LPN Care Manager

Join to apply for the LPN Care Manager Full Time role at Ozarks Community Health Center (OCHC)

Ozarks Community Health Center (OCHC) is currently hiring for this position.

This range is provided by Ozarks Community Health Center (OCHC). Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$22.00/hr - $29.00/hr

Strives to provide intensive care coordination and care management and address Social Determinants of Health for a medically complex population. Behaves in a manner consistent with the mission of OCHC and performs other duties as requested. The LPN/RN Case Manager will support the mission of the Ozarks Community Health Center. Our mission is to provide greater access to quality, compassionate, and professional healthcare through our comprehensive health system and community partnerships.

• High School Diploma or equivalent with on-the-job training and demonstration of competency
• Must pass annual competencies

• LPN or RN required
• BLS within 6 months of employment

• One year clinic office experience preferred

• Maintains an up-to-date panel of identified high risk patients in the PCHH programs.
• Collaborates with Care Coordinator and other staff to ensure a monthly touch is completed for all panel patients.
• Develops a care plan with patient-centered goals and action plans for each panel patient.
• Updates care plan at least twice a year and shares Personal Health Plan goals with the patient at every update.
• Frequently communicates and coordinates with providers and other care team members about patient needs, goals, and action plans, including preventive and chronic care.
• Collaborates with Care Coordinator to manage PCHH enrollments and discharges in a timely manner.
• Documents accurate and detailed case management and care coordination notes within the EMR when patient contacts are made.
• Tracks and updates patients’ care gaps and documents efforts to close them.
• Collaborates with other staff to ensure that referrals, patient assistance, and prior authorizations are completed as needed for continuity of care.
• Provides education and resources on medical diseases, treatment, and medications to patients and families, and documents in EMR.
• Helps patients navigate the medical system including pharmacy and insurance.
• Monitors Case Manager workload and assists in handling provider requests.
• Actively participates in program, department, and clinical team meetings and activities.
• Reviews inpatient/ER discharge reports and makes contact with patient within 72 hours of discharge to review follow-up plan and reconcile medication list.
• Works with Care Coordinator to obtain hospital/ER records from outside facilities.
• Assists in care coordination by contacting medical providers and hospitals for admission, discharge, and referral information to share with providers.
• Assists rooming staff with on-the-floor nursing duties as necessary.
• Other duties as assigned.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care