Licensed Practical Nurse - Case Manager
TotalMed Staffing - Toledo, Ohio, United States, 43614
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Overview
Job ID #1793451
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About this Role
The Transition of Care Coach is responsible for care coordination of our members who are experiencing a significant change in health status which has resulted in the necessity of an emergency department visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered/Licensed RN, the TOC Coach ensures the member experiences a seamless transition to their next care setting and facilitates post-discharge goal attainment. Responsibilities include completing post-discharge questionnaires, ensuring medication understanding, benefit education, monitoring members for alerts or changes in condition, and facilitating overall care coordination with the care team to ensure optimal wellness. The TOC Coaches are frontline advocates for members who cannot advocate for themselves, focusing on holistic assessments to identify needs for referrals to clinical resources for assistance in functionality.
Job details
$29.98 / hour
Toledo, Ohio
Profession:
Licensed Practical Nurse
Facility Type:
???
Specialty:
Case Manager
Division:
MedFi
Start Date:
04/28/2025
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Responsibilities
• The Transition of Care Coach is responsible for care coordination of our members who are experiencing a significant change in health status
• Under the direction of a Registered/Licensed RN, the TOC Coach ensures the member experiences a seamless transition to their next care setting and facilitates post-discharge goal attainment
• Responsibilities include completing post-discharge questionnaires, ensuring medication understanding, benefit education, monitoring members for alerts or changes in condition
• The TOC Coaches are frontline advocates for members who cannot advocate for themselves, focusing on holistic assessments to identify needs for referrals to clinical resources for assistance in functionality
Follow members identified as inpatient in hospitals (whether planned or unplanned admission) and throughout the subsequent care continuum until the member can return to prior level of functioning in the community.
Utilize weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and 30-day hospital readmissions.
Facilitate Interdisciplinary Care Team Meetings with Social Services, Care Management, PCP and other key players to discuss service needs and support safe transitions.
Required Qualifications
2+ years LPN/LVN nursing experience
Case Management and/or Discharge planning experience Preferred
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
LPN with current unrestricted OH state licensure