Transition of Care LPN
Company: Choice Marketing Partners
Location: Dearborn Heights
Posted on: May 10, 2022
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Job Description:
Sea Mar Community Health Centers, a Federally Qualified Health
Center (FQHC) founded in 1978, is a community-based organization
committed to providing quality, comprehensive health, human,
housing, educational and cultural services to diverse communities,
specializing in service to Latinos in Washington State. Sea Mar
proudly serves all persons without regard to race, ethnicity,
immigration status, gender, or sexual orientation, and regardless
of ability to pay for services. Sea Mar's network of services
includes more than 90 medical, dental, and behavioral health
clinics and a wide variety of nutritional, social, and educational
services. We are recruiting for the following position: Sea Mar is
a mandatory COVID-19 and flu vaccine organization Transition of
Care (TOC) LPN - Posting #23489 Position Summary: Join a team that
is focused on providing assistance to patients who are discharged
from the hospital and learning how to be safe and healthy! Sea Mar
is seeking Transition of care LPN's in Grays Harbor, Snohomish,
Pierce, and Clark County. This full-time position is located at our
Integrated Care-Care Management Department in Tacoma, Pierce
County. The Transitions of Care LPN delivers specific time-limited
services to identified patients designed to ensure health care
continuity, avoid preventable poor outcomes among at-risk
populations, and promote the safe and timely transfer of patients
from one level of care to another and from one type of setting to
another. This position provides advocacy and education for the
patient and/or caregiver during transitional periods between
hospitals and/or other facilities and the patients home. The LPN
collaborates with staff in hospitals and care facilities and with
Sea Mar providers to resolve gaps in care, improve clinical
outcomes related to Plan all cause readmission, utilization of
hospital services, patient engagement after inpatient discharge and
medication reconciliation post discharge. The Transitions of Care
LPN provides support with a focus on the following areas:
Medication self-management: Patient is knowledgeable about
medications and has a medication management system.
Patient-centered record: Patient understands and uses a personal
health record to facilitate communication and ensure continuity of
care. Primary care and specialist follow up: Patient schedules and
completes follow up visit with the primary care physician and/or
specialist and is prepared to be an active participant in those
interactions. Knowledge of Red Flags: Patient is knowledgeable
about indicators that suggest their condition is worsening and how
to respond. This is a specialized position insofar as the LPN will
have a background working with patients in various settings (such
as with hospice, home health, and acute care hospitals), and will
have an understanding of patients with diverse medical, mental
health, and social determinant of health challenges. Interventions
with patients is time and scope limited, and RNs will not maintain
an ongoing caseload. However, the RNs are expected to complete
outreach and transition of care activities for all patients
identified and willing to participate in the program. Active
participation is expected in community-wide efforts/coalitions to
provide ever-improving comprehensive interdisciplinary care.
Additional responsibilities and information are found on job
description. Education and/or Experience: LPN with social service
experience: (home health, hospice, long-term care, case management,
care coordination, wellness coaching, etc.). CCM or CCTM
certification preferred. Experience working with underserved,
transient populations. Experience working with substance use
disorders, chronic mental illness, and chronic health conditions.
Experience working with community agencies and has strong knowledge
of community resources. Experience with motivational interviewing,
the teach-back method, or patient counseling and education
preferred. Active LPN License with WA State Department of Health
Typing proficiency of at least 45 wpm. Bilingual (Spanish/English)
preferred. What We Offer: Sea Mar offers talented and motivated
people the opportunity to work in a dynamic and growing community
health organization. Working at Sea Mar Community Health Centers is
more than just a job, its a fulfilling career with opportunity for
advancement. The fringe benefits surpass most companies. For
example, Full-time employees working 30 hours more, receive an
excellent benefit package of Medical, Dental, Vision, Life
Insurance, Prescription coverage, Long Term Disability, EAP
(Employee Assistance Program), paid-time-off starting at 24 days
per year + 10 paid Holidays. We also offer 401(k)/Retirement
options and an exciting opportunity to work in a culturally diverse
environment. How to Apply: To apply for this position, complete the
online application and click SUBMIT or APPLY NOW . If you have any
questions regarding the position, email Peggy Perry, Program
Manager Transitions of Care at PeggyPerry@seamarchc.org Sea Mar is
an Equal Opportunity Employer Posted 04/21/2022 External candidates
considered after 04/26/2022 This position is represented by Office
and Professional Employees International Union (OPEIU). Powered by
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Keywords: Choice Marketing Partners, Dearborn Heights , Transition of Care LPN, Healthcare , Dearborn Heights, Michigan
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