JOB DESCRIPTION Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. This role is primarily a work at home position. Essential Job Duties • Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. • Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. • Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. • Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. • Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. • Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. • Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • Facilitates interdisciplinary care team meetings (ICT) and collaboration. • Transition of care coaches with behavioral health and social science education may provide consultation, resources and recommendations to peers as needed. Required Qualifications • At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. • Background in discharge planning and/or home health. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Excellent verbal and written communication skills. • Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications • Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). • Hospital discharge planning or home health experience. Experience with Emergency Department discharge planning is a plus! To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $25.2 - $49.15 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Overview ERP International is seeking a full time Licensed Practical Nurse (LPN) in support of the Pediatrics at the Mike O’Callaghan Military Medical Center, Nellis AFB, Las Vegas, NV. Be the Best! Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction ERP Employees experience in providing care for our Military Members, their Families and Retired Military Veterans! ERP International is honored to have been named one of The Washington Post’s 2025 Top Workplaces ! Connect With Us! Apply online today and discover more about this exceptional employment opportunity. www.erpinternational.com * Excellent Compensation & Exceptional Comprehensive Benefits! * No Weekends! No Holidays! No Call! * Paid Vacation, Paid Sick Time, Paid Federal Holidays! * Medical/Dental/Vision, STD/LTD/Life Insurance, Health Savings Account and more available! * Annual CME Stipend and License/Certification Reimbursement! * Matching 401K! About ERP International, LLC: ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran. Responsibilities Schedule: Monday - Friday between the hours of 7:30am and 4:30pm, 9 hour shift to include a 1 hour lunch break. Not to exceed 40 hours per week. No Holidays/Possible Weekends/No Call Job Specific Details and Tasks: Initiate, perform and complete assigned duties in providing care to variable patient populations, which may include administrative components related to care Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information. Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education. Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures. Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure. Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice. Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction. Qualifications Minimum Qualifications: * Education: Graduate from an accredited community college, junior college, college, university, or vocational nursing program approved by the appropriate State agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). * Experience: One year within the last two years of practical or vocational nurse experience after graduation, but three years preferred. * Licensure: Possess current unrestricted RN License from any state. * Life Support Certification: Possess current ARC or AHA BLS through AHA or ARC. Must be certified to place IV (intravenous) catheters and present proof of certification. * Security: Possess the ability to pass a government background check/security clearance.
Overview Looking for a career that makes a difference every day? Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development. With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. The Enhabit Advantage: Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive: Generous paid time off for full-time employees 401(k) matching Medical, dental and vision coverage Supplemental insurance options Flexible spending accounts Incentive bonus opportunities Continuing education and scholarship opportunities Responsibilities As a LPN, you will visit patients in their homes and provide nursing care for them under direction of RNs and in compliance with the physicians' orders. Qualifications 1. Must possess a valid state driver’s license. 2. Must possess automobile liability insurance. 3. Must wear seat belts at all times while driving. 4. Dependable transportation kept in good working condition. 5. Must be able to drive an automobile in all types of weather conditions. 6. Must be c u r r e n t l y l i c e n s e d a s a L i c e n s e d Pr ra c t i c a l Nurse in the N u r s e i n t h e State of employment. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Legacy House of Centennial Hills in Las Vegas, NV is looking to hire a full-time Assessment Nurse (LPN) to ensure our assisted living residents are receiving top care. Are you a people person? Would you like to join a senior living community that offers a supportive work environment ? Are you looking for a part-time job with flexible hours ? If so, please read on! This nursing position earns a competitive wage of $20 - $25/hour . We provide generous benefits , including health, dental, vision, a 401(k), and paid time off (PTO) . We offer our LPNs flexible schedule options as well. If this sounds like the right opportunity for you, apply today! ABOUT LEGACY HOUSE OF CENTENNIAL HILLS / WESTERN STATES LODGING & MANAGEMENT Following a "personal touch" philosophy, we take the time to get to know our guests and residents and always look for ways to provide care beyond what is expected. We are guided by six core values: Be loving. Choose wisely. Perform together. Act boldly. Express gratitude. Mind the store. We believe that the more independent our assisted living residents are, the happier and healthier they feel. We entrust only the most qualified, dependable, dedicated, and trustworthy individuals with the care of our clients. We strive to take good care of our staff. There really is a sense of family with the residents and co-workers here. If you're looking to work with a supportive, happy, and fun team, look no further! A DAY IN THE LIFE OF AN ASSESSMENT NURSE (LPN) As an Assessment Nurse (LPN), you play an essential role in ensuring that our assisted living residents receive the top-quality direct care they deserve. You support the RN and help us recruit caregivers and med techs. Working with our vendors, you get TB tests ordered and delivered for residents and employees. You develop staff training programs as well as train our nurses and unlicensed staff in the administration and management of medications. You provide superior nursing care to our community's senior residents. To create service plans that are individualized for each resident, you conduct assessments. Once those are complete, you meet with other members of the direct care team and create the plan. You communicate all details to the appropriate staff to ensure that senior residents' needs are met. Highly organized, you schedule medication technicians to ensure that there is always someone available when needed. As a team player, you work with dieticians, therapists, and other direct care team members. You are meticulous about documenting our clients' conditions and noting significant changes when they occur. At times, the job is fast-paced, but you are always up for the challenge. Having a position where you do important work to help our senior living community brings you great fulfillment! QUALIFICATIONS FOR AN ASSESSMENT NURSE (LPN) LPN license 2+ years of management experience in assisted living or long-term care Are you flexible and able to help out where needed? Do you enjoy working with and helping seniors? Can you work with confidence in a fast-paced setting? If yes, you might just be perfect for this position! WORK SCHEDULE This full-time nursing position offers flexible hours . ARE YOU READY TO JOIN OUR DIRECT CARE TEAM? If you feel that you would be right for this full-time nursing job, please fill out our initial 3-minute, mobile-friendly application . We look forward to meeting you! Location: 89149
