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McFarland Clinic PC Clinical Care Navigator - LPN (FT) | Population Health | Ames | 2021-167 in Ames, Iowa

Description

McFarland Clinic is currently accepting applications for Clinical Care Navigator - LPN for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Responsibilities include: assisting in the delivery of healthcare and patient care management in accordance with McFarland Clinic’s Core Values and Promise by assisting patients with closing care gaps such as preventive screenings, tests, and visits, Annual Wellness Visits & Welcome to Medicare Visits, Transitional Care Management, and Chronic Care Management; as well as serving as a “gatekeeper” and resource for the SNF 3-day waiver program.

  • Following the processes defined by the Population Health Director:

  • Identifies patients with care gaps using EHR or payor-supplied data and proactively contacts them via MyChart/Mail/Telephone to arrange for completion of the necessary activity.

  • Uses defined processes and systems to report clinical quality data to payors as appropriate per value-based contracts with those payors.

  • Identifies patients with upcoming visits and connects with the patient via MyChart/Mail/Telephone to gather necessary information to accurately complete the AWV/WMV, including but not limited to: health risk assessment, health maintenance items, fall risk screening, medication reconciliation, allergies, problem list, and care team.

  • Acts as a "gatekeeper" to ensure patients potentially eligible for admission to a eligibility requirements and are eligible for the 3-day waiver. Coordinates with the length-of-stay. Coordinates with the SNF and PCP office upon discharge from SNF to ensure coordinated follow-up.

  • Acts as a backup for Care Managers by stepping in to provider Transitional Care Management and Chronic Care Management services to patients when needed.

  • Maintains a safe, clean and orderly environment in the office setting.

  • Other duties assigned.

Education

  • Graduation from an accredited school of nursing.

Certification/License

  • Possession of State Licensed Practical Nursing.

  • Mandatory Reporting of Dependent Adult Care and Child Abuse.

Benefits

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here (https://www.mcfarlandclinic.com/media/cms/BENEFIT_SUMMARY_2021Hourly_58AC1D3C8528F.pdf) for details.

McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years of experience caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, creed, color, religion, age, gender, gender identity, sexual orientation, national origin, disability, or protected veteran status. McFarland Clinic takes affirmative action in support of its policy to and advance in employment individuals who are minorities, women, protected veterans, and individuals with disabilities.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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