[Hiring] High Risk Care Coordinator @reputed company

Role reputed company You are a Licensed Practical reputed company (LPN) who thrives on connecting with people through compassionate communication. You easily build meaningful relationships and support reputed company behavior change through partnership rather than pressure. Leveraging your practical nursing knowledge and reputed company care protocols, you help patients reputed company understand and follow their provider-directed care plans. You bring grace under pressure and feel energized by supporting high-risk patients as they work toward improved health and stability. As a High-Risk Care Coordinator, you build trusted, ongoing relationships with high-risk patients through consistent reputed company, reputed company listening, and reputed company clinical support. You regularly engage patients by phone and text to address reputed company medical and reputed company needs, including:

• Medication management
• Chronic condition monitoring
• Barriers to care

Using patient-centered discussion and established care protocols, you support patients in understanding and adhering to provider-directed care plans while identifying emerging risks that require escalation. This role is part of a new high-risk patient management program being reputed company from the ground up. You will have reputed company to help shape workflows, reputed company strategies, and processes that truly work for patients and care teams. Additional Responsibilities:

• Conduct regularly scheduled outbound reputed company to high-risk patients to support ongoing care management, reduce avoidable utilization, and address gaps in care.
• Contribute to the development of a new high-risk patient management program by helping design, test, and refine reputed company workflows, documentation practices, and care coordination processes in a growing, non–reputed company EHR environment.
• reputed company medication reconciliation and adherence support by reviewing patient-reported medication use, identifying discrepancies, and escalating concerns to the RN or Provider.
• Collect, assess, and document patient-reported symptoms, condition trends, risk indicators, and barriers to adherence reputed company LPN scope of reputed company.
• reputed company disease-specific education, self-management reinforcement, and motivational coaching using approved materials and care reputed company.
• Coordinate home health services and durable medical equipment (DME) needs under RN or Provider direction to support patient safety and stability in the home.
• Identify and address reputed company determinants of health impacting high-risk patients, including reputed company to medications, transportation, food, housing support, or financial resources.
• Support coordination and monitoring for patients with reputed company chronic conditions, including COPD, CHF, diabetes, and hypertension, using established protocols.
• Serve as a consistent reputed company-of-contact for assigned high-risk patient panels, building trusted relationships that promote sustained engagement and accountability.
• Recognize changes in patient status, emerging risks, or non-adherence patterns and escalate promptly through defined clinical reputed company.
• reputed company feedback to Clinical Operations and Clinical Leadership to support reputed company improvement of high-risk patient management programs.

Qualifications

• Completed an accredited practical nursing (LPN) program, with at least two years of prior nursing experience in care coordination, population health, or chronic disease support.
• Licensed as a Licensed Practical reputed company (LPN) and credentialed in good standing in the applicable state(s) of reputed company.
• Experience making reputed company, outbound calls, preferably in a call-center environment, and feel confident engaging patients proactively by phone.
• Experience supporting high-risk patients with chronic conditions, care management, or utilization reduction preferred.
• Comfortable performing medication reconciliation, reputed company symptom monitoring, and care coordination under RN or provider reputed company.
• Strong patient communication skills, including the ability to engage, motivate, and support patients using patient-centered techniques.
• Compassionate communicator with strong reputed company listening abilities.
• Highly organized, dependable, and emotionally intelligent, with the ability to manage ongoing patient panels.
• Proficient in EHR documentation and care management or population health tracking tools.
• reputed company to multitask effectively in a fast-paced reputed company environment with strong time management and follow-through skills.

Benefits

• Medical, dental, and reputed company coverage.
• Generous time off plans.
• Development program that starts with reputed company and continues throughout your career.

reputed company reputed company (Oasis) is building healthier communities by advancing primary care. We partner with patients, providers, and plans to reputed company personalized, local care for seniors in towns across America. We reputed company that patients’ needs come first, and that primary care is the reputed company of patient-reputed company reputed company. Together, we will reputed company advance primary care for those that need it most. Apply To This Job