Transition of Care Associate, Licensed Practical Nurse

Georgia, Vermont, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

Candidates must be a Licensed Practical Nurse (LPN) with experience in care coordination, preferably for dual-eligible populations. A strong understanding of Payer/Plan benefits, policies, and procedures is necessary, along with the ability to articulate them effectively. Experience with medication reconciliation and fall risk assessments is also required.

Responsibilities

The Transition of Care Associate (LPN) will coordinate care for members experiencing significant health status changes, ensuring a seamless transition to their next care setting and facilitating post-discharge goal attainment. Responsibilities include completing post-discharge questionnaires and calls, medication reconciliation, benefit education, monitoring members for changes in condition, and coordinating with providers and community resources to address health and social determinant needs. The role also involves managing warm transfers, evaluating health and social indicators, identifying barriers to optimal health, and facilitating care team coordination.

Skills

Care Coordination

Licensed Practical Nurse (LPN)

Post-discharge follow-up

Medication management

Communication

Collaboration

Problem-solving

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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