Licensed Practice Nurse - Chronic Care Management - St Louis Medical Clinic
Location: St. Louis, MO
Job Type: full-time
Company: Aledade
Category: Non-Provider
Job Description Apply Now
Job Title: Licensed Practical Nurse (LPN) - Chronic Care Management Full Time
The LPN in Chronic Care Management is a healthcare professional responsible for providing and coordinating care for patients with chronic conditions. This role is crucial in improving the health outcomes of our patient population.
Responsibilities:
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Provide 20 minutes or more of chronic care management services per patient per 30-day period.
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Ensure access to CCM services, giving patients a way to make timely contact with healthcare providers to address urgent chronic care needs.
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Ensure continuity of care with a designated practitioner or member of the care team, and facilitate successive appointments with them.
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Manage care transitions between and among healthcare providers and settings.
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Coordinate with home and community-based clinical service providers as appropriate.
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Offer enhanced opportunities for the patient and any relevant caregiver to communicate with the care team.
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Conduct systematic assessments of the patient’s medical, functional, and psychosocial needs.
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Implement system-based approaches to ensure timely receipt of all recommended preventive care services.
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Oversee medication reconciliation with a review of adherence and potential interactions, and manage patient self-management of medications.
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Create a patient-centered care plan document to assure care is provided in a way that is compatible with patient choices and values, and provide a written or electronic copy of the care plan to the patient.
Qualifications:
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Valid LPN license.
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Experience in chronic care management is preferred.
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Strong communication and interpersonal skills.
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Ability to work in a team and coordinate with various healthcare providers.