Licensed Practical Nurse-4

musc; South Carolina; Presencial; USD 30 000 - 47 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Dental insurance

Vision insurance

Life insurance

Employer Sponsored Retirement Plan

Paid time off

Extended sick leave

Paid Parental Leave

Disability insurance plan options

Continuous professional and clinical培训

Competitive pay

Annual Merit Increase

Wellbeing resources

Tuition Reimbursement

Employee perks and discounts

Flexible schedule options

Certification incentive program

Resumo da oferta

MUSC Community Physicians seeks an LPN Care Team Member to conduct Chronic Care Management outreach for patients with multiple chronic conditions. This role supports ongoing care coordination to improve outcomes and reduce hospitalizations through structured monthly outreach and care plan management.

You will engage patients by education, timely follow-up, medication adherence support, and coordination of services, while documenting interactions in the EHR and collaborating with care teams.

Qualificações

• Active LPN licensure in good standing (SC preferred).
• BLS certification if required by role.
• Experience in care coordination, ambulatory care, or chronic disease management preferred.
• Ability to work with high-risk/chronic condition populations preferred.

Responsabilidades

• Conduct monthly telephonic outreach to CCM patient panel.
• Complete at least 20 minutes of non–face-to-face care management per patient per month.
• Make at least two outreach attempts for patients not reached.
• Assess patient status and changes in condition or care needs.
• Review and reinforce individualized care plans and patient goals.
• Support medication adherence and identify potential concerns.
• Identify barriers to care and assist with scheduling when needed.
• Escalate clinical concerns per workflow standards.
• Document interactions accurately in the EHR and track time for billing.
• Collaborate with providers and community resources to ensure continuity of care.

Conhecimentos

Strong communication

Interpersonal skills

Assess patient needs

Care coordination

Time management

Independence

Formação académica

LPN licensure

Ferramentas

Epic Systems

Descrição da oferta de emprego

Job Description Summary

The LPN Care Team Member is responsible for conducting Chronic Care Management (CCM) outreach to patients with two or more chronic conditions. This role supports ongoing care coordination, improves patient outcomes, reduces avoidable hospitalizations and emergency department utilization, and promotes patient engagement through structured monthly outreach, education, care plan management and promotes patient well-being through timely follow-up, education, and coordination of services.

Entity

MUSC Community Physicians (MCP)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC005802 MCP - Population Health Transitional Care Management (TCM)

Pay Rate Type

Hourly

Pay Grade

Health-25

Scheduled Weekly Hours

40

Job Description

Chronic Care Management (CCM)

Key Responsibilities

• Conduct monthly telephonic outreach to assigned CCM patient panel
• Complete a minimum of 20 minutes of non–face-to-face care management services per patient per calendar month
• Perform at least two outreach attempts for patients not reached
• Assess patient status, including changes in condition, symptoms, or care needs
• Review and reinforce individualized care plans and patient goals
• Support medication adherence and identify potential medication concerns
• Identify and address barriers to care (e.g., transportation, access to medications, social needs)
• Assist with scheduling appointments when clinical evaluation is needed
• Escalate clinical concerns to appropriate clinical support staff or providers per workflow standards
• Document all interactions accurately in the electronic health record (EHR) and track time for billing compliance
• Collaborate with providers, care teams, and community resources to ensure continuity of care

Care Coordination & Patient Engagement

• Provide education on chronic disease management and preventive care
• Encourage patient participation in primary care and adherence to treatment plans
• Monitor for signs of deterioration and elevate concerns appropriately
• Support transitions of care when applicable
• Promote patient self-management and engagement in their health

Required Skills & Competencies

• Strong communication and interpersonal skills
• Ability to assess patient needs and apply clinical judgment appropriately
• Proficiency in EHR documentation and care coordination workflows (experience with Epic Systems preferred)
• Knowledge of chronic disease management and population health principles
• Ability to manage a high-volume patient panel efficiently
• Strong organizational and time management skills
• Ability to work independently within established workflows and SOPs
• Ability to appropriately route communication to providers vs. clinical support teams

Qualifications

• Active LPN licensure in good standing (South Carolina preferred)
• BLS (Basic Life Support) certification (if required by role)
• Prior experience in care coordination, case management, ambulatory care, or chronic disease management preferred
• Experience working with high-risk or chronic condition populations strongly preferred

Benefits

• Health, dental, vision, and life insurance
• Employer Sponsored Retirement Plan
• Paid time off and extended sick leave
• Paid Parental Leave
• Disability insurance plan options
• Continuous professional and clinical training
• Competitive pay
• Annual Merit Increase
• Wellbeing resources
• Tuition Reimbursement
• Employee perks and discounts
• Employee referral program
• Flexible schedule options
• Certification incentive program

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees