Hybrid LPN Case Manager — Discharge & Care Coordination

National Jewish Health; Denver (CO); Hybrid; USD 38.000 - 50.000; Vollzeit

Benefits dieser Stelle

Comprehensive Medical Coverage

Paid Time Off

Tuition Reimbursement

Retirement Savings

Wellness Incentives

PSLF eligible employer

Zusammenfassung

National Jewish Health is seeking an LPN Case Manager to support safe hospital-to-home transitions, coordinating home health services, IV therapy, and equipment while addressing housing, food access, and medication affordability. You will work with RNs, social workers, providers, and community partners to ensure seamless, patient-centered discharge planning and resource connections.

The role emphasizes collaboration, documentation in Epic, adherence to CMS/JCAHO rules, and ongoing quality

Qualifikationen

• LPN License required.
• 2 years of LPN experience; case management/discharge planning a plus.
• Experience coordinating home health services and community resources preferred.
• Ability to address social determinants of health.

Aufgaben

• Coordinate discharge services including home health care, home IV therapy, durable medical equipment, and transportation arrangements.
• Assess and address social determinants of health, including housing instability, food insecurity, medication affordability, and access to community resources.
• Collaborate with nurses, physicians, social workers, home health agencies, infusion providers, and community partners to ensure coordinated, patient-centered care.
• Participate in interdisciplinary care planning, document care coordination activities, and support compliance with regulatory and organizational standards.
• Coordinate home health services, including outpatient services, nursing, PT/OT/SLP, and supportive care.
• Arrange home IV therapy, including communication with infusion companies and verification of discharge readiness.
• Identify potential barriers to discharge and elevate concerns to the RN or provider.
• Screen patients for housing instability, food insecurity, transportation barriers, and medication and co-pay assistance programs.
• Connect patients and families with community resources, shelters, food banks, housing programs, Medicaid/financial assistance, and medication assistance programs.
• Coordinate transportation through insurance benefits, ride-share partnerships, non-emergent medical transport, or community programs.
• Serve as a liaison between the healthcare team, home health agencies, pharmacies, infusion companies, and community partners.
• Participate in interdisciplinary rounds to update the team on patient needs, progress, and barriers.
• Document coordination activities and resource referrals in Epic.
• Ensure all discharge arrangements comply with CMS, Joint Commission, insurance, and hospital policies.
• Participate in performance improvement projects and ongoing education related to case management and Social Determinants of Health.

Kenntnisse

Case management

Care coordination

Discharge planning

Home health coordination

Social determinants of health

Epic documentation

Ausbildung

Licensed Practical Nurse (LPN)

Tools

Epic

Jobbeschreibung

National Jewish Health is seeking an LPN Case Manager to support safe hospital-to-home transitions, coordinating home health services, IV therapy, and equipment while addressing housing, food access, and medication affordability. You will work with RNs, social workers, providers, and community partners to ensure seamless, patient-centered discharge planning and resource connections.

The role emphasizes collaboration, documentation in Epic, adherence to CMS/JCAHO rules, and ongoing quality