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Aledade, Inc.Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient outreach, care coordination, and clinical assessments, with a strong focus on managing high-acuity cases and ensuring compliance across electronic health records. Proficient in delivering patient education and fostering collaboration within interdisciplinary teams to enhance care transitions and patient engagement.
Highest-signal resume keywords
LPN LicenseClinical Experience in Case ManagementTelephonic Patient OutreachElectronic Health Records (EHRs)Critical Thinking and Clinical Judgement
About the role
Key responsibilities & impact- Conduct targeted patient outreach to address and close care gaps, ensure timely care transitions, and provide immediate follow-up as needed
- Perform inbound and outbound calls
- Deliver high-touch engagement for high-risk patients to prevent readmissions through post-discharge follow-up, medication reconciliation, and care coordination
- Coordinate labs, screenings, and follow-up appointments
- Document interventions, assessments, and medication reconciliation across multiple EHRs while maintaining accuracy and compliance
- Provide patient education and assess eligibility for concurrent programs
- Address patient reluctance or hesitation through education, empathy, and active listening
- Meet and sustain performance metrics
- Collaborate with practices on Transitional Care Management, Osteoporosis Management in Women, ED follow-ups, and other care-gap initiatives
- Serve as a clinical resource to foster collaboration and alignment with Aledade’s clinical programs
- Collaborate across teams to support patient engagement strategies and organizational goals
- Address challenges proactively, adapt strategies as needed, and identify process-improvement opportunities
Requirements
What you’ll need- Certificate or Diploma in Practical Nursing or Associate Degree in Nursing (ADN)
- Current and unrestricted LPN license
- Minimum of 2 years clinical experience in case management or discharge planning
- Experience with telephonic patient outreach and clinical assessments
- Demonstrated ability to prioritize and manage high-acuity cases
- Excellent communication and interpersonal skills
- Experience with electronic health records (EHRs) and population health tools
- Critical thinking and clinical judgement in complex and rapidly changing environments
- Adaptability and resilience in a fast-paced, evolving healthcare setting
- Ability to work both independently and as part of an interdisciplinary team
- Comfortable working remotely/work from home across US time zones
- Preferred: Experience in a remote environment
- Preferred: Active, unrestricted Registered Nurse (RN) license; Valid Compact RN license
- Preferred: Experience in Value Based Care
- Preferred: Certification in Case Management (CCM, ACM) or Care Transitions
- Preferred: Experience working with diverse and underserved populations
- Prolonged periods of sitting at a desk and working on a computer
Benefits
Comp & perks- Flexible work schedules and the ability to work remotely are available for many roles
- Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
- Robust time-off plan (21 days of PTO in your first year)
- Two paid volunteer days and 11 paid holidays
- 12 weeks paid parental leave for all new parents
- Six weeks paid sabbatical after six years of service
- Educational Assistant Program and Clinical Employee Reimbursement Program
- 401(k) with up to 4% match
- Stock options
- Equal opportunity employment and a diverse, inclusive workplace
- Remote-first culture
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient OutreachCare CoordinationMedication ReconciliationClinical AssessmentsPerformance Metrics ManagementTransitional Care ManagementOsteoporosis ManagementProcess ImprovementHigh-Acuity Case ManagementPatient Education
Soft Skills
Excellent CommunicationInterpersonal SkillsEmpathyActive ListeningAdaptability
Tools & Technologies
Population Health ToolsEHR Systems
Certifications & Qualifications
LPN LicenseRegistered Nurse (RN) LicenseCertification in Case Management (CCM, ACM)
Industry Keywords
Value Based CareCare TransitionsDiverse PopulationsUnderserved Populations