Licensed Practical Nurse, Health Plan

The Licensed Practical Nurse, Health Plan Health Support is integral to the Care Management team to triage calls that need urgent follow-up and resolution and to educate, coordinate, and track preventative care with health plan members.
This is a fully remote position for a Licensed Practical Nurse who holds a current New York State LPN license and resides in Upstate New York. Periodic travel to the Nascentia organizational office closest to your geographic location within New York State will be required.

Performance Responsibilities and Standards

• Respond to incoming calls to the Care Manager with the goal of one call resolution or resolution within the same day.
• Assist and consult members and providers over the phone.
• Gather necessary information if the call needs escalation to Care Manager or supervisor.
• Contacts health plan members who require preventative care, including immunization, health screenings, and recommendations to reduce hospitalizations and improve safety in the home to provide clinical guidance, education, and support in conjunction with Care Manager.
• Review health plan reports and member records to identify members who need appropriate annual wellness visits or preventative health care.
• Schedule and coordinate preventative health care with providers within the required time frames.
• Coordination of necessary transportation for wellness or preventative health appointments.
• Document all communication in health plan electronic medical record.
• Update member’s records in EMR by uploading health maintenance documents from external sources (immunizations, screenings, consultations, etc.).
• Collaborating with Care Management Team if preventative health care coordination efforts are unsuccessful.
• Demonstrate compassion, collaboration, communication, and appropriate member-care judgment.
• Assist in maintaining compliance with quality assurance standards and engage and support members to ensure they feel heard, respected, and involved in their care.
• Ability to move through multiple management systems simultaneously.
• Other duties as assigned to assist in the Care Management of health plan members.
• This is a remote position; however, the LPN must reside within Upstate New York.

Qualifications:

• Licensed Practical Nurse with current NY Licensure and resides in Upstate New York region.
• Two years minimum clinical experience and/or
• Two years minimum experience in an Outreach setting, Managed Care, Case Management, Ambulatory clinic setting, or related field.
• Working knowledge of Microsoft Office applications such as Excel and Word.
• Familiarity with Mediture/Truchart or other EMR systems, Healthe Connections (or other RHIOs) and Zoom, Microsoft Teams.

Requirements:

• Proficient computer and typing skills.
• Excellent verbal and written communication skills with the ability to clearly communicate test results and document legibly.
• Interpersonal skills necessary to interact effectively with patients, team members, and physicians and to maintain team-oriented relationships with senior management, managers, and staff.
• Ability to work efficiently with minimal supervision while exercising attention to detail and independent judgment within stated guidelines.
• Ability to maintain high customer service standards.
• Proficient computer skills and the ability to learn and effectively utilize department-specific software systems.
  
  Ability to effectively perform or learn technical skills to perform essential functions within an allocated time frame.
• Ability to work a flexible schedule as part of a team.

Physical Requirements

• Ability to sit or stand at a desk 90% of the day
• Visual/hearing ability sufficient to comprehend written or verbal communication
• Ability to express self verbally and in…