What are the responsibilities and job description for the LPN Care Manager position at North Okaloosa Medical Center?
- Experienced full time LPN Care Manager with weekend rotation
Job Summary
The Care Manager LVN/ LPN supports effective utilization management and discharge planning by coordinating patient care activities under the direction of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and medical necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards.
Essential Functions
- Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
- Identifies and documents avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
- Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
- Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
- Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
- Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
- Directs others to comply with the federal mandate for first person reporting. This requirement cannot be delegated to another licensed staff member.
- Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- 1-2 years of clinical acute care nursing experience required
- Experience in utilization review, case management, or discharge planning preferred
- Strong understanding of nursing practice, utilization management principles, discharge planning, and transitions of care.
- Knowledge of federal, state, and accreditation standards related to case management and patient care.
- Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
- Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
- Proficiency in electronic medical records (EMR) systems and documentation processes.
- Ability to assess complex situations, identify solutions, and implement effective care plans.
- LPN - Licensed Practical Nurse - State Licensure Licensure in state of employment required or
- LVN - Licensed Vocational Nurse Licensure in state of employment required
- BLS - Basic Life Support preferred
We pride ourselves on our unique dedication to the community hospital experience. While we believe it’s vital to stay up to date with technology, we will never lose sight of what’s truly important – the human interaction that is crucial to providing quality care.
Our goal is to anticipate the needs and exceed the expectations of our patients and their families, ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.