LPN Patient Navigator

Areaagingsolutions; North Olmsted, Northern (OH, KY); Hybrid; USD 31,000 - 44,000; Full time

Benefits offered by this job

Six weeks PTO

Thirteen paid holidays

Professional development funds

401K with company match

Mileage reimbursement

Medical, dental, vision insurance

Job summary

Western Reserve Area Agency on Aging seeks a dedicated LPN Patient Navigator for MyCare Ohio CareSource. You will provide superior service through in-home visits, data collection, and coordination with Waiver Service Coordinators.

Responsibilities include monitoring home modifications, emergency outreach, claims review, and care plan reconciliation. The role involves facilitating referrals for services, documenting accurately, and collaborating with teams to ensure high-quality care for members

Qualifications

• Current licensure as a Licensed Practical Nurse with the Ohio Board of Nursing.
• One year of experience with individuals with physical or behavioral health disabilities in home health, medical, or behavioral health settings.
• Valid Ohio driver's license and auto liability insurance.
• Ability to travel within the 5-county WRAAA region.
• Proficient in documenting in electronic files and basic office equipment.

Responsibilities

• Perform member visits at home or other locations to meet Care Management schedules.
• Document HRA and quarterly visits and coordinate with Waiver Service Coordinators.
• Liaise with Waiver Service Coordinator staff and providers.
• Monitor home modification progress and client satisfaction via home visits.
• Triages calls with Waiver Service Coordinator Supervisor and provide in-office telephone coverage.
• Assist with Emergency Response Outreach during weather events or emergencies.
• Complete claims review and reconcile care plans and services.

Skills

Interpersonal skills

Written communication

Organizational skills

Time management

Independent work

Cultural sensitivity

Attention to detail

Adaptability

Education

LPN license (Ohio)

Job description

Job Details

• Job Location: Corporate - North Olmsted, OH 44070
• Position Type: Full Time
• Education Level: License - LPN
• Salary Range: $27.30 Hourly
• Reports to: Program Supervisor
• FLSA Status: Non-Exempt

Dedicate yourself to an Organization and Mission you can be proud of by joining the Western Reserve Area Agency on Aging!

Our Mission:

We provide choices for people to live independently in the place they want to call home.

About Us:

Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation located, organized, and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain, and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for Ohioans to receive needed home and community services and supports; and to age successfully in their own homes and communities.

WRAAA's core values:

• Quality:Providing the highest quality of care management and unsurpassed services that together deliver premium value to our consumers.
• Efficiency:Optimal use of resources to provide the maximum level of care for our consumers, as well as the best experience for our employees.
• Collaboration:Positive interactions among and between all staff, consumers, and stakeholders with the underlying values of the 3Cs—courtesy, compassion, and competence.
• Safety:The safety of our consumers and employees in their homes, in the office, and in the community.

Candidates we love…

• Self-motivated and compassionate professionals looking to be part of a Best-in Class organization
• Team players who are committed to providing superior service to all they serve
• Enthusiastic professionals excited to grow with an organization that values dedication, innovation, and collaboration.

What our staff loves about us…

• A generous six week PTO program and thirteen paid holidays
• An investment in professional development through a substantial, annual training funds allotment
• A 401K program with company match
• Mileage reimbursement
• Medical, Dental, Vision Benefits and so much more

Position Summary:

TheLPN Patient Navigatorfor MyCare Ohio CareSource is a highly motivated and compassionate professional responsible for providing superior service to members through in-home visits, data collection, and collaboration with Waiver Service Coordinators. This role involves monitoring home modifications, conducting emergency outreach, claims review, and service plan reconciliation, as well as facilitating referrals for requested services.

Job Duties:

• Performs member visits at home or other community locations to meet contractual obligations of Care Management Contact Schedules.
• Data gathering of HRA and quarterly visits; collaborate with WSC and document per requirements.
• Acts as a liaison with Waiver Service Coordinator staff and providers.
• Monitors the progress of home modifications through completion and obtaining satisfaction with modification via a home visit.
• Provides in-office telephone coverage and triaging with Waiver Service Coordinator Supervisor regarding the disposition of calls.
• Assists with completing Emergency Response Outreach to members at the request of the MCO during weather events or other emergency situations.
• Completes claims review of members services, including follow up with members and providers when discovery is made of any discrepancy between services authorized and delivered.
• Completes reconciliation of members’ Service Plans, including entering of Care Manager authorized services.
• Completes referrals to providers of services requested by member.
• Management of various spreadsheets or reports required by the MCO or internal management staff.
• Assists in the review of electronic files per the direction of supervisor.
• All staff have the responsibility and authority to propose new ways to improve quality and to fully participate in quality improvement efforts.
• Performs other duties as assigned.

Qualifications

• Current licensure as a License Practical Nurse with the Ohio Board of Nursing.
• At least one year of experience working with individuals with physical or behavioral health disabilities in a home health care, medical, or behavioral health environment is required.
• Must have a current valid Ohio driver’s license, proof of auto liability insurance.
• Must be able to travel in own personal vehicle within the 5-county WRAAA region during work hours.
• Ability to accurately and timely document in members’ electronic files.
• Knowledge of use of general office equipment and computer skills.
• Proficiency in interviewing skills, listening, and excellent interpersonal skills.
• Excellent written communication skills with the ability to complete documentation in grammatically correct format.
• Strong organization skills with the ability to prioritize.
• Ability to work independently within the team structure.
• Flexibility to adjust to variations in the work environment.
• Ability to work with multi-cultural members and experience with an interpreter.
• Knowledge of medical terminology and basic disease processes.
• Comfortable in going into members’ homes, hospitals, and nursing facilities.
• Must be detail oriented, have excellent interpersonal communication skills and the ability to work effectively with others.

The Agency is committed to providing equal employment and advancement opportunities to all. Employment decisions are made based on each person’s performance, qualifications, and abilities. The Agency does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, sex, national origin, age, disability status, health status, genetic information or ancestry, protected veteran status, sexual orientation, gender identity or expression, or any other protected characteristic.

Western Reserve Area Agency on Aging’s Equal Employment Opportunity policy covers all aspects of employment practices, including selection, job assignment, compensation, discipline, termination, and access to benefits and training.