What are the responsibilities and job description for the LVN Case Manager WellMed at San Jose position at UnitedHealth Group?
Incentive Bonus 2 times a year
18 days of PTO & Closed on Major Holidays
401K Match
**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
The Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing.
Primary Responsibilities:
Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions.
Supports longitudinal care of the patient with chronic care conditions by:
performing assessment of health conditions
initiating medication reconciliation for PCP to complete
conducting Motivational Interviewing and Self-Management Goal setting
providing patient education
Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:
performing assessment of transitional needs
initiating medication reconciliation for PCP to complete
establishing and reviewing contingency plan and 24/7 patient support availability
providing patient education in a self-management format
completing 3 in 30 on all high risk members experiencing a discharge
ensure a 7 calendar day follow up with PCP post discharge
assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals
refers to case management for complex case needs, longitudinal needs, and/or disease management
Coordinate with providers to establish or update plan of care
Performs accurate and timely documentation in the electronic medical record
Participates in daily huddles and Patient Care Coordination (PCC) meetings
Prepares accurate and timely reports, as required, for weekly meetings
Maintains continued competence in nursing practice and knowledge of current evidence based practices
May perform clinical tasks within their scope of practice
Performs all other related duties as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment
Current BLS certification
2 years of experience in a physician’s office, clinical or hospital setting
Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
Proficient computer skills to work efficiently with electronic medical records
This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:
IV Certification
Experience related to patient education and/or motivational interviewing skills and self-management goal setting
Experience with outbound patient telecommunications
Fluent written and verbal skills in English and Spanish
Excellent verbal and written skills
Solid interpersonal skills
Excellent organizational and prioritization skills
Ability to interact productively with individuals and with multidisciplinary teams
Physical & Mental Requirements:
Ability to lift up to 35 pounds
Ability to push or pull heavy objects using up to 35 pounds of force
Ability to sit for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
