LPN Specialty Efficiency Care Coordinator- AdventHealth Medical Group - AHMG IT Training and Development

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Wellness Programs

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time

Shift: 8am-5pm

Location : 133 Benmore Dr., Suite 200, Winter Park, FL 32792

The community you'll be caring for:

• More than 800 physicians, 450+ advanced practice providers, and 2,600 clinical and support staff in over 40 specialties, provide patients with a broad range of medical and surgical services.
• AdventHealth Medical Group Central FL operates over 200 offices, providing compassionate, multidisciplinary care to more than one million patients a year.
• In existence since 1994, AdventHealth Medical Group Central FL has demonstrated consistent growth and stability in an ever-changing health care market.

The role you'll contribute: The Specialty Efficiency Care Coordinator will focus their work on providing patient-centered care as part of the medical neighborhood. They will utilize targeted patient registries and other performance data to assist with planning and managing patient care in collaboration with our health partners. The SECC will provide comprehensive care coordination services that promotes continuity and minimizes fragmentation of care within the healthcare delivery system. This role will support key strategic activities that drives the rapid advancement of equitable outcomes through accountable, high-quality, affordable, whole-person care.

The value you'll bring to the team:

• Performs post-visit outreach for patients with complex needs to coordinate follow-up care that maximizes efficiency. Outreach may also include assessing and addressing self-management, social determinants, and other potential barriers to meeting treatment and lifestyle goals.
• Identifies and proactively outreaches patients due for needed services including follow-up visits, labs, imaging, procedures and assists with coordinating care as needed. This includes queuing up orders to providers, scheduling appointments, and working with primary care to ensure that co-managed patients receive timely preventive services.
• Provides health coaching support in collaboration with the practice care teams by engaging and educating patients on self-management tactics that promotes optimal health and safety.
• Uses payer and other performance data to assess and address gaps in medication adherence, HCC/RAF, clinical quality, cost, utilization and educates care teams of opportunities and strategies to improve performance.
• Assists in connecting patients to additional resources including pharmacy, care management, community resources and other social services with an emphasis on whole-person care.
• Contacts patients and families to evaluate their status following discharge from an ED or hospital and ensures follow-up care is highly coordinated.
• Serves as a liaison by relaying information necessary for continuity of care to other health professionals and agencies including closing the referral loop after a patient misses or cancels an appointment to prevent delays in diagnosis or treatment.

Qualifications
The expertise and experiences you'll need to succeed:

Minimum qualifications:

• Graduate of an accredited school of nursing
• Licensed Practical Nurse (LPN)
• 3 years of healthcare experience
• Understanding of value-based care concepts
• Licensed Practical Nurse (LPN)
• CPR Certification

Preferred experience:

• 5 years of healthcare experience
• Ambulatory office, care coordination, care management, or health coaching experience

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