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LPN Case Manager

Pride Health
Full-time
On-site
Orlando, Florida, United States
1 week ago Be among the first 25 applicants
This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $29.00/hr - $32.00/hr
Direct message the job poster from Pride Health
Pride Health is hiring an Clinic LPN Case Manager in Orlando, FL! (Contract)
Schedule : Monday-Friday (8am-5pm)
Contract : 4 months contract
Pay Rate : $29-32/hour
Specific Duties:
Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Prioritizes patient care needs upon initial visit and addresses emerging issues
Meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program
Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
Consults with physician and other team members to ensure that care plan is successfully implemented
Coordinates treatment plans with the care team and triages interventions appropriate to the skill set of the team members
Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes
Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self-management
Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care
Works in coordination with the care team and demonstrates accountability with patient management and outcome
Discusses Durable Power of Attorney (DPoA) and advanced directive status with PCP when applicable
Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients and families
Provides accurate information to patients and families regarding plan benefits, community resources, referrals and other related issues
Documents pertinent patient information in Electronic Health Record and FOCUS as appropriate
Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports
Adheres to departmental policies and procedures as approved by Best Practice Committee and QMOC (Quality Medical Oversight Committee)
Must have qualifications/experience:
Active LPN License
IV Certification
BLS Certification
Care management, utilization review or discharge planning experience
Knowledge of HIPAA regulations
Proven ability to explain medical instructions to patients and their families
HMO experience and Bilingual is a plus
Apply for this role with Pride Health!
“Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto home insurance, pet insurance, and employee discounts with preferred vendors."
Seniority level Seniority level Associate
Employment type Employment type Contract
Job function Job function Health Care Provider
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Pride Health by 2x
Inferred from the description for this job Medical insurance
Vision insurance
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