• Triage inbound communications, including calls, faxes, email and instant messages from teammates, patients and partners and prioritize patient needs, including care coordination and medical treatment by assisting with wound care, IV therapies, and other clinical procedures within scope of practice.
• Serve as a communication link among patients, PCPs, and healthcare professionals, assists Clinic Manager, as needed, to provide on-site instruction to Personal Care Assistants/CNAs and Licensed Vocational Nurses (LVNs).
• Oversee post-appointment processes, including diagnostic orders (EKGs, POC testing, labs), referrals, and medication orders and management.
• Engage in comprehensive chart preparation and provide crucial patient education on care plan adjustments.
• Develop a plan of care based on the nursing process, which incorporates the plans of other disciplines and continuing care needs, and includes the patient and family in developing or revising the plan of care.
• Vaccinate and educate participants about need for routine vaccinations, if needed.
• Educate the participant, family, and caregivers regarding the chronic disease process, self-care techniques, and prevention strategies.
• Assess participants' physical and mental wellness, needs, preferences, goals and abilities, ensuring that coordinated care reflects participant wishes and consent.
• Performs authorized nursing and case management services in participant home , as needed e.g. wound care, vaccine or medication administration, etc.
• Support RN team and home care LVN to complete home care and pre-enrollment level of care assessments as needed.

Qualifications 

Location

• Los Angeles required. Ability to commute to Alhambra required.
• Relocation benefits available.

Salary & Benefits