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Recruited by North Star Resource Group 1 year ago Address Minneapolis, MN, United States

Practice Outreach Coordinator, Lpn

Company

Hackensack Meridian Health
Address , Hackensack, 07601, Nj
Employment type FULL_TIME
Salary
Expires 2023-07-21
Posted at 11 months ago
Job Description
Overview:
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The core function of the LPN Practice Outreach Coordinator will focus on transitions of care including inpatient, emergency department, and skilled nursing facility transitions. Although transitions in care are a daily priority, additional functions of this role include proactive outreach to patients to minimize gaps in care. A Gap in Care is defined as the discrepancy between recommended best practices and the care that is actually obtained /provided. This most commonly includes individuals missing age-based or seasonal screenings, non-compliance with chronic disease management visits every 3 months, missing prescribed care (referrals). This team member will be central to coordinating prescribed care and preventive screenings. The work includes data mining in patients' EMRs, calling patients to facilitate prescribed care based on patient and provider preferences, and attending Quality Meetings at each assigned practice. The work will naturally flow from individual practice and provider performance against measures. This work will include telephonic outreach to patients.
  • Position will be hybrid
Responsibilities:
A day in the life of a LPN Practice Outreach Coordinator at Hackensack Meridian Health includes:
  • Frequent telephonic interactions with patients and their significant other to close gaps in care.
  • Adheres to HMH Organizational competencies and standards of behavior.
  • Proactive outreach to adult and pediatric primary care patients after transition of care from a healthcare facility including inpatient, emergency department, and skilled nursing facilities.
  • Facilitates partnerships with community partners and resources to assist patients in closing gaps in care
  • Attends/presents status updates at meetings.
  • Provides quality customer service- follows HIPAA rules/regulations.
  • Regional travel required, use of personal vehicle with mileage reimbursement (consistent with company policy) - drivers license required.
  • Effective and compassionate communication with patients and their significant others to plan, implement and follow up on gaps in care.
  • Other duties and/or projects as assigned.
  • Acts as a liaison between patients, primary care practices and population health and Quality teams in the provision of care.
  • Supports the Transformation efforts as needed.
  • Utilizes data to better understand tailor interventions to the patient populations.
  • Works as part of the interdisciplinary team to meet the goals of the Practice, the provider and the patient. Will support the population health and transformation initiatives as assigned.
  • Proactive outreach to adult and pediatric primary care patients to support lab/image/referral tracking, gaps in care and other quality measure improvement efforts.
  • Uses evidence-based coaching techniques to help patients design realistic health goals, implement positive lifestyle changes and achieve desired plan in support of a healthier lifestyle and disease state.
  • As a member of the patient care team, documents in the EMR, the patient interactions and care planning activities as directed by the Provider and care team.
  • Coordination with other members of the care team, Providers on the care team and consultants to close gaps in care and update EMR.
  • Identifies and appropriately escalates patient related issues to Provider when required.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
  • Basic proficiency in standard computer programs e.g., MS Word, Excel, Google Docs, Sheets, etc.
  • Licensed Practical Nurse (LPN).
  • Ability to work on multiple projects concurrently in a fast paced, timeline driven environment.
  • Proficiency in Electronic Medical Record required within 60 days of hire.
  • Strong planning and organizational skills with the ability to work independently, multi-task, and prioritize responsibilities.
  • Excellent written, verbal and telephone communication skills. Must be able to facilitate webinar meetings.

Education, Knowledge, Skills and Abilities Preferred:
  • Bachelor's Degree is preferred with focus on Health Care administration, principles of management, Population Health, Health Care Education, Community Health, Health Information Management, or Information Technology.

Licenses and Certifications Required:
  • Licensed Practical Nurse.
  • Valid Driver's License from a USA state.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!