Outpatient LPN

Under the supervision of the Nursing Supervisor for Care Management, Primary Care Institute (PCI), and
Ambulatory Site Clinical Lead provider (MD/DO, APRN, PA), this position provides safe, age specific nursing care
to patients/families using the nursing process, including planning, implementation/delivery, and evaluation of
care, as delegated by the RN Care Manager assigned to the clinical site. The LPN Care Manager will assist with
chronic disease care plans and transitional care management; will document using established processes, and
report findings to RN Care Manager, and patient's Primary Care Provider.
Essential Functions
Function in accordance with their scope of practice and professional standards of the Ohio Board of Nursing.
Exercise professional nursing judgment appropriate to the level of care needed, and prioritize patient acuity and
workload demands. Will function with greater level of autonomy by consistently demonstrating ability to
participate in collaborative clinical decision making.
Demonstrates knowledge of care delivery interventions that result in safe practice and positive care outcomes.
Provide chronic care management support. Contributes to plan of care to include planning, implementation and
monitoring outcomes of interventions.
Provides health and diagnosis specific education for patients and families to promote self-care management and
behavior modification interventions
Escalate concerns to PCP and RN Care Manager as needed based on changes in patient status or condition
Communicate with patient/family to support plan of care and physician orders
Support and facilitate advanced care planning for patients and their families
Provide 1 on 1 office or virtual visits to provide education, implement and support plan of care
Provide transition of care support, including medication review and patients/family/caregiver education on
diagnosis and self-care management
Coordinate continuity of care with patients and families following hospital admission, discharge and ER visits
Collaborate with multidisciplinary team in the coordination of individual patient care needs
Additional Responsibilities
• Participates in multidisciplinary team to analyze sources of data to identify high risk patients and member
groups
• Advocate for patients by assisting in navigation of the health system
• Participate in quality improvement initiatives
• Develops self and contributes to the professional practice of nursing.
• Displays leadership that influences optimal clinical and operational outcomes.
• Performs other duties as assigned.
Qualifications:
Education
Graduate of an accredited school of Practical Nursing Required
Work Experience
2+ years Clinical experience in a healthcare environment. Required
Experience working multiple healthcare data sources that include Electronic Medical Record applications(s), registration and scheduling
systems.
Experience facilitating telephonic patient outreach.
Knowledge, Skills, and Abilities
Understanding of value-based care program trends and strategies.
Excellent verbal and written communication skills.
Proven time management and organizational skills.
Demonstrated excellence in customer service with all stakeholders (Patient, employer
staff, providers, etc.).
Demonstrated ability to apply concepts, utilize sound judgment and work independently.
Ability to work within a team environment.
Knowledge of healthcare resources, key quality measures and benefits.
Skilled in the use of Microsoft Office products
Licenses and Certifications
Licensed Practical Nurse (LPN) Current licensure in the State of Ohio Required