LPN Clinical Data Reviewer

POSITION SUMMARY:

The LPN Clinical Data Reviewer will play a crucial role in delivering high quality patient monitoring reports for the Care Management service line. They are responsible for reviewing patient medical data from electronic medical records (EMR) system to compile Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) monthly patient reports.

PRIMARY RESPONSIBILITIES:

• Adheres to Chronic Care Management regulatory compliance as defined by CMS, ensuring the integrity of data and documentation meets the internal standards set by Care Management services as defined by Tapestry Care Management department.
• Conduct thorough assessments of patients' health conditions based on the collected data, identifying any potential changes or abnormalities, escalating as appropriate.
• Responsible for the accuracy of all data points based on access to facility records.
• Compiles a complete initial report that will be reviewed by the NP/Provider Clinical reviewer to develop a comprehensive care plan.
• Utilize our proprietary remote monitoring platform to review and analyze patients' physiological data, including vital signs, activity levels, and other relevant metrics as defined in the playbook
• Successfully meets organizational and departmental excellence standards
• Cultivates a culture of accountability with internal and external stakeholders, to facilitate open communication program enhancement.
• Performs all duties and responsibilities and adheres to the Nurse Practice Act.
• Works with Tapestry IT and Data Scientists in resolving mismatch patient information, and discrepancies
• Ensures timelines are met
• Protects patient information and adheres to standard of confidentiality with all patient information
• Contributes and participates in the development of performance and continuous quality improvement activities within the scope of Care Management.
• Participates in routine office hours, provides TEAMS CCM channel oversight, and organizes meetings for small groups of Data Quality Reviewers
• Performs monthly Data Quality Audits, utilizing the departmental scorecard, delivers feedback and develops improvement plans
• All other duties as assigned.
  
  
  

MINIMUM REQUIREMENTS:

• Current and valid LPN license
• Minimum of 3 years’ experience as an LPN
• Strong clinical background with experience in remote patient monitoring, telehealth, or similar settings
• Proficiency in using remote monitoring platforms and electronic health records systems
• Proficient with Adobe, Microsoft Word, Excel, and video conferencing platforms and Dashboard type platforms.
• Familiarity with HIPAA (Health Insurance Portability and Accountability) regulations and patient privacy standards
  
  
  

PREFERRED SKILLS:

• Strong verbal/written communication and presentation skills
• Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework
• Must always represent the organization in a positive and professional manner
• Highly skilled in conflict management and root cause analysis
• Ability to organize and prioritize tasks
• Ability to work independently, be attentive to detail and maintain a positive attitude.
• Ability to educate internal and external customers on care management services, and Tapestry care Management service line providers as part of their assigned facilities
  
  
  

SALARY: Hourly rate is $28+ based on experience. We offer competitive benefits which include medical, dental, vision, 401K, 20 days of PTO, and 8 company paid holidays.