Population Health Coordinator - LPN/MA

Western Missouri Medical Center; Warrensburg (MO); On-site; USD 45,000 - 70,000; Full time

Job summary

Western Missouri Medical Center in Warrensburg, MO seeks a full-time Care Coordinator to assist in coordinating team-based care and linking patients with providers, payers, and community resources. The role involves working with RNs and payers to plan and monitor care, identify high-risk patients, and facilitate access to services.

Qualifications include CMA or LPN certification, BLS, and 2 years’ relevant experience in clinical or community health settings.

Qualifications

• Current Certified Medical Assistant certification or licensed practical nurse.
• Two Years' Experience as a CCMA or LPN Required.
• BLS.
• Previous experience in caring for chronic disease patients preferred.
• Two years’ experience in clinical or community health setting preferred.
• Previous Care Coordination, Case Management or Home Health experience preferred.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Responsibilities

• Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
• Work with RNs and payers to plan and monitor patient care.
• Assess patient's unmet health and social needs.
• Facilitate patient access to appropriate medical and specialty providers.
• Educate patient and family/caregiver(s) about relevant community resources.
• Facilitate and attend meetings between care team, payers, and community resources, as needed.
• Assist with the identification of high-risk patients and add these to the patient registry (or flag in EHR).
• Follow up and monitor patients via payer work lists to assist in scheduling and following patient chronic care diagnosis.
• Attend all Care Coordinator training courses/webinars and meetings.
• Display knowledge of preventative health requirements.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Skills

Care coordination

Patient advocacy

Effective communication

Education

Certified Medical Assistant or LPN

Job description

Purpose Statement

Responsible for assisting in coordinating team-based care, to provide health services to individuals, through effective partnership with patients, their caregivers/families, community resources and members of the Care Team.

Job Type

Full-time

Essential Functions

• Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
• Work with RNs and payers to plan and monitor patient care.
• Assess patient's unmet health and social needs.
• Facilitate patient access to appropriate medical and specialty providers.
• Educate patient and family/caregiver(s) about relevant community resources.
• Facilitate and attend meetings between care team, payers, and community resources, as needed.
• Assist with the identification of "high-risk" patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EHR).
• Follow up and monitor patients via payer work lists to assist in scheduling and following patient chronic care diagnosis.
• Attend all Care Coordinator training courses/webinars and meetings.
• Display knowledge of preventative health requirements.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Requirements

Educational/Experience/Skill Requirements

• Current Certified Medical Assistant certification or licensed practical nurse.

Two Years' Experience as a CCMA or LPN Required

• BLS.
• Previous experience in caring for chronic disease patients preferred.
• Two years’ experience in clinical or community health setting preferred.
• Previous Care Coordination, Case Management or Home Health experience preferred.
• Must be self‑motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.