Skills & Competencies for Licensed Practical Nurse - Medical Management
Licensed Practical Nurse - Medical Management job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Licensed Practical Nurse - Medical Management
Coordinates with healthcare providers and plan members to maximize member benefits while managing costs.
JOB RESPONSIBILITIES for Licensed Practical Nurse - Medical Management
Assesses medical necessity of patient admissions, surgical and diagnostic procedures, and other related services. Conducts pre-certification or authorization, and monitors compliance with established medical guidelines and policies. May assist members in appeals for denied services.
Licensed Practical Nurse - Medical Management SALARY RANGE
BASE 50%
$67,930
TOTAL 50%
$69,417
Job Level
AZ0
Job Code
HC07000595
Education/Degree
High School Diploma or Technical Certificate
Reports To
Registered Nurse or Supervisor
Licensed Practical Nurse - Medical Management Skills and Competencies List
9 general skills or competencies (Job family competencies) for Licensed Practical Nurse - Medical Management
1
Job Family Competencies –
Quality Improvement
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Names the industry best practices in conducting a quality improvement program.
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Level 2 Behaviors
(Light Experience)
Supports the implementation and improvement of the Quality Management System.
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Level 3 Behaviors
(Moderate Experience)
Uses various quality methodologies such as Kaizen and Six Sigma to conduct improvement projects.
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Level 4 Behaviors
(Extensive Experience)
Provides feedback on quality issues to ensure continuous quality improvement.
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Level 5 Behaviors
(Mastery)
Leads cross-functional improvement projects to improve quality, cost, and service excellence.
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2
Job Family Competencies –
Case Management
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Names several intervention techniques and clinical services used in case management.
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Level 2 Behaviors
(Light Experience)
Updates clients' records to reflect their latest treatment procedures, condition, and progress.
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Level 3 Behaviors
(Moderate Experience)
Translates gathered data into a care plan that details the client's health objectives and healthcare options.
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Level 4 Behaviors
(Extensive Experience)
Recommends changes in the treatment plan or alternative steps when the expected treatment results are not obtained.
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Level 5 Behaviors
(Mastery)
Sets the process and metrics in evaluating the efficacy or impacts of the case management program on clients.
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3
Licensed Practical Nurse - Medical Management
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Licensed Practical Nurse - Medical Management
Proficiency Level - 4
5
Competency for -
Licensed Practical Nurse - Medical Management
Proficiency Level - 5
6 soft skills or competencies (core competencies) for Licensed Practical Nurse - Medical Management
1
Core Competencies –
Attention to Detail
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Cites steps and tips to improve attention to detail in the workplace.
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Level 2 Behaviors
(Light Experience)
Performs assigned responsibilities according to standard procedures and standards.
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Level 3 Behaviors
(Moderate Experience)
Implements a variety of cross-checking approaches and mechanisms.
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Level 4 Behaviors
(Extensive Experience)
Creates and implements quality management processes for our business.
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Level 5 Behaviors
(Mastery)
Defines possible hurdles to projects and creates strategies to deal with them.
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2
Core Competencies –
Time Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Cites examples of prioritization methods used to manage and save time in the workplace.
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Level 2 Behaviors
(Light Experience)
Applies principles, habits, and skills in organizing schedules to manage time productively.
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Level 3 Behaviors
(Moderate Experience)
Demonstrates a willingness to abandon tasks or projects that prove to be of little value to the business.
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Level 4 Behaviors
(Extensive Experience)
Creates programs to develop our employees' understanding of time demand and management.
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Level 5 Behaviors
(Mastery)
Designs tools to efficiently organize and keep track of tasks in progress to boost productivity.
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3
Licensed Practical Nurse - Medical Management
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Licensed Practical Nurse - Medical Management
Proficiency Level - 4
5
Competency for -
Licensed Practical Nurse - Medical Management
Proficiency Level - 5
Summary of Licensed Practical Nurse - Medical Management skills and competencies
There are 0 hard skills for Licensed Practical Nurse - Medical Management.
9 general skills for Licensed Practical Nurse - Medical Management, Quality Improvement, Case Management, Managed Care Management, etc.
6 soft skills for Licensed Practical Nurse - Medical Management, Attention to Detail, Time Management, Flexibility, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Licensed Practical Nurse - Medical Management, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Flexibility.
9 general skills for Licensed Practical Nurse - Medical Management, Quality Improvement, Case Management, Managed Care Management, etc.
6 soft skills for Licensed Practical Nurse - Medical Management, Attention to Detail, Time Management, Flexibility, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Licensed Practical Nurse - Medical Management, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Flexibility.
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