Nurse Integrated Care Coordinator

Seven Counties; Louisville (KY); On-site; USD 42,000 - 52,000; Full time

Job summary

Seven Counties in Kentucky is seeking an LPN to serve as the first point of contact in the clinic, performing screenings and triage while engaging clients to access services.

You will collaborate with a care team to develop and implement plans, advocate for patients with providers and managed care, and assist with navigation to community resources. This role emphasizes transition support for recently discharged clients, promoting coordinated outpatient care.

Qualifications

• Licensed Practical Nurse with active Kentucky license.

Responsibilities

• Provide initial clinic contact and engage clients to access services.
• Perform health screenings, nursing assessments and triage healthcare needs.
• Participate in care planning with the team to address client needs.
• Assist clients in navigating the healthcare system to access appropriate care.
• Advocate for clients with healthcare providers and managed care organizations.
• Coordinate access to services addressing social determinants of health.
• Develop knowledge of local providers and collaborate as needed.
• Educate clients and support wellness activities (nutrition, physical activity, healthy behaviors).
• Assist recently discharged clients to transition to outpatient care using navigation services.

Education

Licensed Practical Nurse

Job description

Job Description

ESSENTIAL JOB FUNCTIONS

• Provides first point of clinic contact for all new clients. Explain services available and focus on engagement of client to access services.
• Completes health screenings, nursing assessments and triage healthcare needs for new and ongoing clients.
• Participates in team meeting to develop a plan of care to address client needs.
• Assists clients in navigating the healthcare environment to ensure access to appropriate care.
• Advocates on client's behalf with healthcare providers and managed care organizations to ensure timely quality care.
• Assists with coordination/access to services that address social determinants of healthcare outcomes:
  • Provides transportation to healthcare appointments, when needed
  • Identifies other needs, when necessary, that ensure access to healthcare
  • Assists with access to other community resources e.g., public assistance and financial benefits.
• Develops knowledge base of other healthcare providers in the service area and collaborate, as needed
• Provides education and support wellness activities such as healthy eating, physical activity, and healthy behaviors
• Assists clients who have recently discharged from inpatient treatment, incarceration, residential care, and/or Emergency Department visits to ensure a transition to outpatient care using evidence-based transitional/navigation services to prevent readmissions.
• Collaborates with client, family/significant others to develop support networks.

EDUCATION

• Licensed Practical Nurse with current active license to practice in Kentucky.

EXPERIENCE

• Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
• Experience in community setting or integrated care environment

PHYSICAL DEMANDS

• Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing
• Possible exposure to the threat of bodily harm from clients or families.
• Normal tasks may involve exposure to blood, bodily fluids, or tissue.
• Reliable transportation for frequent travel.

Full time