Pay Range $20.25 - $28.34 Schedule Information Scheduled Weekly Hours: 40 Work Shift: M, W, Th, F, 6a-4:30p
Find Your Golden Opportunity at Golden Valley Memorial Healthcare Join a team where compassion, excellence, and connection guide everything we do. At Golden Valley Memorial Healthcare, you're more than an employee. You're a valued member of a supportive organization that invests in your growth, encourages professional development, and empowers you to make a meaningful difference in the lives of our patients and communities every day.
What You'll Do
- Collaborate with providers, care teams, and departmental staff to identify, manage, and support high-risk patients across the continuum of care.
- Meet with hospitalized patients, as appropriate, to assess discharge needs, provide education, and facilitate a safe transition of care.
- Conduct readmission risk assessments and follow-up evaluations for patients discharged within the previous 30 days to identify opportunities for intervention and improved outcomes.
- Assist providers in identifying patients at moderate to high risk for readmission and implementing strategies to reduce avoidable hospitalizations.
- Perform post-discharge outreach calls to assess patient status, reinforce discharge instructions, identify barriers to care, and coordinate necessary follow-up services.
- Maintain timely, accurate, and professional communication with patients, providers, care teams, and other internal and external stakeholders to support safe, high-quality patient care.
- Manage daily worklists and assigned care coordination activities, ensuring appropriate follow-up, documentation, and communication.
- Support compliance with Rural Health Clinic (RHC), Joint Commission, and other applicable regulatory and accreditation standards.
- Participate in payer-sponsored quality initiatives, meetings, and educational programs as assigned.
- Perform chart abstraction, quality data collection, reporting, and data submission activities to support quality improvement and performance initiatives.
- Document care coordination activities accurately and timely within the electronic health record and other applicable systems.
- Assist with quality improvement efforts focused on enhancing patient outcomes, closing care gaps, and improving population health measures.
What You'll Bring
- Current Licensed Practical Nurse (LPN) licensure.
- Strong communication and interpersonal skills.
- Ability to coordinate care across multiple settings and providers.
- Knowledge of chronic disease management and care coordination principles.
- Commitment to patient-centered care and quality outcomes.
- Strong organizational and time-management abilities.
Preferred Qualities
- Care coordination or case management experience.
- Population health experience.
- Ambulatory or primary care experience.
- Experience working with high-risk patient populations.
- Knowledge of value-based care initiatives and quality measures.
What Success Looks Like
- Improve patient outcomes through effective care coordination and follow-up.
- Reduce avoidable hospital readmissions and gaps in care.
- Support successful transitions from hospital to home and other care settings.
- Enhance patient engagement, education, and self-management.
- Maintain accurate documentation and quality reporting.
- Strengthen communication among patients, providers, and care teams.
- Support population health and quality improvement initiatives.
- Consistently demonstrate GVMH's Behaviors of Excellence.
Why Join Us
- Meaningful impact on patient outcomes and quality of life.
- Collaborative team-based care environment.
- Professional growth and development opportunities.
- Opportunity to build strong patient relationships.
- Mission-driven culture focused on serving our communities.
Physical Requirements
- Frequent communication with patients, providers, and care teams.
- Computer-based documentation and reporting activities.
- Periodic patient visits and care coordination activities.
Education, Certifications & Licensure
- Current Licensed Practical Nurse (LPN) licensure required.
- Experience in healthcare, care coordination, or population health preferred.
- Current Basic Life Support (BLS) certification preferred.
- Continuing education and competency requirements maintained as required.
Benefits That Support You
- Competitive pay and opportunities for additional incentives
- Generous paid time off and a focus on work-life balance
- Medical, dental and vision coverage
- Retirement benefits with employer contributions
- Tuition assistance to help you continue your education
- Career growth, leadership development and advancement opportunities
- Support for professional development and continuing education
- Employee recognition programs and a culture that values your contributions.
The Golden Valley Memorial Healthcare Difference Benefits That Support You At Golden Valley Memorial Healthcare, we offer benefits and opportunities that support your well-being, growth and long-term goals. Competitive pay and opportunities for additional incentives Generous paid time off and a focus on work-life balance Medical, dental and vision coverage Retirement benefits with employer contributions Tuition assistance to help you continue your education Career growth, leadership development and advancement opportunities Support for professional development and continuing education Employee recognition programs and a culture that values your contributions.