LPN Assessment Nurse

Summary

Responsible for serving as the Care Management Services’ member liaison and representative by ensuring the goals of the program and those of individual members are met through primary care enhanced case management. A primary function of this position is to complete member assessments.

• Observes members in their home environment gathering medical, environmental, and psychosocial data for review by the multidisciplinary team.
• Accepts referrals and ensures potential members are screened in a timely manner as required by organization and governmental policies.
• Addresses member or caregiver concerns effectively and efficiently.
• Assists in carepath developments, recommending HCBS services and incorporating roles for informal caregivers.
• Records and documents member information completely and accurately in accordance with federal, state, and operational guidelines.
• Works to preserve the essential role of the family and informal caregivers in assisting members in meeting carepath goals and addressing social risk by following up on needs identified in data gathered from members/caregivers.
• Makes recommendations to multidisciplinary team that address primary care needs.
• In conjunction with the Care Manager for Care Management Services and the multidisciplinary team, assists in removing barriers to primary and specialized medical care to support optimal health and functional status.
• Collaborates with the Quality Department in resolving items needing additional information or clarification when identified on assessment review, to ensure standards of promptness and members needs are met in a timely manner.
• Advocates for informed decisions by members and caregivers regarding their health status and options for treatment or care.
• Promotes quality outcomes through effective collaboration with the Quality Assurance and Education Coordinator, Assessment Coordinator, and Administrator to ensure effective implementation of education plans, initiatives, or processes.
• Utilizes technology to promote workflow efficiency and to facilitate data collection, management and analysis.
• Takes call on a rotating basis as assigned.
• Provides on‑site assistance for all state surveys.
• Reports corporate compliance concerns appropriately.
• Reports privacy and security concerns appropriately.
• Reports work time and business expenses in accordance with organizational guidelines.
• Maintains prompt, accurate and secure documentation as it relates to member needs, contacts and plans.
• Ensures appropriate documentation is filed promptly in members’ chart as outlined in Care Management.
• Assists with Assessment Nurse Case Manager duties for other Care Management Services’ locations as needed.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, work groups, project management, and other collaborative efforts of the System.
• Performs other duties as necessary to ensure the success of the System.

• Completes work in a timely, accurate, and efficient manner.
• Ability to organize and prioritize assignments/responsibilities.
• Maintains constructive working relationships by communicating and interacting effectively with supervisors, organizational leadership, peers, and individuals inside and outside the organization, in a positive, professional and respectful manner.
• Portrays a positive image of the organization and communicates guiding principles, mission, vision and values.
• Completes work in a timely, accurate, efficient and thorough manner and is conscientious about assignments/responsibilities.
• Consistently reports to work on time prepared to perform duties of the position.
• Manages multiple deadlines with demonstrated flexibility in working with changing priorities.
• Ability to work a demanding, primarily self‑directed work schedule.
• Demonstrates good judgment and decision making.
• Exhibits exceptional organizing and planning skills.
• Ability to deliver excellent customer service, externally and internally as well as maintain customer confidentiality.
• Ability to react effectively and calmly in…