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Job Details

Requisition Number 18-0185
Post Date 10/10/2018
Title Licensed Practical Nurse
FT/PT FT
Location Summit Strategic Solutions
City Knoxville
State TN
Description

About Summit Medical Group

Summit Medical Group is East Tennessee’s largest primary care organization with more than 300 providers at  60 practice locations in 14 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, three express clinics, central laboratory and sleep services center, as well as Summit Inpatient Services, which delivers superior care for hospitalized patients. Summit provides healthcare services to more than 260,000 patients, averaging over one million encounters annually. For more information, visit www.summitmedical.com.

About Our Career Opportunity

Summit Strategic Solutions (a division of Summit Medical Group)  is seeking Licensed Practical Nurses (LPN) as Care Coordination Nurse Navigators  to provide support for transition care follow up, contributing information for care plan development and implementation of the established plan of care, data entry/tracking and coordination of care in regards to specific patient populations, identified as high risk. As a member of the Care Coordination team, the Licensed Practical Nurses (LPN)-Care Coordination Nurse Navigator  will participate in patient outreach in accordance with the established plan of care to meet patient goals. This position is full time with flexible hours.

EXAMPLES OF DUTIES: (list does not include all duties assigned)

  • Under the supervision of the Regional RN Team Leader, contacts and tracks patient progress for the purpose of achieving established Care Coordination goals.  This may include contacting patients via telephone, email and/or direct mailings to stress the clinical importance of following the established treatment plan.
  • Validates data for various disease registries and conveys this information to the Care Coordination team.
  • Assess clinical information via the electronic medical record for case finding regarding referrals to care coordination. 
  • Identify SMG patient’s with the potential for high risk complications and coordinate the appropriate referral to the care coordination team.
  • Assist the Regional RN Team Leader/Social Worker with the coordination of institutional facilities as necessary to facilitate access to physical health and/or behavioral health services needed by the SMG patient and to help ensure the proper management of the patient’s acute and/or chronic physical health or behavioral health conditions.
  • Assist the Care Coordination team with the implementation and follow up of the care plan
  • For transition care, if appropriate, will facilitate the coordination of services necessary to safely transition the patient to the community, including, but not limited to, member needs related to housing, transportation, availability of caregivers, and other transition needs and supports.
  • Act as an advocate for an individual's health care needs by identifying and communicating any barriers to a safe transition and strategies to overcome those barriers.
  • With guidance from the Regional RN Team Leader and assistance from the social worker, facilitates patient understanding of the physician’s treatment plan, including but not limited to medication adherence, preventive care, and self management skills.
  • Act as an advocate for an individual's health care needs by identifying and communicating opportunities for care intervention that have been established by the Regional RN Team Leader, including identifying and addressing gaps in care.
  • Utilize criteria for authorizing appropriate home and community based services, obtain authorization for those services, if needed, and confirm those services are being provided and that members' needs are being met.
  • Assists with the management of critical transitions, such as hospital discharge planning.
  • Maintain appropriate and ongoing communications, as necessary, and collaborations with patients, seeking guidance from the assigned Regional RN Team Leader should any changes/modifications be needed in the treatment plan.
  • Provide assistance in resolving concerns about service delivery or providers.
  • Assist with record attainment and ensuring coordination of SMG patient’s primary care provider, specialists, and other providers and care programs to facilitate the comprehensive, holistic, person-centered approach to care.
  • Working under the direction of the Regional RN Team Leader, assess, through follow up and monitoring, the patient’s status, needs, and progress; if progress is static or regressive, convey this information to determine reason and proactively encourage appropriate adjustments in their plan of care, providers and/or services
  • Report quantifiable impact, quality of care, and/or quality of life improvements as measured against the care coordination goals
  • Establish working relations with referral sources, community resources, and care providers.
Requirements

EDUCATION: Graduate of board approved Licensed Practical Nursing program.

EXPERIENCE: Minimum of 2 years of experience in clinical or administrative role in medical organization. Prior experience with quality reporting, disease management, population health management, or other related health care environments. Experienced in Windows and Microsoft.

LICENSE/CERTIFICATION: Active, unencumbered state TN LPN license. Valid driver's license.

 

 

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