Job Summary:

The Medicaid Health Home LPN/RN is responsible for providing comprehensive nursing care and care coordination services to Medicaid beneficiaries enrolled in the Health Home program. This role involves assessing patient needs, developing care plans, coordinating services and working collaboratively with a multidisciplinary team to ensure integrated, patient-centered care. The LPN/RN will support patients in managing their health conditions, improving health outcomes, and reducing hospitalizations and emergency room visits.

Key Responsibilities:

• Patient Assessment and Care Planning:
• Conduct thorough assessments of patients' physical, behavioral, and social health needs.
• Develop and regularly update individualized care plans based on assessment findings and patient goals.
• Ensure care plans are patient-centered and aligned with the goals of the Health Home program.
• Care Coordination:
• Coordinate care and services across healthcare providers, social services, and community resources.
• Facilitate communication between patients, families, and the care team to ensure integrated care delivery.
• Monitor patients' progress and adjust care plans as necessary to meet changing needs.
• Direct Patient Care:
• Provide direct nursing care, including medication management, chronic disease management, and health education.
• Perform routine health monitoring and assessments, documenting all care provided.
• Patient and Family Education:
• Educate patients and their families about health conditions, treatment options, and self-management strategies.
• Provide resources and support to help patients navigate the healthcare system and access necessary services.
• Documentation and Compliance:
• Maintain accurate and up-to-date patient records, ensuring compliance with Medicaid and Health Home program requirements.
• Prepare and submit reports as required by program guidelines.
• Quality Improvement:
• Participate in quality improvement initiatives to enhance care delivery and patient outcomes.
• Identify and address gaps in care and work to implement best practices.
• Community Outreach:
• Engage with community resources and services to support patient needs.
• Advocate for patients within the healthcare system and the broader community.

Qualifications:

• Education:
• LPN: Graduate of an accredited Practical Nursing program.
• RN: Associate or Bachelor’s degree in Nursing from an accredited program.
• Licensure:
• Current, unencumbered LPN or RN license in the state of [Insert State].
• Experience:
• Previous experience in care coordination, case management, or community health is preferred.
• Experience working with Medicaid populations and knowledge of Medicaid regulations is advantageous.
• Skills:
• Strong clinical assessment and care planning skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a multidisciplinary team.
• Proficiency in using electronic health records (EHR) systems.
• Knowledge of chronic disease management and preventive health strategies.
• Certifications:
• CPR and First Aid certification required.

Personal Attributes:

• Compassionate and patient-centered approach.
• Strong ethical standards and professionalism.
• Attention to detail and strong organizational skills.
• Flexibility and adaptability to changing patient needs.
• Ability to handle stressful situations calmly and effectively.

Working Conditions:

• Requires travel to patient homes and community settings within the designated service area.
• Flexible work schedule, including potential evenings, weekends, and holidays.
• Physical requirements include the ability to lift and move patients, perform physical assessments, and navigate various environments.

Job Types: Full-time, Part-time, Contract

Pay: $30.00 - $33.00 per hour

Expected hours: No less than 20 per week

Benefits:

• Paid time off

Medical specialties:

• Psychiatry

Physical setting:

• Outpatient

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday
• Weekends as needed

Ability to Relocate:

• Cockeysville, MD 21030: Relocate before starting work (Required)

Work Location: In person