LPN, CHRONIC CARE COORDINATOR
GEO Corrections & Detentions (A GEO Company)

Facility: East Hidalgo Detention Center

Compensation Base: $27.00 + $4.54 H&W

Compensation Bonus (if applicable): 

Equal Opportunity Employer.

Summary

This position plans, coordinates, and implements all the Chronic Health Program at a facility and serve as resource by providing education as required to patients and staff.  This position is the subject matter expert for disseminating information on chronic diseases.

• Ensures that chronic health screening is performed at the intake screening.
• Ensures patients are scheduled to appropriate clinicians (physician, physician assistant, nurse practitioner) for initial and follow-up care.
• Educates inmates in medication side effects and the treatment and management of chronic medical conditions including diet and lifestyle changes.
• Utilizes a variety of patient teaching methods to impart vital information about disease management to the chronic care patients.
• Creates systems to maintain security while allowing inmate involvement in self-care. Oversees a basic KOP (keep-on-person) program (if allowed in the facility) for self-administration of oral medications and inhalers. Teaches inmates to perform self-blood glucose monitoring.
• Is familiar with the treatment plan for all chronic clinic patients and actively manages the multiple elements of the plan to assure consistent compliance.
• Reviews medication administration records for compliance, initiating diagnostic tests such as EKGs and pulmonary function tests, and checks lab values when they arrive. Shares significant results with the medical provider so that adjustments can be made to the treatment plan.
• Obtains orders for any needed lab studies and coordinates all recent lab results, diagnostic reports and specialty consults and assures that all information is available and accessible at the time of the patient visit with the medical provider.
• Keeps a detailed log of all chronic care patients and schedules lab, diagnostic studies, Provider and Nursing follow-up visits as directed by the treatment plan.
• Communicates and coordinates activities with other staff members as part of the interdisciplinary treatment team.
• Participates in quality assurance review activities.
• Maintains detailed case records and official reports on clients as indicated. Charts and reviews treatment provided, makes recommendations and refers to clinicians as needed.  Maintains statistics on number and type of inmates seen.
• Provide patients with discharge instructions and facilitate community referrals.
• Performs other duties as assigned.