Current job opportunities are posted here as they become available.
Subscribe to our RSS feeds to receive instant updates as new positions become available.
Licensed Practical Nurse, Health Plan Support
The Licensed Practical Nurse, Health Plan Support, is an integral part of the Care Management team. The role involves triaging calls requiring urgent follow-up and resolution, as well as educating, coordinating, and tracking preventative care with health plan members. This position is fully remote, with periodic travel to the office nearest to your location.
Performance Responsibilities and Standards
* Respond to incoming calls with the goal of resolving issues in one call or within the same day.
* Assist and consult with members and providers over the phone.
* Gather information for escalation to Care Manager or supervisor when necessary.
* Contact members for preventative care, including immunizations, health screenings, and safety recommendations, providing clinical guidance and support.
* Review reports and records to identify members needing wellness visits or preventative health measures.
* Schedule and coordinate preventative care appointments within required time frames.
* Arrange transportation for health appointments as needed.
* Document all communications in the electronic medical record (EMR).
* Update member records with health maintenance documents from external sources.
* Collaborate with the Care Management team if preventative care coordination is unsuccessful.
* Demonstrate compassion, collaboration, and effective communication.
* Maintain compliance with quality standards and support member engagement in their care.
* Manage multiple management systems simultaneously.
* Perform other duties as assigned to support care management.
This is a remote position; candidates must reside within Upstate New York.
Qualifications
* Licensed Practical Nurse with current NY licensure, residing in NYS.
* Minimum of two years of clinical experience and/or experience in outreach, managed care, case management, or ambulatory settings.
* Proficient in Microsoft Office applications.
* Familiarity with EMR systems such as Mediture / Truchart, HealtheConnections, and communication tools like Zoom and Microsoft Teams.
Requirements
* Proficient computer and typing skills.
* Excellent verbal and written communication skills.
* Effective interpersonal skills for interacting with patients, team members, and physicians.
* Ability to work independently with attention to detail.
* High customer service standards.
* Ability to learn and utilize department-specific software.
* Flexible schedule and team-oriented work approach.
Physical Requirements
* Ability to sit or stand at a desk for most of the day.
* Sufficient visual and hearing abilities to comprehend communication.
* Effective verbal and written communication skills.
* Ability to use a telephone and a laptop computer.
* Bloodborne Pathogens Exposure Category III, indicating rare contact with blood and body fluids.
Salary: $21.36 - $26.70/hour, with benefits including 401K, gym access, tuition reimbursement, work/life balance, HSA, recognition programs, PTO, and more.
About Nascentia Health
Nascentia Health leads in home, post-acute, and long-term community health, focusing on holistic, patient-centered care in the home environment. We are committed to innovation and excellence in healthcare delivery.
Our employees are our greatest asset, dedicated to our mission of being the premier home and community-based care provider. We foster a supportive work environment where employees can thrive and take pride in their contributions.
Nascentia Health is an Equal Opportunity Employer. Employment is contingent upon a negative pre-hire drug screen.
J-18808-Ljbffr
#J-18808-Ljbffr