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Care Coordinator, LPN- Population Health
Jefferson Health Philadelphia, PA
$79k-97k (estimate)
Full Time | Hospital 1 Week Ago
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Jefferson Health is Hiring a Care Coordinator, LPN- Population Health Near Philadelphia, PA

Org Marketing Statement Today, Jefferson Health and its network of hospitals and physician practices serve patients throughout the Delaware Valley. We have a robust network of 18 hospitals, 3500 physicians, 9600 nurses, 3,876 licensed beds, and physician practices throughout the counties of:
  • Bucks
  • Camden
  • Gloucester
  • Montgomery
  • Philadelphia
We are Philadelphia's second largest employer, and nationally ranked by US News & World Report in seven specialties including #2 Ophthalmology (Wills Eye), #9 Rehabilitation (MossRehab), #10 in Orthopedics (Rothman Orthopaedics at Jefferson Health, Philadelphia Hand to Shoulder Center, 3B Orthopedics, the Abington Orthopedic & Spine). Whether you’re in the city or the suburbs, Jefferson Health provides the exceptional care you expect – close to home or work – through our broad family of primary care physicians and specialists. Jefferson Health is home to nationally ranked experts who provide a personalized care plan for you. Sidney Kimmel Cancer Center – Jefferson Health is one of only 70 NCI-designated cancer centers in the country. With more than 30,000 employees, we are the largest health system in the Philadelphia region by total licensed beds. And our work to improve lives is never done.
In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.
Department Marketing Statement CultureWe are a creative and collaborative team dedicated to outstanding professional work on behalf of our patients. Our goal is to meet our patients' needs and help them advocate for themselves and their family members. We believe our place in the community is as a healer, an activist, and a trusted friend. We perform our duties with empathy and compassion as we serve the needs of the underserved population of North Philadelphia. While we do have an academic component to our work, we strive to be community doctors who take pride in serving others. Join us...make a difference.
ResponsibilitiesEN4034
Job SummaryWith a commitment to patient- and family-centered care, the Population Health Care Coordinator LPN uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by \ Ambulatory Clinics. As an integral member of the of the ambulatory care clinical team, the nurse effectively collaborates, communicates and coordinates care for patients and populations across each practice setting (home, physician office, hospital, skilled nursing facility) and with primary care providers, support systems and care team to provide a model of care that ensures the delivery of a cost-effective high quality healthcare experience. Develops and implements a plan of care for each individual based upon the context of that person and their environment. Ensures approach is patient-centric, and measurably improves health, experience of care and reduces/manages cost for an identified patient population.
Essential Functions
  • Interacts with co-workers, patients, their family/designated care partner(s), and other staff consistent with the values of Jefferson.
  • Integrates Evidence-Based Practice, clinical expertise, patients, their family/designated care partner(s) preferences and cultural beliefs and values for delivery of optimal healthcare.
  • Partners with patients, their family/designated care partner(s)) in identifying learning needs and priorities and provides education in ways that are useful, understandable, and affirming.
  • Minimizes risk of harm to patients and others by following established nursing practices and protocols and individual performance.
  • Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making.
  • Development of a tracking system for patient care coordination and care management across the continuum, including care transitions, referrals, report management, and two-way communication between the PCP, specialists, and/or other providers.
  • Transition care for patients discharged from the hospital within 48 hours to prevent readmission and related complications.
  • Evaluation of and appropriate follow-up care for patients seen in the emergency department to prevent further disease exacerbation, untoward complications, or additional ER or hospital utilization
  • Management of complex and high risk patients identified by transition calls, reports and Provider or team member
  • Timely and ongoing communication with the provider and practice team to maximize the management of patient needs
  • Coordination of care with other care managers (home health care, payer case managers, etc.) and with specialists to maximize care and promote patient safety.
  • Oversight of the care coordination system for medium and high risk patients that is managed by the practice team.
Competencies (Knowledge, Skills, and Abilities Required):
Patient-and Family-Centered Practice Knowledge of how to convey respect and collaborate with each patient, family and/or designated care partner in care and care planning.
Cultural AwarenessKnowledge of people with diverse backgrounds and the ability to convey respect and connect effectively.
Effective CommunicationUnderstanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors. Uses the language of partnership with patients and families, engaging them in their health and health care. Appropriately and respectfully delegates to other team members.
Patient and Designated Care Partner EducationKnowledge of child and adult education techniques and the ability to elicit learning priorities and needs and educate patients and their designated care partners on the patient's condition, the treatment and medications suggested and given, and the next steps in the patient's recovery.
Health Information DocumentationKnowledge of the relevance of health information and appropriate documentation methods, ability to record medical histories, symptoms, vital signs, medications, diagnoses, treatment plans, procedures, tests, and medical results in written or electronic form.
QualificationsMinimum Education and Experience Requirements:
Education:
Current licensure as a Licensed Practical Nurse in state of employment required.
AND
Experience:
7-10 years of nursing experience
Minimum Certifications, Registration or License Requirements:
CCM, CMC, or ACM preferred.
Additional Information
Strong command of computer programs including Word, Excel, and PowerPoint. Website development software and Photoshop preferred.
Ability to think independently, having received necessary direction, to identify information needed for specific research projects, etc.
Strong written & verbal communications and organizational skills to make effective action plans needed to deliver meaningful findings on time.
Ability to work independently on projects to completion
Strong attention to detail.
Conditions of Employment Since this position will require the selected candidate to engage in regular contact with children in the form of care, guidance, supervision or training, you will be required to meet the requirements of the Child Protective Services Act, including the Pennsylvania State Police criminal background check, the Pennsylvania Department of Welfare child abuse criminal background clearance, and an FBI finger print based federal criminal records check. The selected candidate will not be allowed to commence working until all three (3) are completed satisfactorily.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$79k-97k (estimate)

POST DATE

06/21/2024

EXPIRATION DATE

07/19/2024

WEBSITE

jeffersonhealth.org

HEADQUARTERS

CHERRY HILL, NJ

SIZE

3,000 - 7,500

FOUNDED

1995

TYPE

NGO/NPO/NFP/Organization/Association

CEO

ALBERT SMITH CPA

REVENUE

$500M - $1B

INDUSTRY

Hospital

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About Jefferson Health

Jefferson is a New Jersey-based non-profit health care system that offers services such as cardiovascular care, neurosciences and rehabilitation therapy.

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