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)
Discusses practice workflows to identify opportunities for process and quality improvement.
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Level 2 Behaviors
(Light Experience)
Documents quality audits, results, and key metrics to drive continuous improvement activities.
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Level 3 Behaviors
(Moderate Experience)
Participates in improvement activities related to quality and key performance indicators.
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Level 4 Behaviors
(Extensive Experience)
Investigates internal quality issues to provide recommendations on process improvements.
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Level 5 Behaviors
(Mastery)
Conceptualizes automated processes to analyze quality systems for improvement.
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2
Job Family Competencies –
Case Management
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Describes the industry best practices in developing and implementing care plans for clients.
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Level 2 Behaviors
(Light Experience)
Provides healthcare services and education to clients under the supervision of senior medical professionals.
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Level 3 Behaviors
(Moderate Experience)
Manages arrangements for patient post-discharge treatment at home or post-acute care facilities.
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Level 4 Behaviors
(Extensive Experience)
Monitors and evaluates the efficiency of interventions, plan of care, and clinical services provided to clients.
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Level 5 Behaviors
(Mastery)
Establishes a case management program that details an organized approach to offering client case management services.
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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)
Identifies the procedures for making sure that results are mistake-free.
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Level 2 Behaviors
(Light Experience)
Processes limited amounts of detailed information with reasonable accuracy.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes the accuracy of data and details.
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Level 4 Behaviors
(Extensive Experience)
Designs systems to help the team organize and track details and project progress.
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Level 5 Behaviors
(Mastery)
Develops best practices for identifying and correcting errors, oversights, and omissions.
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2
Core Competencies –
Time Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Discusses workplace barriers and issues that may affect time management.
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Level 2 Behaviors
(Light Experience)
Collects and compiles information in an organized manner to finish tasks efficiently.
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Level 3 Behaviors
(Moderate Experience)
Executes work plans to manage workflow and track milestones to completion.
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Level 4 Behaviors
(Extensive Experience)
Improves processes to organize workloads of teams efficiently.
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Level 5 Behaviors
(Mastery)
Establishes a time management matrix to reprioritize the importance of current and upcoming tasks.
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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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