Licensed Vocational Nurse

At ClinNEXUS - we are changing lives through our mission of "Navigating Complexity, Empowering Lives" and growing fast! We're pioneering a transformation in the American healthcare system through proactive community engagement at the grassroots level. Our goal is to forge social connections, enhance clinical outcomes, and lower healthcare expenses for our patients. How we do this is by being proactive via individualized patient assessments, which ensures we are fully equipped to address every patient and their unique needs.

In partnership with health plans and clinical providers, the ClinNEXUS Enhanced Care Management (ECM) Licensed Vocational Nurse works to build trusting relationships with individuals experiencing homelessness and/or managing multiple chronic health conditions. The ECM Licensed Vocational Nurse will be responsible for review of member care plans, addressing the member's medical and behavioral health needs, with such review focused on identifying appropriate clinical services to be provided to individuals by third-party providers. The ECM Licensed Vocational Nurse will not be responsible for providing clinical services directly to an individual. In addition, the ECM Licensed Vocational Nurse provides advocacy, and assists with connection to health services, housing, and other social services. The ECM Licensed Vocational Nurse employs techniques to foster patient engagement, patient education, coaching, and access to and care navigation of systems to improve health outcomes. The ECM Licensed Vocational Nurse will primarily interact with individuals via remote teleconferencing technologies, and may also interact in-person. The ECM Licensed Vocational Nurse demonstrates deep cultural competency, leans into patients' diverse beliefs, values, and social norms, and ensures care is provided in a culturally and linguistically appropriate manner to meet the needs of all patients served. Compensation Hourly Pay Rate: The good faith pay range for this position is $32.00 to $44.00 per hour. The specific pay rate within this range will be based on the candidate's qualifications, including experience, skills and geographic location.

Showcase exemplary communication, and organizational prowess to cultivate a vibrant and positive work atmosphere. Assist the Enhanced Care Management (ECM) team regarding members' physical and medical needs. Participate in the review of and support of member-centered care plans for enrollees. Assist in identifying health care resources that focus on general health conditions, treatments, and interventions specific to each individual's health needs and consistent with standards of care. Monitor individualized care plans and support members to comprehend care plans and instructions, motivating them to actively engage in their health journey. Diligently monitor services to ensure adherence to care plan goals. Actively consult with Care Managers to review medical visit summaries, discharge papers, prepare for upcoming appointments, or review appointment outcomes to help ensure enrollees are being positioned to receive appropriate clinical and social services from third-parties with whom ClinNEXUS works. Assist Care Managers to implement health and preventive care education for acute health conditions, chronic disease management, and medication monitoring techniques. Engage vulnerable populations as part of a multidisciplinary outreach team, including home visits, accompaniment to appointments, outreach to hospitals, homeless shelters and other settings, as needed. Help address Social Determinants of Health and enhance connections to community-based organizations. Work with the ECM team to be aware of and understand hospital admission/discharge plans with the behavioral health clinician, PCP, pertinent specialists, and other organizations with the goal of preventing readmissions, if possible. Coordinate medication review and reconciliation following transitions in care. Assist the ECM team to implement prevention and engagement activities. Engage in quality improvement efforts for ECM team operations. Assess the needs of patients with the ECM team, identifying social determinants of health and recommending appropriate follow-up and community connections. Coordinate identification of needed member care activities by third parties, through implementation of home visits and offering culturally sensitive support for effective medical care and behavioral change within the team. Assist members in accessing resources, including appointment scheduling and navigating program applications. Foster positive relationships with team members, patients, providers, and community representatives to enhance teamwork and service excellence. Provide exceptional service to all stakeholders, ensuring culturally and appropriate care, attending meetings as necessary, and upholding established policies and procedures. Other duties and projects as assigned.