LPN Care Coordinator

LPN Care Coordinator

Location:

Can be located in 4 of our 6 Northern Michigan Counties.

BHH Nurse Care Manager

Full-Time, Non-Union, Non-Exempt

Community-Based position

$22.87 - $24.02 per hour. County will be determined based on applicant location within the tip of Northern Michigan. Contact Human Resources at  for questions regarding location.

• No cost health, dental and vision insurance option
• 14.2% employer paid retirement plan contribution
• Vacation, sick and personal time
• Employer paid disability and life insurance
• Tuition reimbursement programs

Education:

Completion of an LPN/LVN program and current licensure in the State of Michigan required.

Experience:

Minimum of 2 years’ acute care experience in nursing, plus 1 year working with mental health and/or clients with developmental disabilities in a managed care setting preferred. Home care, private duty, or community nursing experience are valued.
Other:
Ability to maintain the competency level as defined within the job classification and specific clinical practice. Ability to communicate professionally; verbally and in writing. The ability to work independently and as a team are essential. Lived experiences with mental illness, intellectual and developmental disabilities, and/or substance use disorders beneficial.

The BHH LPN Care Coordinator (NCC) serves in an expanded health care role to collaborate with Primary Care Providers (PCP), specialists, members of the Interdisciplinary Team, community resource providers, and clients/families to ensure the delivery of quality health care services through intensive care coordination for clients with complex behavioral health and physical health needs. The NCC integrates evidence-based physical, behavioral, and preventative interventions in the development of individualized patient‑centric care plans, with the goal of optimizing the client’s health and wellbeing.

Responsible for supporting the BHH “HATCH” team Nurse Care Manager (NCM) in creating/updating care plans. Functions as a supplemental resource for Community Health Workers (CHW), providing higher‑level nursing oversight and support with client contacts.

• Demonstrates universal precautions, standards of practice including confidentiality, recipient rights and emergency protocol.
• Provides supplemental supervision and program guidance for CHWs.
• Provides care coordination, ensuring seamless transitions between different levels and settings of care, and integrated care between physical and behavioral healthcare providers.
• Assesses the physical, educational, and psychosocial needs of the client and provides referrals as needed.
• Collaborates with the client/family and interdisciplinary team to develop a care plan with comprehensive goals and targeted interventions to promote optimal health and self‑management of health conditions.
• Provides home visits and community contacts as needed.
• Participates in preventative care/health promotion initiatives. Assists in developing, implementing and encouraging HATCH preventative services, screenings, and wellness programs to support client goals.
• Monitors client response to plan of care, revising as indicated.
• Provides client self‑management support with a focus on empowering client and building capacity for self‑care.
• Requests and reviews care records from community providers, coordination with labs, and pharmacies.
• Uses the Electronic Medical Record (EMR) and Health Information Technology (HIT) to link services and facilitate communication among team members.
• Utilizes population health tools (Integrated Health Dashboard) to identify trends for program development.
• Builds and maintains effective relationships with community partners, promoting an integrated approach to health and wellness.
• Maintains required documentation for all care management activities according to organization standards.
• Complies with organization policy, MDHHS, CARF, and Medicaid criteria for clinical documentation for all aspects of the medical record.
• Works with leadership and others to continuously evaluate…