LPN Care Manager

As a Licensed Practical Nurse at North Okaloosa Medical Center youll play a vital role in doing what you do best - providing quality care to our patients. Our nurses enjoy a robust benefits package including health insurance 401(k) flexible scheduling 100% licensure/certification reimbursement Tuition Reimbursement and up to $20K for student loan payments.

• Experienced full time LPN Care Manager with weekend rotation

Job Summary

The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and necessity collaborating with interdisciplinary teams and facilitating safe and timely transitions of care in compliance with federal state and accreditation standards.

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness medical necessity and utilization of hospital services escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
• Identifies avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
• Coordinates discharge planning activities including arranging post-hospital placements and collaborating with patients families and physicians to ensure continuity of care.
• Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
• Assists in facilitating interdisciplinary meetings presenting relevant information and supporting collaborative care planning.
• Ensures accurate and timely documentation of utilization review discharge planning activities and patient interactions in accordance with organizational policies.
• Identifies and appropriately reports cases to Child/Adult Protective Services as required by legal and ethical guidelines.
• Participates in the development implementation and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 2-4 years of clinical nursing experience required
• Experience in utilization review case management or discharge planning preferred

Knowledge Skills and Abilities

• Strong understanding of utilization management principles discharge planning and transitions of care.
• Knowledge of federal state and accreditation standards related to case management and patient care.
• Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
• Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
• Proficiency in electronic medical records (EMR) systems and documentation processes.
• Ability to assess complex situations identify solutions and implement effective care plans.

Licenses and Certifications

• LPN - Licensed Practical Nurse - State Licensure required
• BCLS - Basic Life Support required

State Specific Requirements

• New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

At North Okaloosa Medical Center we believe in providing convenient care in a comfortable setting. With the help of more than 600 employees 150 physicians on staff and more than $12 million of recent capital upgrades and renovations we have created a caring place where clinical expertise and advanced technology blend seamlessly with sincerity and compassion.

We pride ourselves on our unique dedication to the community hospital experience. While we believe its vital to stay up to date with technology we will never lose sight of whats truly important the human interaction that is crucial to providing quality care.

Our goal is to anticipate the needs and exceed the expectations of our patients and their families ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.