Care Coordinator - LPN

Case Manager Jobs Dalton, Georgia


Description

Healthcare Without Rival

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.

Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Full-Time Care Coordinator - LPN to join our team in Dalton, GA.

PURPOSE OF THE POSITION

The Care Coordinator is responsible for reviewing a member’s health history in Epic to identify gaps (missed visits/labs, prescription/refills, member questions, outside visits including ED and Urgent care). The Care Coordinator will conduct member outreach to schedule visits according to provider request or member need. Additionally, the Care Coordinator is responsible for supporting the Care Navigator by following up after appointments to ensure complete documentation and following up with the member for feedback and next steps.

ESSENTIAL JOB FUNCTIONS

  • Identifies, facilitates and secures access to needed medical and mental healthcare services and appointments, social service benefits and community resources for the client’s member population and dependents.
  • Coordinates assessment, treatment plans, and return to work processes with the employee, providers, and employer.
  • Assesses and evaluates cases and implements treatment and case management plans.
  • Counsels clients, assisting them to identify and resolve problems and make effective use of resources.
  • Develops an understanding of Epic's referral and scheduling capabilities, and available tools.
  • Develops an understanding of where member populations live and work, as well as high-value providers and facilities in key geographies.
  • Proactively builds relationships with community specialists, alongside other health center team members, to educate them on Premise and our expectations, facilitate streamlined referral access and information sharing.
  • Interacts with Premise providers to understand referral needs.
  • Interacts with members via multiple modalities (phone, email, in-person, video, etc) to identify appropriate referral target(s).
  • Works with community specialists and members to schedule appointments and ensure bi-directional notes transfer.
  • Follows up with member post-specialist visit, ensure member and specialist notes return to Premise, and coordinate ongoing care needs as appropriate.
  • Remains in close coordination with central Member Health Management team as we evolve our Member Health Management strategy, leveraging new tools and processes.
  • Maintains collaborative working relationships with other community providers to develop specialized services as required.
  • Provides communication to staff on specific cases.
  • Prepares and maintains written case records, reports, and forms, performs case follow-up and closing, and performs other administrative tasks as required.
  • Participates in case conferences to ensure that each member’s care team is aligned with a shared plan of care and up-to-date information on each member.
  • Provides written status updates on a regular basis as requested and verifies documentation of all such activities in member chart.
  • Maintain a directory of provider services including medical, behavioral health, social support and other services as needed to support referral and coordination activities. Identify valuable resources to share with the rest of the team to the benefit of all members.
  • Complete an in-depth initial needs assessment; subsequently overseeing a member-centered plan to address at risk areas.
  • Monitoring of the plan addressing at risk areas with documented follow up.
  • Complete accurate and up to date documentation; conduct daily follow ups to address any issues, review the previous day’s activities, and to discuss any client issues and or/new insight regarding a member.
  • May be asked to obtain and record patient's vital signs and weight.
  • All other duties as assigned.

BASIC QUALIFICATIONS

Education:

  • Graduate of National League for Nursing accredited program, Associate's degree (A.S.) and/or equivalent from two-year college or technical school.
  • Licensed as a Practical or Vocational Nurse
  • Current hands on Certification in Basic Life Support is required, Advanced Cardiac Life Support may also be required based on scope of contract services.

Experience:

  • At least three years of clinical experience as a LPN/LVN in an ambulatory care, occupational health, or emergency department setting.


Knowledge and Skills:

  • Be able to work in and create a positive attitude environment, manage caseload, complete task/duties and address conflicts as they arise.
  • Communicate effectively with supervisory personnel in a cooperative and supportive manner.
  • Be able to tolerate the ambiguity during transition time and take on other assignment as needed.
  • Excellent problem-solving skills and ability to build positive relationships
  • Excellent verbal and written communication skills in a customer service environment
  • Excellent time management, organization, research, analytical, negotiation and interpersonal skills

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

To support Premise Health’s commitment to the safety, health and wellbeing of our team members, clients and patients, we are requiring all new team members to be fully vaccinated with a COVID-19 vaccine*, except where a reasonable medical or religious accommodation can be granted. Should you be offered and accept a position with Premise Health, you will be required to provide your proof of vaccination in the form of your CDC vaccination card as part of the pre-employment onboarding process.
*As permitted by applicable law.

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