Full-Time

LPN Transition of Care Coordinator

Posted on 1/5/2023

Aledade

Aledade

1,001-5,000 employees

Empowers primary care practices with value-based solutions

Data & Analytics
AI & Machine Learning

Senior, Expert

Columbia, MO, USA

Requirements
  • Degree: Associates Degree
  • Experience: 2-5 Years' Experience in a healthcare setting
  • Supervisor Experience: None Required
  • License/Certifications: LPN License/Certification
Responsibilities
  • Ensures that the patients have timely access to the care team for transitional or urgent care. This will include scheduling follow up visits after an Emergency Department or Hospital discharge
  • Assists patients scheduling appointments, annual wellness visits, monitoring groups with chronic conditions, and doing patient follow up
  • Assists with outreach to patients within 48 hours of discharge to review discharge instructions, perform a medication reconciliation, review test results
  • Builds and maintains relationships with practice staff, practice care team and community resource partners
  • Attend and participate in regular conference calls, team huddles, meetings, and coordinating regular email updates to ensure alignment of activities, discuss developments, and exchange information
  • Assists leadership in developing program visions, goals, and objectives
  • Assists with patient outreach via the phone to close gaps in care, provide up-to-date healthcare information, helping patients understand their health status, answer questions, and ensure their medical history is updated in our record
  • Boone Health has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job
  • Performs other Responsibilities as Assigned
Desired Qualifications
  • Experience: 5-10 years

Aledade, Inc. stands out as a leading network of independent primary care, offering robust support to practices through its unique model that combines advanced data analytics, user-friendly workflows, and health care policy expertise. The company's commitment to the success of independent practices is demonstrated through its strong payer relationships and integrated care solutions, which enable physicians to thrive financially while focusing on patient health. With over 1,500 practices across 45 states and the District of Columbia, Aledade's shared risk and reward model, managing over 2 million patient lives, showcases its industry leadership and its significant role in the evolving healthcare landscape.

Company Stage

Series F

Total Funding

$657.6M

Headquarters

Bethesda, Maryland

Founded

2014

Growth & Insights
Headcount

6 month growth

4%

1 year growth

23%

2 year growth

93%
INACTIVE