Case Manager Licensed Vocation Nurse WellMed Weatherford

UnitedHealth Group•Weatherford, TX

8d•$20 - $36•Onsite

About The Position

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.

Requirements

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
Demonstrated ability to interact productively with individuals and with multidisciplinary teams
Proven excellent verbal and written skills
Proven solid interpersonal skills
Proficient computer skills to work efficiently with electronic medical records
Proven excellent organizational and prioritization skills

Nice To Haves

Experience related to patient education and/or motivational interviewing skills and self-management goal setting
IV Certification
Fluent written and verbal skills in English and Spanish

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