LPN Assessment Nurse Case Manager for Care Management Services

About the role

Join us at

NextStep Care

• a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life - both inside and outside of our centers. And you'll get to practice your passion in a non-profit, mission-driven organization that's known for the highest level of care in our communities

Case Management

• Contacts members and/or informal care givers as needed, but no less than one time per month and conducts an in-home visit at least every 90 days.
• Collaborates with Case Manager (CM) and members of the multidisciplinary team to establish member Care Paths which identify member needs and corresponding services to be provided and ensure Care Paths are updated with all assessment findings and member's significant status changes are documented appropriately.
• Identifies and resolves variances from documented Care Path.
• Contacts member's providers as needed and provides prompt notification of changes in member's status to all appropriate parties.
• Ensures assigned members visit their PCP at least every three months and more often if needed.
• Accepts referrals and ensures potential members are screened in a timely manner as required by organization and governmental policies.
• Consults with the Administrator prior to each member discharge and on an as needed basis and the assigned Assessment Coordinator as appropriate.
• Takes call on a rotating basis as assigned.

Assessments

• Sends assessments to Assessment Coordinator timely.
• Completes all new admission assessments, re-assessments, significant change assessments within specified appropriate time frame.
• Determines appropriate level of care on assigned members as outlined in state regulations and SCM Operational guidelines.

Quality Improvement

• Assists with quality through effective collaboration with Quality Assurance and Education Coordinator, Assessment Coordinator and Administrator to ensure effective implementation of SCM Quality Assurance and Education plans, initiatives and processes.

Community Education

• Seeks community education opportunities and provides recommendations to the Administrator and/or Community Education Coordinator.

Compliance

• Maintains knowledge of, adheres to current regulations, SCM Personnel and Operational Guidelines and best practices related to the operations of the SOURCE Program and SCM.
• Performs all duties of the Assessment Nurse, as well as those of the Case Manager as outlined in state regulations and SCM Operational guidelines as assigned.
• Provides on-site assistance for all state surveys.
• Reports corporate compliance concerns appropriately.
• Reports privacy and security concerns appropriately.
• Reports work time and business expenses in accordance with organizational guidelines.

Record Management

• Maintains prompt, accurate and secure documentation as it relates to member needs, contacts and plans.
• Ensures appropriate documentation is filed promptly in members' chart as outlined in SCM Operational Guidelines.
• Utilizes appropriate log book to sign all member charts in and out as well as ensures member charts are not removed from the office for greater than 3 business days.

Meeting Coordination and Attendance

• Participates in weekly multidisciplinary team meetings prepared to discuss assigned members and to present new members.
• Participates in weekly staff meetings.
• Attends monthly provider meetings.
• Meets with assigned members' Primary Care Physicians (PCP) at least quarterly.
• Participates in all SCM meetings and in-services as required.

Additional Duties and Responsibilities

• Assists in the recruitment of new PCPs or other community services providers, as requested.
• Assists with Assessment Nurse Case Manager and Case Manager duties for other SCM locations as needed

Skills and Abilities

• Completes work in a timely, accurate, and efficient manner.
• Ability to organize and prioritize assignments/responsibilities.
• Maintains constructive working relationships by communicating and interacting effectively with supervisors, organizational leadership, peers and individuals inside and outside the Organization, in a positive, professional and respectful manner
• Portrays a positive image of the organization and communicates guiding principles, mission, vision and values.
• Completes work in a timely, accurate, efficient and thorough manner and is conscientious about assignments/responsibilities.
• Consistently reports to work on time prepared to perform duties of the position.
• Manages multiple deadlines with demonstrated flexibility in working with changing priorities.
• Ability to work a demanding, primarily self directed work schedule.
• Demonstrates good judgment and decision making.
• Exhibits exceptional organizing and planning skills.
• Ability to deliver excellent customer service, externally and internally as well as maintain customer confidentiality.
• Ability to react effectively and calmly in emergency situations.

Minimum Qualifications

• Valid Georgia LPN license with 1 yr of experience in the health and human services field OR
• Valid Georgia RN license.
• Experience in social work, home and community based services, healthcare or geriatrics preferred.
• Valid Driver's License.
• Reliable transportation.

Physical Demands and Work Environment

• While performing the duties of this job, the associate is regularly required to stand, walk and sit for prolonged periods of time.
• The associate is also required to use hands to finger, handle or feel and reach with hands and arms.
• Specific vision abilities required, distance vision, and the ability to adjust focus.
• The associate may occasionally have to move or lift up to 25 lbs.

The noise level in the work environment is consistent with a normal office environment. The associate will be required to travel extensively within the state of Georgia and will be required to visit members in their home and/or community environment, hospital or other institutional and professional settings.

Language Skills

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively with customers or associates of the organization.

Mathematical Skills

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram format. The ability to deal with problems involving several concrete variables in standardized situations.

• SUPERVISORY RESPONSIBILITES
• None
• COMPUTER OPERATIONS

This job requires proficiency with the following computer applications: MS Outlook, MS Excel and MS Word.

Certificates, Licenses, Registrations

Valid GA Licensed Practical Nurse license