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LPN Care Coordinator

 

Growing, well established WNY Primary Care Practice seeks NYS Licensed Nurse. Candidate must maintain a high level of patient interaction/service skills. Be self-motivated, compassionate and clinically strong. Ability to triage patient and report to clinician. Provide medical direction to patients per clinician recommendation(s). Other responsibilities would include referral/test tracking, tele-health visits regarding new medication follow-up, blood pressure and glucose readings, medical reconciliation, and any other duties assigned by manager. The Care Coordinator works in collaboration and continuous partnership with chronically ill or "high-risk" patients, their family/care giver(s) and their physician. A typical day for the Care Coordinator will entail phone calls, portal messages and office visit with these "high-risk" patients.

Duties & Responsibilities include:

  • Assess patient's unmet health and social needs

  • Develop a care plan with the patient, family/caregiver(s) and providers

  • Monitor adherence to care plans, evaluate effectiveness, monitor progress

  • Reduce emergency room utilization and hospitalization re admissions


Education / Experience:

  • NYS Licensed Practical Nurse

  • Evidence of essential leadership, communication, education and counseling skills

  • Highly organized with ability to keep accurate notes and records

  • Medent EHR

  • Proactively continues to educate self on providing quality care and improving professional skills

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