Clinical Care Coordinator, LVN

Cypress-Healthcare-Partners; Salinas (CA); On-site; USD 58,000 - 63,000; Full time

Job summary

Cypress Healthcare Partners in Salinas, CA is seeking an LVN Clinical Care Coordinator to engage recently hospitalized patients and ensure follow-up care. You will work with physicians and care managers to address patient needs per policy and routine operations.

The role requires CA LVN licensure, BLS certification, and experience in care management or Medicare/Medi-Cal settings. This is a full-time on-site position at Salinas Valley Health Clinics.

Qualifications

• LVN licensed in California.
• High School diploma or equivalent.
• American Heart Association BLS.
• Experience in LVN care management or Medicare/Medicaid environments; EMR documentation experience.

Responsibilities

• Coordinate transitional care management services.
• Collaborate with physicians to prevent hospital readmissions.
• Maintain documentation of care plans and patient contacts.
• Assist in coordinating referrals to care management resources.
• Provide follow-up communication to ensure treatment adherence.

Skills

Care management

Licensed LVN

AHA BLS

EMR documentation

Education

California LVN license

High School diploma

AHA BLS certification

Tools

EMR system

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Clinical Care Coordinator, LVN

Full Time Technical Salinas, CA, US

3 days ago Requisition ID: 2601

Salary Range: $42.00 To $46.00 Hourly

SUMMARY

Responsible for engaging recently hospitalized patients to ensure appropriate follow up medical care and services are provided. The Clinical Care Coordinator (CCC) also evaluates the patient for referral to care management, coaching or other resources to assist in supporting the patients self-management plan. The CCC collaborates with Physicians, Clinic Medical Assistants and Care Managers to ensure patient’s needs are addressed timely as identified in policy and through general business operations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Includes but not limited to the following:

• Responsible for transitional care management services
• Collaborate with the physicians to prevent unnecessary hospital re‑admissions
• CCC regularly exercises discretion and independent judgement in carrying out job duties and assessing patient need
• Partner with Care Managers in the ongoing improvement, implementation, and evaluation of the Care Management model
• Gain proficiency Salinas Valley Health Clinics’ electronic medical record system and practice management billing system
• Adhere to administrative and assigned practice standards regarding confidentiality.
• Maintain required documentation for all care management activities.
• Provides follow‑up contact with patient as indicated to ensure compliance with provider’s recommendations and treatment plan – medications, lab/x‑ray, specialist visits, PCP visits, dieticians, CDE, etc.
• Manage designated aspects of the patient’s care: referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services
• Responsible for being available to provide telephone advice per protocol, handle urgent calls and emergent calls, appropriately referring to or involving physicians/case managers when appropriate;
• Participates in facilitating patient transitions in the care continuum. Serves as the bridge between consulting physicians, hospitals, ER and other frequently used healthcare resources and the patient and/or family
• Anticipates the needs of the patient, helping ensure the necessary documentation and referral authorizations are completed
• Collaborates with the patient, physician, and other care team members in assessing the patient’s progress toward individual health care goals
• Assesses barriers when patient has not met treatments goals, is not following treatment plan of care, or has not kept important appointments
• Maintains accurate and timely documentation of patient contact, and any mutually agreed upon care plans in the patient’s medical record
• Participates in measuring clinical outcomes, analysis activities, and quality improvement
• Participates in any “integrated population management” initiatives to improve the health status of a particular patient population (e.g., diabetics, asthmatics, smokers, COPD, CHF, etc.)
• Other duties as assigned.

EDUCATION and/or EXPERIENCE

• LVN licensed in California.
• High School diploma or equivalent.
• American Heart Association BLS.
• Experience as an LVN in Care Management or in a Medicare and Medi‑Cal environment (Home health, Skilled Nursing, Physician Office, Clinic, Hospital). Experience with electronic medical record documentation.

PREFERRED

• Knowledge of Monterey County community resources.
• Competent in the concept of an Advanced Medical Home.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

CONDITION OF EMPLOYMENT:

Proof of identity and legal authority to work in the U.S. is a condition of employment. Cypress Healthcare Partners/Salinas Valley Health Clinics will not sponsor applicants for work visas.