Licensed Practical Nurse, Health Plan Support

Nascentia Health; Trentino-Alto Adige; Remoto; EUR 10.000 - 30.000; Tempo pieno

Descrizione del lavoro

A healthcare provider is seeking a Licensed Practical Nurse for Health Plan Support to work remotely while coordinating preventative care for members. The role includes triaging calls, documenting communications, and ensuring compliance with quality standards. Candidates should be licensed in NY with clinical experience. The position offers a competitive hourly salary and various benefits including tuition reimbursement and paid time off.

Servizi

401K

Gym membership

Tuition reimbursement

Paid time off

Competenze

• Minimum of two years clinical experience or experience in outreach, managed care, case management.
• Familiarity with Zoom and Microsoft Teams.

Mansioni

• Respond to incoming calls resolving issues in one call or same day.
• Assist and consult with members and providers over the phone.
• Schedule and coordinate preventative care appointments.

Conoscenze

Excellent verbal and written communication skills

Strong interpersonal skills

Proficient computer and typing skills

Ability to work independently

Formazione

Licensed Practical Nurse with current NY licensure

Strumenti

Microsoft Office applications

EMR systems like Mediture/Truchart, HealtheConnections

Descrizione del lavoro

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Licensed Practical Nurse, Health Plan Support

The Licensed Practical Nurse, Health Plan Support is an integral 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 nearest office based on your location.

Performance Responsibilities and Standards

• Respond to incoming calls with the goal of resolving issues in one call or within the same day.
• Assist and consult with members and providers over the phone.
• Gather information for escalation to Care Manager or supervisor when needed.
• Contact members requiring preventative care, including immunizations and health screenings, providing guidance and education to reduce hospitalizations and enhance safety at home.
• Review health reports and member records to identify those needing wellness visits or preventative care.
• Schedule and coordinate preventative care appointments within required timeframes.
• Arrange transportation for wellness or preventative appointments when necessary.
• 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, communication, and sound member-care judgment.
• Support compliance with quality standards and engage members to ensure they feel heard and respected.
• Manage multiple management systems simultaneously.
• Perform other duties as assigned to support care management efforts.

Note: This position requires residence within Upstate New York.

Qualifications

• Licensed Practical Nurse with current NY licensure and residence in NYS.
• Minimum of two years clinical experience or experience in outreach, managed care, case management, or related fields.
• Proficiency with Microsoft Office applications such as Excel and Word.
• Familiarity with EMR systems like Mediture/Truchart, HealtheConnections, Zoom, and Microsoft Teams.

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 utilize department-specific software.
• Flexible schedule and team-oriented work approach.

Physical Requirements

• Ability to sit or stand for 90% of the day.
• Sufficient visual and hearing ability to comprehend communication.
• Effective verbal and written expression.
• Use of telephone and laptop for communication and data entry.
• Bloodborne Pathogens Exposure Category III (rare contact with blood and body fluids).

Salary: $21.36 - $26.70/hour (H07 non-exempt), with benefits including 401K, gym, tuition reimbursement, HSA, recognition programs, paid time off, and more.

About Nascentia Health

Nascentia Health leads in home, post-acute, and community health care, focusing on holistic, patient-centered care in the comfort of patients' homes. We are committed to innovation and excellence, with a dedicated team working towards our mission of being the premier home and community-based care provider. We are an Equal Opportunity Employer. Employment is contingent upon negative drug screening results.