LPN Care Coordinator – CCM/RPM

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide care coordination services directly to patients of Alopex clients.

• Oversee and coordinate care for individuals enrolled in Alopex’s services.

• Collaborate closely with patients, primary care providers, and specialists to create, implement, and monitor personalized care plans.

• Ensure that patients receive top-notch care through continuous communication and coordination.

• Conduct a thorough review of electronic medical records (EMR).

• Create and maintain tailored Care Plans for patient management.

• Implement and oversee all care management activities related to patients throughout the continuum of care.

• Communicate effectively with the patient’s clinical care team.

• Track patient progress toward desired outcomes through assessment and evaluation.

• Keep accurate and comprehensive documentation related to medications, issues, goals, interventions, preventative care, and more.

• Perform monthly care calls to patients enrolled in the program.

• Address all patient needs and concerns, including necessary follow-ups.

• Educate patients about chronic conditions and reinforce the provider’s instructions regarding these conditions.

• Assess and address social determinants of health and begin to connect patients with community resources, subsequently entering this information into the system.

• Evaluate and assess medical conditions, identifying and addressing changes in a clinically appropriate manner.

• Comply with all policies and procedures as outlined by Medicare and Shifox/Alopex.

⛳️ Requirements

• Bilingual in English and Spanish is required.

• A minimum of two (2) years’ experience in providing patient-centered care is necessary.

• At least one (1) year of experience in skilled nursing is required.

• Experience with electronic medical records is essential.

• Ability to perform nursing assessments, identify problems, and develop care plans.

• Adaptable to new technology with experience in computer documentation.

• Excellent time management skills are a must.

• Capability to assess, evaluate, and address patients' conditions and concerns effectively.

• Strong verbal and written communication skills are essential.

• Attention to detail and commitment to providing accurate documentation.

• Reliable and focused on achieving set goals.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and ongoing training.

• Supportive work environment and collaborative team culture.