Current job opportunities are posted here as they become available.
Subscribe to our RSS feeds to receive instant updates as new positions become available.
Licensed Practical Nurse, Health Plan Support
The Licensed Practical Nurse, Health Plan Support is a vital part of the Care Management team, responsible for triaging calls requiring urgent follow-up, educating, coordinating, and tracking preventative care with health plan members. This is a fully remote position with periodic travel to the office closest to your location.
Performance Responsibilities and Standards
- Respond to incoming calls to the Care Manager aiming for one-call resolution or same-day resolution.
- Assist and consult with members and providers over the phone.
- Gather necessary information for escalation to Care Manager or supervisor.
- Contact health plan members needing preventative care, including immunizations and screenings, providing clinical guidance, education, and support.
- Review health reports and member records to identify those needing annual wellness visits or preventative care.
- Schedule and coordinate preventative health care with providers within required timeframes.
- Arrange transportation for wellness or preventative appointments as needed.
- Document all communications in the electronic medical record (EMR).
- Update member records with health maintenance documents from external sources.
- Collaborate with the Care Management Team if preventative care coordination is unsuccessful.
- Demonstrate compassion, collaboration, and effective communication.
- Maintain compliance with quality standards and support members to ensure they feel heard and respected.
- Manage multiple systems simultaneously.
- Perform other duties as assigned to support care management.
This position requires residing within Upstate New York.
Qualifications
- Current NY Licensed Practical Nurse license and residence in NYS.
- Minimum of two years clinical experience or related field experience in outreach, managed care, case management, or ambulatory clinics.
- Knowledge of Microsoft Office applications.
- Familiarity with EMR systems like Mediture/TruChart and RHIOs such as HealtheConnections.
Requirements
- Proficient computer and typing skills.
- Excellent verbal and written communication skills.
- Strong interpersonal skills for effective interaction with patients, team members, and physicians.
- Ability to work independently with attention to detail.
- High customer service standards.
- Ability to learn and use department-specific software.
- Flexible schedule and team-oriented work approach.
Physical Requirements
- Ability to sit or stand for most of the day.
- Sufficient visual/hearing ability for communication.
- Effective verbal and written expression.
- Use of telephone and laptop for communication and data entry.
- Bloodborne Pathogens Exposure Category III (rare contact).
Salary Range: $21.36 - $26.70/hour. Benefits include 401K, on-site gym, tuition reimbursement, work/life balance, HSA, recognition platform, PTO, holidays, disability, EAP, and more.
About Nascentia Health
Nascentia Health is a leader in home and community-based healthcare, focusing on holistic, patient-centered care. We serve people in their homes to improve outcomes and avoid unnecessary visits to healthcare facilities. Our employees are our greatest asset, committed to our mission of excellence in care.
Nascentia Health is an Equal Opportunity Employer (EOE). Employment is contingent upon a negative pre-hire drug screen.