LPN Health Coach Coordinator - 1185
Company: Valley Health
Location: Luray
Posted on: August 25, 2024
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Job Description:
DepartmentVALLEY PARTNERS LLC - 838376Worker Sub TypeRegularWork
ShiftFirst Shift (United States of America)Job Description1.
Collaborate with RN Care Coordinator to manage a patient panel of
up to 250.2. Perform periodic holistic care management based on
initial assessment and goals as outlined by RN Care Coordinator.
Provide education regarding disease management based on current
best practice standards. Identify patients who may need closer
follow up and escalate care to RN Care Coordinator as appropriate
for re-evaluation and triage.3. Knowledge of current federal,
state, and local programs as well as their eligibility requirements
and application process in order to pro actively connect patients
with appropriate resources.4. Implement care management plan and
goals established by RN Care Coordinator and mutually agreed upon
by patient/family. Utilize motivational interviewing techniques and
assist patient in meeting action-oriented goals and objectives.5.
Evaluate effectiveness of plan in meeting established care goals.
Collaborate with RN Care Coordinator in instances where goals may
need to be revised.6. Interacts professionally with patient/family
to achieve maximum levels of wellness and independence.7. Perform
weekly follow up calls for patients recently discharged from the
hospital who are considered high risk for readmission until patient
has been discharged for 30 days. Ensure that the patient has
attended follow up appointments as scheduled and is adherent to
medications. Provide patient with education regarding hospital
diagnosis. Identify patients who have had a change in condition and
escalate care to RN Care Coordinator for further
evaluation/triage.8. Serve as liaison to providers, patients and
families for coordination of services9. Maintains EMR databases on
care managed population. Maintain accurate and timely documentation
and billing based on care plan initiated by RN Care Coordinator.
Identify patients who have had a change in condition and escalate
care to RN Care Coordinator for review of care plan.10. Review
utilization and quality reports routinely, scan for gaps in care
and identify patients needing the additional support of care
management.11. Participates in regular team meetings. Participates
in departmental and organizational committees as applicable.
Participates in the orientation of new personnel. Precepts and acts
as a mentor to peers. Promotes collaborative teamwork.12. Meet with
RN Care Coordinator team lead and Manager Population Health
Outpatient Care Coordinator on a regular basis to provide patient
updates, identify issues, and develop strategies for resolution.13.
Performs all duties and responsibilities in accordance with basic
principles and guidelines of professional nursing. Ensures
documentation meets current standards and policies.14. Attend
conferences, workshops, and complete continuing education as
assigned.EducationHigh School Diploma requiredExperienceMinimum 5
years clinical experience (10,400 hours).Certification &
LicensuresLPN License required*BLS Certification (Basic Life
Support) - American Heart Healthcare Provider' (HCP) - AHA approved
required*** Based on primary state of residency and in accordance
with current Virginia Board of Nursing Regulations, must be
licensed or eligible to practice pending licensure as a Licensed
Practical Nurse in the Commonwealth of Virginia and/or West
Virginia (as applicable depending upon geographical area assigned)
with either a: Multi-State License, under the Nurse Licensure
Compact required** New hires must have American Heart Association
(AHA) appropriate certification prior to completion of
orientation.Qualifications Experience in an outpatient setting as
an advocate role for a community health services position preferred
Basic knowledge of medical terminology preferred Ability to
interact with other professionals as part of a multidisciplinary
team Experience with word processing package such as Microsoft
Office desirable Valid drivers license based on primary state of
residency Ability to travel to meet with clients/attend business
functions/trainings/meetings at all VH work sites required
Knowledgeable in the cognitive, physical, emotional, and
chronological stages of human growth and development required
Communicates effectively and works cooperatively with others
required Knowledge of funding, resources, clinical standards and
outcomes for population requiredFLSA ClassificationExemptPhysical
Demands20 A Nursing, Certified Nursing Assistants (CNA), Patient
Care Tech.BenefitsAt Valley Health, we believe everyone is a
caregiver, and our goal is to create an environment where our
caregivers thrive physically, financially, and emotionally. In
addition to a competitive salary, our most popular benefits for
full-time employees include:A Zero-Deductible Health PlanDental and
vision insuranceGenerous Paid Time OffTuition AssistanceRetirement
Savings MatchA Robust Employee Assistance Program to help with many
aspects of emotional wellbeingMembership to Healthy U: An
Incentive-Based Wellness ProgramValley Health also offers a health
savings account & flexible spending account for childcare, life
insurance, short-term and long-term disability, and professional
development. In addition, several perks come with working for the
largest employer in the region, such as discounts to on-campus
dining, and more.To see the full scale of what we offer, visit
valleyhealthbenefits.com .by Jobble
Keywords: Valley Health, Harrisonburg , LPN Health Coach Coordinator - 1185, Education / Teaching , Luray, Virginia
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