Licensed Practical Nurse (LPN)

Job description

Overview The primary objective of this role is to enhance patient outcomes through effective chronic care management while driving improvements in departmental quality metrics. Key focus areas include optimizing Medicare Wellness visit compliance, closing patient care gaps, and ensuring timely completion of transition of care processes, including hospital follow-up coordination. Responsibilities: Schedule Medicare Wellness Visits in compliance with frequency guidelines set by CMS and individual insurers. Scan upcoming appointments for additional medical record information necessary. Obtain medical records from other physician offices, hospitals, labs, emergency rooms, and radiology departments prior to or following patient visit. Follow chronic disease and preventive care guidelines and ensure that appropriate plans for completion are developed. Complete Medicare Wellness Visits meeting a set weekly quota, documenting all required components, addressing necessary health maintenance gaps in care, and develop individualized patient specific care plans. Appropriately document all nursing interventions in the electronic medical record. Review the chart for completeness, test results an...