Become part of a team focused on the care
of the frail, poly-chronic, elderly Medicare Advantage patients. This
population is typically underserved and very challenged with access to care. To
address these problems, we have elected to bring the care to the patient,
instead of trying to bring the patient to the care. Care is provided throughout
the entire continuum of care – from chronic care and urgent care in the home,
to hospital, to skilled nursing facility, to assisted living, to palliative
care, to end of life care. WellBe's physician/advanced practicing clinician led
geriatric care teams’ partner with the patient’s primary care physician to
provide concierge level geriatric medical care and social support in the home
as well as delivering and coordinating across the entire care continuum.
LPN Visit Facilitator will play a vital role in delivering white glove, high-quality services to
patients who need your help in the comfort of their own home. This position
requires a combination of conducting in-person patient visits, supporting
administrative tasks, and facilitating telehealth patient consults with Nurse
Practitioners or Physicians as required. The LPN Visit
Facilitator role will be the local market expert and will act as a connector
for patient support services. This role will be
responsible for working closely with our Telehealth provider team and social
worker team to provide deliver the highest quality of care to our patients. The
role has no direct reporting responsibility but will function as part of an
integrated, interdisciplinary patient care team. Daily, local travel to meet patients and the community will be an
essential part of your role.
- Facilitate in-home
Telehealth visits between Nurse Practitioner and Patient,
initial patient assessments and on-going follow-up visits as appropriate
per patient need.
- Complete and document thorough home
safety inspection during patient visits.
- Check and record health vitals including
weight, blood pressure, heart rate, lung sounds, and blood sugar levels,
as well as potential health challenges noted during the home visit and/or
reported by each patient.
- Provides support for patient
care needs at the direction of the assigned Provider.
- Responsible for patient
education needs at the direction of the assigned Provider.
- Reviews patient care
interventions and assessment of patient needs for transitions of care, end
of life discussions, addressing HEDIS gaps (med adherence) and palliative
- Completes and submits all documentation/paperwork
- Attends Interdisciplinary Team (IDT)
meetings and provides additional information on any patient/family
- Collaboration with other
care team members on patient care strategies.
- Attend all required trainings, including equipment/device training. Ongoing training to be expected and additional education, skills, and protocols will be added
- Active Oregon State Licensure and reside
in the state of Oregon.
- 3+ years as an LPN in a direct,
patient-facing care delivery role
- Prior Telehealth experience preferred.
- Previous experience in home care,
hospice, palliative care, or geriatrics strongly preferred, other complex
patient health care experience also beneficial.
- Possess a valid driver’s license with an
acceptable driving record.
- Requires proof of active auto insurance
- CPR Certification required.
Required Skills and
- Strong communication skills,
with the ability to effectively interact with patients, families, and
remote healthcare professionals.
- Ability to work
independently and make sound decisions while adhering to established
protocols and guidelines.
- Excellent organizational and
time management skills to handle administrative tasks and facilitate
- Understanding of Risk
Assessment and Quality measures
- Familiarity with electronic
medical records (EMR) systems and basic computer skills
- Understanding of full-risk or value-based care
- $50,000 - $ 69,000 plus benefits