oracle
Transitions of Care LPN
UConn Health - Community Network
Middlebury, USA
Part-time
Junior · 1+ years experience
Onsite
Discovered 3 days ago
Communication
Key Skills for This Role
Communication
Full Job Posting
Qualifications
- Active Licensed Practical Nurse (LPN) license in Connecticut.
- Minimum 1 year of clinical nursing experience, preferably in acute care, SNF, or case management.
- Strong verbal and written communication skills.
- Proficiency with electronic medical records (Epic preferred).
- Ability to work independently and manage a 20‐hour weekly schedule.
- Knowledge of Transitional Care Management (TCM) billing requirements.
- Excellent organizational and time‐management abilities.
- Demonstrated empathy and patient‐centered approach.
- Basic computer skills (Microsoft Office, email, phone systems).
- Commitment to maintaining confidentiality and adhering to regulatory standards.
Responsibilities
- Review daily discharge summaries and EMR documentation for Internal Medicine patients.
- Conduct outreach phone calls within 48 hours of discharge.
- Clarify hospital events, medication changes, and follow‐up instructions with patients and caregivers.
- Document call outcomes and any identified gaps in care in the EMR.
- Coordinate with providers to schedule TCM appointments as needed.
- Educate patients on post‐discharge self‐management and red‐flag symptoms.
- Communicate pertinent information to the care team to facilitate continuity of care.
- Track and report key metrics such as call completion rates and TCM billing eligibility.
- Maintain compliance with HIPAA and UConn Health policies during all communications.
- Participate in quality improvement initiatives related to transitional care.
Preferred Qualifications
- Proficiency with electronic medical records (Epic preferred).
About UConn Health - Community Network
Hospitals & Health Systems2000 employeesFounded 2026
A nonprofit Connecticut care network delivering hospital, medical-group, and home-health services to Waterbury-area communities.
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