Licensed Practical Nurse, Health Plan Support

Nascentia Health; Verona; Remoto; EUR 10.000 - 30.000; Tempo pieno

Descrizione del lavoro

A health care organization is seeking a Licensed Practical Nurse for Health Plan Support. This fully remote role involves triaging calls, educating health plan members, and coordinating preventative care. Candidates must have an active NY nursing license and at least two years of clinical experience. The position offers a competitive salary of $21.36 - $26.70/hour, along with robust benefits including 401K and tuition reimbursement.

Servizi

401K

Tuition reimbursement

Gym membership

Work/life balance

Paid time off

Disability benefits

Competenze

• Minimum of two years of clinical experience and/or experience in outreach, managed care, case management, or ambulatory settings.
• Proficient in Microsoft Office (Excel, Word).
• Ability to work independently with attention to detail.

Mansioni

• Respond to incoming calls to the Care Manager aiming for one-call resolution.
• Educate and support health plan members regarding preventative care.
• Document all communications in the electronic medical record (EMR).

Conoscenze

Clinical experience

Communication skills

Customer service orientation

Proficient in Microsoft Office

Formazione

Licensed Practical Nurse with current NY licensure

Strumenti

EMR systems such as Mediture/TruChart

Communication tools like Zoom and Microsoft Teams

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 office closest to your location.

Performance Responsibilities and Standards

1. Respond to incoming calls to the Care Manager aiming for one-call resolution or same-day resolution.
2. Assist and consult with members and providers via phone.
3. Gather necessary information for escalation to Care Manager or supervisor.
4. Contact health plan members needing preventative care, including immunizations and health screenings, to provide guidance, education, and support alongside the Care Manager.
5. Review health reports and member records to identify those needing annual wellness visits or preventative care.
6. Schedule and coordinate preventative health care appointments within required timeframes.
7. Arrange transportation for wellness or preventative appointments as needed.
8. Document all communications in the electronic medical record (EMR).
9. Update member records with health maintenance documents from external sources.
10. Collaborate with the Care Management Team if preventative care coordination is unsuccessful.
11. Demonstrate compassion, collaboration, communication, and good judgment in member care.
12. Maintain compliance with quality standards and support members to ensure they feel heard and respected.
13. Manage multiple systems simultaneously.
14. Perform other duties as assigned to support care management.

This position is remote; candidates must reside within Upstate New York.

Qualifications

• Licensed Practical Nurse with current NY licensure and residence in NYS.
• Minimum of two years of clinical experience and/or experience in outreach, managed care, case management, or ambulatory settings.
• Proficient in Microsoft Office (Excel, Word).
• Familiarity with EMR systems like Mediture/TruChart, HealtheConnections, and communication tools like Zoom and Microsoft Teams.

Requirements

• Proficient computer and typing skills.
• Excellent verbal and written communication skills.
• Effective interpersonal skills for interacting 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 at a desk most of the day.
• Sufficient visual and hearing ability for communication.
• Effective verbal and written expression.
• Use of telephone and laptop for communication and data entry.
• Bloodborne Pathogens Exposure Category III.

Salary: $21.36 - $26.70/hour, with benefits including 401K, gym, tuition reimbursement, work/life balance, HSA, recognition programs, PTO, holidays, disability, EAP, and more.

About Nascentia Health

Nascentia Health pioneers in home, post-acute, and community health care, focusing on holistic, patient-centered care in the home to improve outcomes and reduce unnecessary facility visits.

Our employees are our greatest asset. We are committed to our mission of being the premier home and community-based care system. We are an Equal Opportunity Employer. Employment is contingent upon a negative pre-hire drug screen.

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