Care Advocate Nurse
Core
Coordinates care for patients with chronic, co-morbid conditions and psychosocial issues to ensure quality, efficient, and cost-effective healthcare delivery.
Role type
Licensed Practical Nurse (LPN) Care Coordinator
Builds
Patient care plans and care transitions between inpatient, skilled nursing facilities, and home care
Domain
Healthcare / Chronic Disease Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care plan development, patient education, care coordination, clinical guidelines application, case monitoring, vendor collaboration, regulatory compliance
Preferred skills
Experience in IPA, PHO, or Health Management settings
Technologies
EMR, CM workflow software, tickler file
Responsibilities
Develop and implement patient care plans based on initial assessments and clinical goals; Monitor patient progress and adjust plans to overcome barriers to care; Facilitate timely discharge and smooth care transitions between care settings; Collaborate with physicians, care managers, and community agencies to coordinate services; Document outcomes and maintain case files according to department guidelines.
Seniority
Mid-level, hands-on IC