Value Based Transitional Care Coordinator LPN

Are you passionate about what you do and making a difference in a patients life? If so were 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 Youll 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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