We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers and Community Health Coordinators, who work with our highest complexity patients and their primary care physicians, to meet their medical and social needs with the aims of fully engaging them in our intensive primary care model and maximizing their healthy time at home.

The Community Care Nurse, HCT (LPN) is a vital Community Care Team member who focuses on medical stabilization of our highest risk patients, typically in their homes but also during center visits and telephonic outreach. The incumbent will implement comprehensive care plans designed by our Nurse Case Managers to provide targeted education and deliver other care under the supervision of our RN community care nurses and/or primary care physicians. The incumbent establishes strong relationships with their patients, patients’ family members and caregivers, and other team members to achieve good understanding of the plans of care and achieve positive patient outcomes.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Under the direction and supervision of a Registered Nurse (RN) provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital.
• While conducting a home visit or a center visit with our patient compiles patient health information, takes and records vital statistics, takes blood pressure and conducts other basic care treatments. Records patients' medical history and other information such as test results in the medical record.
• Performs 4-day discharge phone call on patients discharged from a hospital, SNF, LTAC within 24-48 hours of discharge.
• With a physician order draws blood (phlebotomy) and collects other lab specimens.
• Using the medication list provided in our DASH system and approved by the physician to fill pill boxes for patients.
• Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
• Assists patient and family with completion of Medicaid application for support and access to community/financial resources and refer cases to social worker as appropriate.
• Assesses the environment of care, e.g., safety and security, using our home safety evaluation form.
• Provides education with patient/family on different health concerns using standardize education directed by the Registered Nurse (RN).
• Coordinates the delivery of services to effectively address patient needs.
• Visits patient at home under the direction of the patient’s primary care physician to meet urgent patient needed.
• Performs other duties as assigned and modified at manager’s discretion.

PAY RANGE:

$20.2 - $28.83 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

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