--- Document pertinent patient information in Electronic Health Record and FOCUS as appropriate.
--- Demonstrate a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics, and CM reports.
--- Adhere to departmental policies and procedures as approved by Best Practice Committee and QMOC (Quality Medical Oversight Committee). Skills --- Ability to work collaboratively with the provider and care team to carry out nursing interventions under proper scope of practice.
--- Ability to travel as necessary, or cover centers remotely, based on business need.
--- Ability to provide on-site clinical treatment within scope of practice.
--- Ability to perform accurate telephonic triages, accurately record findings with follow-up.
--- Ability to explain medical instructions to patients and their families.
--- Ability to make sound, independent judgments and act professionally under pressure.
--- Ability to learn and understand appropriate Federal, State, and local regulations.
--- Ability to effectively communicate and collaborate with physicians, patients, families and ancillary staff.
--- Ability to communicate effectively with patients and all levels of personnel/customers in a professional, courteous and effective manner using excellent customer service skills.
--- Ability to be a clinical resource for non-licensed office staff.
--- Ability to prioritize and multi- task in a high paced environment with good organizational skills.
--- Ability to perform care management.
--- Ability to read, speak, write, and understand the English language fluently.

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: DaVita Medical Group, Pinellas Park , LPN / RN Care Manager, Healthcare , Pinellas Park, Florida

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