Value-Based Care Navigator (LVN/LPN) - Care Transitions

CHRISTUS Health; Irving (TX); On-site; USD 48,000 - 60,000; Full time

Job summary

CHRISTUS Health in Irving, Texas is seeking an LVN/LPN to manage patient care across the continuum and support value-based initiatives. The role emphasizes care coordination, outreach to members, and collaboration with ACO and CIN network providers to close care gaps and promote preventive care.

You will document assessments, coordinate transitions of care, and educate patients and families using standardized protocols.

Qualifications

• High school diploma required.
• Active LVN/LPN license in the state of employment.
• Minimum 3 years of clinical or home health experience preferred.

Responsibilities

• Meets quality gaps and participates in Quality Improvement programs.
• Supports primary care providers and helps patients schedule preventive screenings.
• Maintains ongoing communication with providers via various tools and meetings.
• Conducts telephonic outreach to close care gaps and address medication adherence.
• Documents data using standard assessment tools and maintains chart compliance.
• Perform transitions of care calls to coordinate follow-up care.

Skills

Oral communication

Organizational skills

Care coordination

Education

High school diploma

LVN/LPN license

Tools

Epic

EHR systems

Job description

CHRISTUS Health in Irving, Texas is seeking an LVN/LPN to manage patient care across the continuum and support value-based initiatives. The role emphasizes care coordination, outreach to members, and collaboration with ACO and CIN network providers to close care gaps and promote preventive care.

You will document assessments, coordinate transitions of care, and educate patients and families using standardized protocols.