LPN Patient Navigator

LPN Patient Navigator

Dedicate yourself to an Organization and Mission you can be proud of by joining the Western Reserve Area Agency on Aging!

Our Mission: We provide choices for people to live independently in the place they want to call home.

About Us: Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation located, organized, and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain, and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for Ohioans to receive needed home and community services and supports; and to age successfully in their own homes and communities.

WRAAA's core values:

• Quality: Providing the highest quality of care management and unsurpassed services that together deliver premium value to our consumers.
• Efficiency: Optimal use of resources to provide the maximum level of care for our consumers, as well as the best experience for our employees.
• Collaboration: Positive interactions among and between all staff, consumers, and stakeholders with the underlying values of the 3Cscourtesy, compassion, and competence.
• Safety: The safety of our consumers and employees in their homes, in the office, and in the community.

Position Summary: The LPN Patient Navigator for MyCare Ohio CareSource is a highly motivated and compassionate professional responsible for providing superior service to members through in-home visits, data collection, and collaboration with Waiver Service Coordinators. This role involves monitoring home modifications, conducting emergency outreach, claims review, and service plan reconciliation, as well as facilitating referrals for requested services.

Job Duties:

• Performs member visits at home or other community locations to meet contractual obligations of Care Management Contact Schedules.
• Data gathering of HRA and quarterly visits; collaborate with WSC and document per requirements.
• Acts as a liaison with Waiver Service Coordinator staff and providers.
• Monitors the progress of home modifications through completion and obtaining satisfaction with modification via a home visit.
• Provides in-office telephone coverage and triaging with Waiver Service Coordinator Supervisor regarding the disposition of calls.
• Assists with completing Emergency Response Outreach to members at the request of the MCO during weather events or other emergency situations.
• Completes claims review of members services, including follow up with members and providers when discovery is made of any discrepancy between services authorized and delivered.
• Completes reconciliation of members' Service Plans, including entering of Care Manager authorized services.
• Completes referrals to providers of services requested by member.
• Management of various spreadsheets or reports required by the MCO or internal management staff.
• Assists in the review of electronic files per the direction of supervisor.
• All staff have the responsibility and authority to propose new ways to improve quality and to fully participate in quality improvement efforts.
• Performs other duties as assigned.

Qualifications:

• Current licensure as a License Practical Nurse with the Ohio Board of Nursing.
• At least one year of experience working with individuals with physical or behavioral health disabilities in a home health care, medical, or behavioral health environment is required.
• Must have a current valid Ohio driver's license, proof of auto liability insurance.
• Must be able to travel in own personal vehicle within the 5-county WRAAA region during work hours.
• Ability to accurately and timely document in members' electronic files.
• Knowledge of use of general office equipment and computer skills.
• Proficiency in interviewing skills, listening, and excellent interpersonal skills.
• Excellent written communication skills with the ability to complete documentation in grammatically correct format.
• Strong organization skills with the ability to prioritize.
• Ability to work independently within the team structure.
• Flexibility to adjust to variations in the work environment.
• Ability to work with multi-cultural members and experience with an interpreter.
• Knowledge of medical terminology and basic disease processes.
• Comfortable in going into members' homes, hospitals, and nursing facilities.
• Must be detail oriented, have excellent interpersonal communication skills and the ability to work effectively with others.

Western Reserve Area Agency on Aging