What are the responsibilities and job description for the LPN/LVN - NURSE NAVIGATOR ACO position at Prominence Health Plan?
Job Summary: The ACO LVN Navigator is a licensed clinical LVN who functions as a liaison between the ACO, the patient and the multidisciplinary healthcare team to assist in developing an optimal plan of care for transitioning Medicare patients, primarily those currently utilizing post-acute care services. The ACO Nurse Navigator assesses needs and coordinates resources within and outside the ACO (as approved by the ACO Director) to promote optimal health benefits and outcomes (both clinical and financial). The ACO LVN Navigator will provide onsite review at the local primary care practices and conduct patient home assessments as needed, as well as establish rapport with primary care providers, office staff, patients, and their families to expedite timely transitions of care and appropriate utilization of post-acute care services.
This position requires a high frequency of contact with the very high risk ACO patient and their care givers for education of health promotion and self-care skills as well as facilitating compliance with the required quality measures for all ACO patients. An ACO LVN Navigator will also ensure the communication of a patient’s treatment plan and general status to all care givers during all transitions of care.
Qualifications & Requirements:
- Graduation from an accredited LVN certification program.
- Licensed by the State of Texas as an LVN.
- Minimum of two years’ experience in post-acute care preferred.
- Recent (within past 3 years) working knowledge of Interqual criteria and Milliman Care Guidelines preferred.
- Ability to effectively communicate in English, both verbally and in writing.
- Bilingual Spanish preferred.
- Ability to document in different electronic health records as well as utilize Microsoft Products
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
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Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Standard shift:
- Day shift
Weekly schedule:
- Monday to Friday
Work Location: Remote
Salary : $51,200 - $64,900