LPN CoCM Care Coordinator

Location:

Hollywood, FL (In Office)

Full-Time

$64,000 - $70,000 per year

Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care to residents of skilled nursing and long-term care facilities.

Through our partnership with Med Elite Healthcare Management Group, we provide coordinated, patient-centered services designed to improve clinical outcomes and address the unique medical and behavioral health needs of residents. Together, we promote collaboration, innovation, and continuous improvement in senior care.

Infinite Medical P.C. is seeking a dedicated Licensed Practical Nurse (LPN) to serve as a Behavioral Health Care Manager within our Collaborative Care Model (CoCM) program.

This is an in-office, non-face-to-face care management position
. The LPN Behavioral Health Care Manager remotely supports residents in skilled nursing and long-term care facilities through medical record review, behavioral health screening, care planning, registry management, care-team collaboration, and psychiatric case consultation.

The Behavioral Health Care Manager works as part of an integrated care team that includes the treating medical provider, psychiatric consultant, clinical leadership, facility staff, and other members of the patient’s care team. This position does not independently diagnose conditions, prescribe medications, or replace the treating provider.

• Review patient medical records, diagnoses, medications, behavioral health documentation, provider notes, laboratory results, and relevant changes in condition.
• Document validated behavioral health screening and monitoring tools, as appropriate, including PHQ-9, GAD-7, MoCA, BIMS, and other approved assessments.
• Monitor patients’ behavioral health symptoms, treatment response, functional status, medication changes, and progress toward established goals.
• Identify changes in patient status, potential safety concerns, documentation inconsistencies, medication-related concerns, and other findings requiring escalation.
• Maintain ongoing, non-face-to-face contact with patients, authorized representatives, facility staff, and members of the care team when clinically appropriate and permitted.

• Develop and maintain individualized behavioral health care plans in collaboration with the treating provider and interdisciplinary care team.
• Update care plans when a patient’s condition, treatment, medications, screening results, or goals change.
• Assist with coordinating behavioral health services and follow-up recommendations.
• Support brief, evidence-based behavioral health interventions within the employee’s training, licensure, organizational policy, and established clinical protocols.
• Communicate relevant clinical findings and care gaps to providers, facility staff, and clinical leadership.
• Facilitate collaboration among the patient’s medical, behavioral health, and facility-based care teams.

• Prepare organized patient case summaries for review with the psychiatric consultant.
• Participate in scheduled psychiatric case-review meetings, generally lasting approximately 30 minutes.
• Present relevant clinical information, including diagnoses, behavioral symptoms, screening scores, medications, recent changes, treatment response, safety concerns, and barriers to improvement.
• Document psychiatric recommendations accurately and communicate them to the treating provider for review and clinical decision-making.
• Track the implementation and outcome of recommendations and identify patients who may require additional psychiatric review.
• Escalate urgent behavioral health or safety concerns according to established clinical protocols.

• Maintain accurate and current patient information in the CoCM registry and other approved tracking systems.
• Track patient enrollment, outreach, screening results, care-plan updates, psychiatric reviews, provider recommendations, follow-up needs, and patient progress.
• Complete timely, accurate, and compliant documentation of all care-management activities.
• Record time spent performing qualifying CoCM activities in accordance with organizational and billing requirements.
• Ensure documentation supports continuity of care, clinical oversight, quality review, and applicable billing standards.
• Complete assigned patient charts and required psychiatric consultations within established deadlines.