LPN Care Coordinator

Overview

Responsibilities

1. Reviews the current population’s medical diagnoses to identify care needs. Assists in assessing the health, functional, and psycho-social status of residents.
2. Coordinates services required to enhance optimum wellness and manage chronic conditions.
3. Collaborates with hospice, palliative, and home health services/therapy as indicated.
4. Participates in collaborative care reviews (CCR) and care conferences.
5. Educates and explains Brookdale’s care pathways as determined by individual diagnosis and healthcare needs and provides advanced care planning education to residents and families/responsible parties. Helps ensure each resident has a completed Advanced Care Plan, inclusive of goals of care. Communicate with healthcare providers to ensure care delivery is consistent with the resident’s Advanced Care Plan(s).
6. Provides resources for residents and families to make informed decisions regarding choices in meeting healthcare needs and effectively champions the benefits of residing and receiving care and services in the community. This includes informing them about opportunities to enhance care and benefits through specialized plans like the IE-SNP, specifically designed for residents with chronic medical conditions.
7. Applies quality improvement methodology to analyze, enhance, and manage outcomes, striving to achieve quality measure goals. Collaborates with HWD and/or RN Care Manager to ensure compliance with service plans, while working with providers to attain value-based outcomes for our residents. This includes coordinating and communicating care for each resident.
8. Communicates information promptly to the appropriate care provider regarding changes in residents’ health/well-being, personal needs, risk management issues, customer service issues, and family, or outside health care provider concerns.
9. Applies quality performance measures, and assist with training and education of teams to ensure quality outcomes for residents. This involves effective communication and collaboration with providers and other healthcare entities, such as managed care coordinators, insurance providers, and external healthcare partners responsible for coordinating resources and supplies pertinent to resident needs.
10. Complete documentation as required by Brookdale or state regulatory agencies.

Qualifications

• Graduate from an accredited LPN program and has successfully passed the state licensing test.
• Knowledge of value-based care models is preferred.
• Experience working in SNF and HH environments is a preferred.
• Previous Care Management, Case Management, or Care Coordination preferred.

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Stoop, kneel, crouch, or crawl
• Talk or hear
• Taste or smell
• Ability to lift: up to 50 pounds
• Vision
• Requires interaction with co-workers, residents or vendors
• Occasional weekend, evening or night work if needed to ensure shift coverage
• On-Call on an as needed basis
• Possible exposure to communicable diseases and infections
• Potential injury from transferring, repositioning, or lifting residents
• Exposure to latex
• Possible exposure to blood-borne pathogens
• Possible exposure to various drugs, chemical, infectious, or biological hazards
• Subject to injury from falls, burns, odors, or cuts from equipment
• Requires Travel: Frequently
• Requires Driving: Drives self (Tier 2)

Salary Range Information