ChenMed is transforming healthcare for seniors and changing America’s healthcare for the better. The Post Acute Manager, Complex Care (LPN) is responsible for managing post-discharge care for high-need patients, ensuring they receive necessary medical support and education to prevent readmissions and facilitate their transition back to primary care.
Responsibilities
- Under the direction and supervision of a Registered Nurse (RN) provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital
- While conducting a home visit or a center visit with our patient compiles patient health information, takes and records vital statistics, takes blood pressure and conducts other basic care treatments. Records patients' medical history and other information such as test results in the medical record
- Performs 4-day discharge phone call on patients discharged from a hospital, SNF, LTAC within 24-48 hours of discharge
- With a physician order draws blood (phlebotomy) and collects other lab specimens
- Using the medication list provided in our DASH system and approved by the physician to fill pill boxes for patients
- Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks
- Assists patient and family with completion of Medicaid application for support and access to community/financial resources and refer cases to social worker as appropriate
- Assesses the environment of care, e.g., safety and security, using our home safety evaluation form
- Provides education with patient/family on different health concerns using standardize education directed by the Registered Nurse (RN)
- Coordinates the delivery of services to effectively address patient needs
- Visits patient at home under the direction of the patient’s primary care physician to meet urgent patient needed
- Performs other duties as assigned and modified at manager’s discretion
Skills
- High school diploma or equivalent required
- Graduation from a nationally accredited school for practical or vocational nursing required
- Current, active LPN license to practice in state of employment required
- Compact License required
- A minimum of one (1) year of work experience as an LPN required
- Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required within first 90 days of employment
- This position requires possession and maintenance of a current, valid driver's license
- A minimum of three (3) years' overall clinical experience is preferred
- Experience working with geriatric patients is a plus
Benefits
- Comprehensive benefits
- Career development and advancement opportunities
- Great work-life balance
Company Overview
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