LPN / RN Care Manager
Company: DaVita Medical Group
Location: Pinellas Park
Posted on: August 23, 2019
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
--- 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
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
--- 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
--- Must possess a current and valid LPN or RN Florida state
--- 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
--- Valid Florida driver's license, insurance and vehicle for
--- Must display initiative, accountability, and
--- 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
--- Meet with patients, patients' family, and caregivers as needed
to discuss care and treatment plan as delineated in Transitions of
--- Identify and assist with the follow-up of high-risk patients in
acute care settings, skilled nursing facilities, custodial, and
--- 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
--- 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
--- Provide accurate information to patients and families regarding
plan benefits, community resources, referrals, and other related
--- 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
--- Ability to perform accurate telephonic triages, accurately
record findings with follow-up.
--- Ability to explain medical instructions to patients and their
--- Ability to make sound, independent judgments and act
professionally under pressure.
--- Ability to learn and understand appropriate Federal, State, and
--- 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
--- 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
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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