This is a full-time position for Licensed Practical Nurse (LPN) providing outpatient care coordination for our patients and assisting our physicians to meet emerging quality metrics, while providing Medicare Wellness visits and functioning as an education resource to staff and patients.
Wellness visits will be conducted by the LPN. Medicare guidelines are used for conducting these interviews, documenting and billing of visit. All visits are conducted with patients PCP in attendance and proper documentation of findings is entered into the EHR. Discussion of annual exams is included and documented such as mammograms, eye and foot exams and colonoscopy.
Scan upcoming appointments for additional medical record information necessary. Obtain medical records from other physician offices, hospitals, labs, emergency rooms, and radiology departments prior to patient visit.
Complete all “tasks” assigned to individual team (as well as covering for other nurses who may be temporarily absent), including responding to patient messages, prescription refills, lab results, referrals, home health agencies, medication prior authorizations, patient forms and follow up from physicians. All tasks must be reviewed, addressed and marked appropriately before the close of each business day.
Respond to questions from patients, family members, faculty/residents, other health care providers in a timely and professional manner. Patient phone calls should be answered on the same day they are logged in, before leaving for the day. If patient is not home at the first attempt, a notation should be made in the medical record. All patient conversations must be documented in the electronic medical record.
In their role as a team member for the Patient Centered Medical Home, nurses are also asked to administer and collect patient satisfaction surveys, contact patients in between visits to assess medical status and medication adherence, and may be asked to perform Medicare Annual Wellness Assessments for the patients on their individual teams when not assisting a provider in clinic. Patient education: may include diabetic teaching, home monitoring, coagulation therapy, discharge medication reconciliation, drug assistance programs, nutrition and barriers to care.
Follow protocols related to infection control, environmental safety and patient confidentiality.
Nursing staff is required to fill in for other clinical staff during vacations and illness and perform other duties as assigned.
Perform other duties as assigned.
Required:
Preferred:
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