Personal Care Coordinator I

About Us:

ChartSpan is the largest chronic care management (CCM) service provider in the US. CCM programs focus on patients who have multiple (two or more) chronic conditions that are expected to last at least 12 months or more. We provide an essential service that helps providers stay in touch with and meet their patients’ healthcare needs in between office visits.

The role of an LPN Personal Care Coordinator is to care for patients in our program while working in conjunction with the patient’s care team to facilitate and address existing and new chronic health issues through outbound phone calls. This position also focuses on assisting patients in obtaining the resources they need to improve their health, happiness, and longevity.

We are looking for nurses who are passionate patient advocates who want to form ongoing, collaborative relationships with their patients to improve their lifestyles for the better.

This position is day shift only, operating from Monday through Friday.

This is a full-time, full-benefits remote role. All necessary equipment will be provided.

Responsibilities

• Provide a monthly care management conversation through outbound phone calls to assigned patients to address their healthcare needs.
• Communicate resources and services available to patients through the continuum of care.
• Identify patient-specific problems, goals, and interventions designed to meet the patient’s individual needs through action-oriented and time-specific goals.
• Maintain chart compliance and proper documentation, including but not limited to medical history, medication, immunizations, allergies, surgical history, and family history.
• Demonstrate awareness of a patient’s circumstances that may necessitate revisions to care plans, goals, and preferences while being aware of barriers to care and services.
• Provide appropriate health education.
• Escalate patient concerns to the triage nurse team.

Performance Metrics:

• Maintaining proper utilization.
• Achieving a scheduled call percentage.
• Quality Scores.
• Working the scheduled hours and maintaining proper attendance.