LPN Care Manager

Knute Nelson Park Rapids, MN Full-time Dentistry

Posted on November 22, 2024

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Support at-risk clients with aging care and service needs to promote effective education, age-well self-management support, timely care, and service delivery to achieve optimal quality and financial outcomes.
Coordinate client care and services to improve the quality of care by efficiently utilizing resources and enhancing cost-effective outcomes. Ensure appropriate referrals and connections are made and foster engagement with the client's care network and coordination between multiple health and community-based entities.
Ensure that professionalism is practiced at all times, including complying with legal and ethical standards, privacy requirements, client advocacy, conflicts of interest, and professional boundaries.
Participate in developing models of care and support to integrate social and clinical pathways for whole-person care delivery within Knute Nelson and in partnership with other providers and payers.
Participate in collaboration with members of the Knute Nelson organization and other partnering providers and organizations.
Commitment to the pursuit of excellence in improving the health status of the aging community will be essential to drive success.
Participate in the centralized monitoring for Population Health clients with telemonitoring units, including on-call weekend rotation.
Help enhance technology programs.
Deliver high-quality care to assigned clients based on the client's physical, psychosocial, emotional, and spiritual needs.

Key Responsibilities:

Assist in the implementation of programming.
Complete client health screenings and evidence-based practice guidelines to identify health, well-being, environmental concerns, and social determinants of health.
Assess and identify client strengths, needs, concerns, and preferences.
Interpret client needs and translate them into client care, that identifies client goals and resources to help facilitate the client's agreed-upon ideals of wellness.
Assist in establishing goals and a plan of care or service.
Implement care and service plans based on qualified assessments.
Act as an advocate for an individual's healthcare needs and coordinate care to minimize the fragmentation of healthcare delivery systems.
Assist in managing and monitoring the ongoing provision and need for care and service.
Assist the technology team and the implementation of technology deployment and usage strategies.
Assist in coordinating care and services with other healthcare and service provider(s)/organizations.
Ensure professional practice of care management.
Demonstrate comprehension and application of theories related to human behavior, crisis, family systems, personality, change, and adult learning.
Participate in meetings and collaborative planning related to population health strategy.
The duties and responsibilities listed above represent the nature and level of work assigned and are not necessarily all-inclusive.

Education and Experience Required:

Current LPN licensure in the states of Minnesota.
Must obtain CPR certification within 6 months from date of hire.
Knowledge of nursing; strong assessment, problem-solving, and organizational skills; familiarity with health and social resources; understanding of geriatric care; understanding of acute/chronic illness, basic mental health, and normal/abnormal aging process; and knowledge of basic medical terminology.
Must have excellent oral and written communication skills and the ability to work effectively with others and collaborate with the interdisciplinary team.
Must have general computer skills and be willing to learn new computer systems.
Must have a valid driver's license and use an insured personal vehicle.
Must complete and pass a state-required background study.
Able to physically perform the duties required by the position.
Required to read, write and speak English well enough to communicate with staff, patients, families, and facilities.

Reports To: Director of Care Management

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