Care Manager, LPN
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Job Description
Care Manager, LPN delivering telephonic value-based care for Curana Health’s older-adult patients. Coordinating providers, caregivers, care plans, and quality-gap closure remotely.
Responsibilities:
- Deliver telephonic care management for Curana patients enrolled in Value-Based Care Programs such as APCM or CCM
- Review electronic health records to identify gaps in care for patients residing in long-term care nursing facilities
- Review and approve initial and ongoing health questionnaires completed by care management team members
- Educate patients and caregivers about disease processes as a health coach
- Develop patient-centered care plans
- Educate patients and their durable medical power of attorney on APCM or CCM benefits
- Support quality gap closure through clinical discovery
- Schedule provider visits for at-risk patients
- Coordinate with the Transitional Care Manager to schedule patient visits and communicate acute or skilled nursing facility discharges
- Facilitate orders, referrals, and prior authorizations through the virtual care support team
- Escalate abnormal diagnostic test results to Curana providers
- Communicate patient health updates to Curana providers
- Communicate treatment plans and health updates to caregivers
- Serve as the primary liaison between providers and the administrative support team
- Perform other duties as assigned
Requirements:
- Must hold an active, unrestricted compact LPN license
- Ability to obtain additional state licenses, as needed
- 2+ years of experience in nursing required (24 months)
- Experience may be in inpatient, outpatient, or skilled nursing facilities
- Knowledge of pathophysiology and accepted treatment protocols for common health diagnoses, including diabetes, chronic heart failure, and chronic obstructive pulmonary disease
- Ability to analyze patient records to identify gaps in care and report findings to the provider
- Ability to work in a remote environment free of distractions
- Proficient computer skills and ability to adapt to various technology platforms
- Excellent written communication skills
- Demonstrated experience using clinical data to guide decision making
- Ability to function independently and as a member of an interdisciplinary care team
- Case Management experience preferred
- CCM certification strongly preferred
- Experience working with Electronic Health Records preferred
- Company is unable to provide sponsorship for a visa at this time (H1B or otherwise)
Benefits:
- 100% remote position
- Reliable high-speed internet connection required for remote work
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