Phamily is assisting in placing a registered LPN for a Chronic Care Navigator role with a large hospital in Savannah, GA. The selected candidate will work within the hospital system and use the Phamily Chronic Care Management platform to manage and coordinate care for patients with chronic conditions.

Qualifications:

• Minimum 2 years’ experience as an LPN.
• Strong communication and multitasking skills.
• Experience with EHR/EMR systems and population health is highly desirable.
• Ability to be onsite in Savannah, GA office.

The Chronic Care Manager is a certified medical assistant who supports the development of patient-centered, team-based care. S/he will support primary care physicians (PCPs) and practices in managing their panel of patients using the Phamily platform. For more information, visit:

By gathering and organizing patient data, the Chronic Care Navigator works to identify patients’ unmet needs, engage patients in their own care, gather summary information for treatment interventions, and enhance ongoing communication between the patient and her/his care team. The goal of the Chronic Care Management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment. Each Care Manager will be expected to manage a 500 patient caseload with 300 billable by the end of month. 

Disclaimer: While each role is initially screened by the Phamily team, the ultimate hiring and hiring decisions will be made by the client’s hiring team.

Requirements

Key Responsibilities:

• Collaborate with primary care teams to manage chronic disease patients using the Phamily platform.
• Contribute to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary.
• Provide the members of health care teams in designated practices with the data required to meet the health needs of the patient.
• Organize patient data, identify unmet needs, and enhance communication between patients and their care teams.
• Engage in quality improvement efforts and support care redesign strategies.
• Work as an effective team member of the care team.
• Perform all job functions in compliance with applicable federal, state, local and company policies and procedures.
• Manage a caseload of 500 patients, with 300 billable by the end of each month.
• Provide data to the care teams to properly perform these processes.
• Assist care teams by providing accurate and relevant data to improve patient care.
• Other duties assigned.

Benefits

Compensation & Benefits:

• Pay: $17-$25/hour
• Medical, Dental, Vision, and Retirement Plans
• Paid Time Off (Vacation, Sick, Public Holidays)