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Value Based Transitional Care Coordinator LPN

Company: Ambercare
Location: Albuquerque
Posted on: May 15, 2022

Job Description:

Job Description Ambercare is hiring Since 1979, Addus HomeCare (the parent company of Ambercare) has served families at home, providing quality in-home supportive services to elderly and younger persons with disabilities. Our approach is simple: We provide great care and we pay attention. It is our primary mission to improve the health and well-being of our patients through the provision of quality, cost-effective health care services. Early identification leads to early intervention. Early intervention leads to lower health care cost and a dramatic increase in quality of life for our patients. Why Ambercare? Flexible schedules that allow for work/life balance with 17 paid days off, discount programs and employee perks Gratifying one-on-one work with patients in the comfort of their homes Benefit packages include medical, dental, vision, life insurance, disability and 401k match P OSITION S UMMARY : The Transitional Care Coordinator assists the Regional VP of Operations, local Branch and State Directors and SVP of Payer Innovations to implement, oversee and support Value Based products and product changes throughout a defined geography. In this role, the Transitional Care Coordinator will clinically manage clients enrolled in value based programs and works closely with all involved departments including local operations, the Health Engagement team, Support Center and Corporate personnel. The Transitional Care Coordinator will work as a facilitator between the various internal departments to ensure product policy and processes are documented, and executed accurately and will serve as the front line clinical support including performance of home visits. The Transitional Care Coordinator will also be responsible for collecting, processing and reporting data to internal and external customers. The Transitional Care Coordinator will identify requirements for product implementation and will be responsible for pre-empting potential problems and working with the team to develop effective solutions. E SSENTIAL D UTIES : Receive incoming calls/referrals for clients enrolling in value based programs and maintain accurate lists of enrolled clients Coordinate or perform an initial in home visit with enrolled clients Ensure completion of a medication reconciliation for all enrolled clients Perform regular check in calls to clients regarding care plans and scheduled follow up Perform telephonic or in person training to clients on their medical conditions, medications and care plans Work with client to identify gaps in in-home care and refer client for home health, hospice or in home physician services as needed. Identify additional local resources to assist client with clinical and social issues such as local paramedical services, urgent care centers, non-emergent transportation, pharmacy resources, etc. Develop relationships with extended services and refer clients as necessary Prepare and deliver regular summary communication with clients Primary Care Provider Receive and document Change in Condition calls from the health engagement team and direct care staff Review and verify Change in Condition reports from Electronic Visit Verification and other electronic systems, perform follow up as necessary Evaluate Change in Condition information for additional follow up Coordinate and build strong working relations with various internal departments Work with corporate resources to participate in the development and implementation of specialized training on new products launched and raise awareness of programs with local operations and direct care staff Monitor internal processes for efficiency and validity pre & post product launch/changes. Manage data flow from operations and report outcomes to internal and external customers P ERFORMANCE R ESPONSIBILITIES: Maintains a high degree of confidentiality at all times due to access to sensitive information Follows all Medicare, Medicaid, and HIPAA regulations and requirements Abides by all regulations, policies, procedures and standards Maintains positive internal and external customer service relationships Maintains open lines of communication Plans and organizes work effectively and ensures its completion Meets all productivity requirements Demonstrates team behavior and promotes a team-oriented environment Represents the organization professionally at all times Able to Communicate information in an accurate, concise and timely manner. Accepts assignments and extra duties with flexibility and willingness to participate in activities other than direct patient care. Able to perform and manage multiple tasks and projects simultaneously Strong proficiency with Word, Excel, PowerPoint, and Outlook Able to widely distribute, compile, track, and monitor large amounts of data in a clear and concise manner. Proficient in multiple software programs P OSITION R EQUIREMENTS & C OMPETENCIES: Current LPN or RN license Previous Experience in home care and home health. Knowledge of managed home healthcare is preferred Candidate must possess excellent verbal and written skills Solid computer proficiency in Microsoft Office including Excel and web based application Committed to exceptional customer service and meeting customer needs Ability to complete tasks in a multi-phased, fast-paced environment Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. LI-176407826_LS1 To apply via text, text 1104 to (334) 518-4377

Keywords: Ambercare, Albuquerque , Value Based Transitional Care Coordinator LPN, Healthcare , Albuquerque, New Mexico

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