Licensed Practical Nurse Navigator

POSITION SUMMARY : The Licensed Practical Nurse Navigator is responsible for performing and coordinating clinical and administrative functions within their assigned clinical services program (DSNP, ASO, CDM, Perinatal Program) alongside of the Registered Nurse Navigator, Social Worker or Health Coach. Their responsibilities may include but are not limited to : direct member and provider interactions related to performing health risk and other assessments, health maintenance and disease specific intervention activities, carrying out care plan interventions, adjusting and modifying care plans, scheduling Interdisciplinary Care Team (ICT) meetings / planning care team agendas / taking care team minutes, coordinating program referrals across internal teams and external community based organizations, gathering / generating and electronic filing of clinical records and reports, conducting clinical mailings and assisting with unit phone coverage for clinical interactions as an integral part of the ICT.QUALIFICATIONS REQUIRED : (Education, Experience, Skills)1. Must have an active LPN license in either Ohio or West Virginia prior to beginning employment at THP. All LPNs are expected to minimally hold licenses in both Ohio and West Virginia by the end of the 90 day probationary period. Additional licenses may be needed per LOB.2. A minimum of 2 years of LPN experience in a clinical setting3. Demonstration of strong medical / behavioral knowledge base to support working with members and providers4. Computer literacy; must be able to demonstrate appropriate word processing / keyboarding / personal computer use skills to navigate the clinical services electronic medical record, utilization management and HEART platforms5. Demonstration of excellent verbal, grammar and writing skills to communicate effectively with members, providers and the ICTQUALIFICATIONS DESIRED : (Education, Experience, Skills)1. Motivation and initiative, should demonstrate the ability to work independently on assigned projects but also function as a cohesive team member2. Excellent time management skills, should display the ability to prioritize tasks and complete projects timely to comply with regulatory time frames.ESSENTIAL FUNCTIONS AND RESPONSIBILITIES : 1. Performs outbound calls to members and providers2. Participates in assessment of members utilizing THP scripts and assessments23. Maintains documentation to support care coordination within the electronic medical record to support all member and provider interactions4. Performs any / all care plan interventions within the scope of practice5. Educates members regarding health and wellness, disease management tools / practices and medication adherence within the scope of their practice6. Refers to needed health services internally and externally and facilitates access to, or arranges community resources as appropriate7. Coordinates ICT activities and services as the primary documenter for ICT team functions8. Facilitates collection and coordination of documents within the electronic medical record to support care coordination functions across the ICT9. Performs member mailings to support health maintenance activities and receives return mail from members and providers for entry into the electronic medical record10. Maintains adequate productivity as compared to peers on a monthly basis11. Maintains monthly quality interrater scores at or above 90% utilizing the THP LPN Navigator monitoring tool12. Acts as a resource to others within and across departments, participates in training / mentoring other employees when required13. Displays an understanding of benefits, services and networks to support member access to care and directs members to appropriate internal and external resources to support all needs14. Understand and complies with regulatory requirements including timeframes and documentation standards. Helps member actively and knowledgably participate with their provider in their own health care decision-makin