Post-Acute Care Coordinator - LPN

Post-Acute Care Coordinator - LPN | AdventHealth Corporate

Location Address: 101 Southhall Lane, Maitland, FL 32751

Top Reasons to Work at AdventHealth Corporate

• Great benefits
• Day 1 Health Insurance Coverage
• Career growth and advancement potential

Work Hours/Shift:

• Full-Time, Monday – Friday

You Will Be Responsible For:

• Works with all clinical teams in as a resource for the health management of all identified patients.
• Chart review during skilled nursing facility stay, including facility EHR and primary provider EHR.
• Coordinating care post-discharge from facilities to include follow-up appointments and confirmation of home health agency communication
• Weekly attendance at facility clinical rounds(telephonically)
• Communication with provider practices for updates and to facilitate interdisciplinary conferences
• Outreach to patient during stay to advocate for safe and expedited discharge planning
• Outreach to patient and family after discharge from SNF for transition of care
• On-site visits to facilities as directed by manager

What You Will Need:

Education and Experience Required:

• 1-3 years of experience in skilled nursing facility, acute care facility, or post-acute care management
• LPN in the state of Florida

Licensure, Certification or Registration Required:

• Licensed Practical Nurse in the state of Florida (LPN)

Knowledge and Skills Required:

• Comprehensive understanding of the Health Management and Population Health purposes
• Ability to work in a fast-paced setting
• Excellent interpersonal skills
• Excellent written and oral communication skills and organizational skills
• Must demonstrate the ability to problem solve and work independently with solid judgement

Job Summary:

The Post-acute care coordinator’s primary responsibility is to oversee post-acute care utilization for identified populations. The Post-acute care coordinator will monitor length of stay while a beneficiary is in a skilled nursing facility and evaluate for appropriate discharge planning. When needed, the Post-acute care coordinator will advise on possible alternative discharge plans for complicated cases. Developing and maintaining collaborative relationships with post-acute care facilities’ staff will be key in monitoring length of stay during skilled nursing facility stay and assisting in discharge planning. The Post-acute care coordinator will participate in facility clinical rounds weekly or more often as necessary. Access to and use of facility electronic health records, when available, will enable daily monitoring of beneficiary activity and progress. Communication with beneficiary and/or family may be necessary to facilitate discharge planning and collaboration with primary care practices. Care coordination will include post-discharge follow-up and transitions of care telephonic outreach to maintain continuity of care.