Value Based Transitional Care Coordinator LPN

Are you passionate about what you do and making a difference in a patient’s life? If so we’re looking for you! Ambercare Home Health, an Addus HomeCare Company is an industry leader and currently searching for PRN Transitional Care Coordinator – Licensed Practical Nurse for our Value Based Program in Tucson, AZ.

What We Offer:

• Great culture and team atmosphere
• Mileage reimbursement
• Great Work Life Balance

What You’ll Do:

• Receive incoming calls/referrals for clients enrolling in value-based programs and maintain accurate lists of enrolled clients
• Coordinate or perform an initial in home visit with enrolled clients
• Ensure completion of a medication reconciliation for all enrolled clients
• Perform telephonic or in person training to clients on their medical conditions, medications and care plans
• Work with client to identify gaps in in-home care and refer client for home health, hospice or in home physician services as needed.
• Identify additional local resources to assist client with clinical and social issues such as local paramedical services, urgent care centers, non-emergent transportation, pharmacy resources, etc.
• Develop relationships with extended services and refer clients as necessary
• Receive and document Change in Condition calls from the health engagement team and direct care staff
• Review and verify Change in Condition reports from Electronic Visit Verification and other electronic systems, perform follow up as necessary
• Monitor internal processes for efficiency and validity pre & post product launch/changes.
• Manage data flow from operations and report outcomes to internal and external customers

Qualifications:

• Current RN or LPN license with at least three (3) years of experience in a clinical setting
• Previous Experience in home care and home health. Knowledge of managed home healthcare is preferred
• Possess and maintain valid CPR certification.
• Candidate must possess excellent verbal and written skills
• Solid computer proficiency in Microsoft Office including Excel and web based application
• Committed to exceptional customer service and meeting customer needs
• Ability to complete tasks in a multi-phased, fast-paced environment
• Must have reliable transportation, current driver's license, and appropriate automobile insurance

Text 6405 to 505-806-1865 to apply

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