1009 Patient Resource Specialist- LPN (Remote) At Author Health, we’re revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don’t just treat symptoms. We treat people — fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn’t a checkbox. It’s how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient’s experience, and we’re creating a workplace where team members can show up as their full selves, too. If you’re driven by purpose, ready to shake up the status quo, and eager to make a real impact in people’s lives, we’d love to meet you. Let’s build the future of mental health care together! What You’ll Do As the Patient Resource Specialist- LPN within our Care Management Team at Author Health, you will focus on supporting patients with serious mental illness and substance use disorders. You will play a key role in supporting patients during their transition from hospital to home by conducting post-discharge follow-up calls. This position focuses on patient education, medication reconciliation, symptom monitoring, and ensuring patients understand their discharge instructions. The goal is to reduce readmissions, improve outcomes, and enhance patient satisfaction. You may also work with patients to remove barriers to care by connecting patients with vital resources, including transportation, food, housing assistance, Medicaid applications, and more. Working within a multidisciplinary team, you will collaborate with patients, caregivers, and staff to ensure improved access to care and overall health outcomes for seniors and their families. This role is fully remote and support will be provided telephonically.

• Patient Advocacy: Act as a liaison between patients and community resources, ensuring timely access to housing assistance, Medicaid enrollment, transportation services, food resources, and copay assistance.
• Care Management Support: Work with care managers and healthcare providers to address patients', post discharge, social, financial, and transportation needs.

○ Conduct timely follow-up phone calls to patients recently discharged from hospitals, skilled nursing facilities, or outpatient procedures. ○ Review discharge instructions with patients to ensure understanding and Compliance. ○ Perform basic medication reconciliation and identify discrepancies or issues to escalate to the appropriate provider or RN. ○ Assess patient condition using structured questions and escalate any concerns per clinical protocols. ○ Provide education and support regarding post-discharge care, appointments, medications, and when to seek medical attention

• Resource Coordination: Assist patients with the process of applying for Medicaid and other public assistance programs. Identify and connect patients with relevant social services, including housing support and food programs.
• Documentation & Reporting: Maintain accurate and up-to-date records of patient interactions, including resource referrals, case updates, and outcomes, in compliance with HIPAA and company policies.
• Education and Empowerment: Educate patients about available resources and guide them through application processes for public assistance programs and community-based services.
• Follow-up Support: Monitor patients' progress in securing needed resources, providing follow-up to ensure successful implementation of services.
• Collaboration: Work closely with multidisciplinary teams, including healthcare providers, and community organizations, to ensure holistic patient care.

What You Bring: To excel in this role, you should have:

• Passion for helping patients to improve their health by removing barriers to care.
• Active and unencumbered multi-state (compact) LPN license with additional states of IL preferred.
• Compassionate and empathetic attitude toward working with patients facing challenging health and social circumstances.
• Proven ability with working with patients with complex needs and finding resources to help them overcome barriers to care.
• At least 1-2 years of clinical nursing experience, preferably in acute care, case management, or home health. Prior telephonic nursing or care coordination experience is a plus.
• Strong patient education skills.
• Familiarity with discharge instructions and care transitions.
• Strong understanding of social determinants of health and their impact on patient outcomes.

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