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LVN Clinical Support Specialist, Home Health
Responsibilities:
· Manage daily Key Performance Indicators (KPIs), including monitoring productivity, visit utilization, and quality metrics.
· Provide clinical and operational support to field staff (RNs, therapists, LVNs, and aides), including troubleshooting, guidance, and escalation of issues.
· Process verbal orders, coordinate workflow, and handle escalation or complaint calls efficiently.
· Support case management by reviewing and managing patient episodes, with focus on preventing Low Utilization Payment Adjustment (LUPA) risks, appropriate paraprofessional (HHA) utilization, correct visit types, and overall episode management.
· Report on case management activities to ensure quality outcomes and regulatory compliance.
· Update clinical records, assist with documentation, and maintain accurate patient information in the Electronic Medical Record (EMR) system.
· Coordinate with clinicians, interdisciplinary team members, and other departments to promote continuity of care and efficient operations.
· Participate in quality improvement initiatives, case conferences, and performance reviews as needed.
· Assist with care plan reviews, missed visit management, and other administrative/clinical support tasks to optimize patient outcomes and agency performance.
Qualifications:
- LVN/LPN with current licensure to practice nursing in the practicing state.
- Possess and maintain CPR certification.
- Previous experience in home care setting preferred.
- Must be a licensed driver with an automobile that is insured and in accordance with state and/or organization requirements and is in good working order.
- Prior use of Electronic Medical Records (EMR) preferred.