About the position
WellMed, part of the Optum family of businesses, is seeking a Licensed Vocational Nurse LVN/LPN Healthcare Coordinator to join our team in Katy, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
Responsibilities
- Works with the providers and clinic staff to identify patients at high risk through transitions of care.
- Supports longitudinal care of the patient with chronic care conditions by performing assessment of health conditions.
- Initiates medication reconciliation for PCP to complete.
- Conducts Motivational Interviewing and Self-Management Goal setting.
- Provides patient education.
- Supports transition of the patient with chronic care conditions from inpatient to outpatient setting.
- Performs assessment of transitional needs.
- Establishes and reviews contingency plan and 24/7 patient support availability.
- Completes 3 in 30 on all high risk members experiencing a discharge.
- Ensures a 7 calendar day follow up with PCP post discharge.
- Assists 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.
- Coordinates 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.
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.
- Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD.
- Proficient computer skills to work efficiently with electronic medical records.
- Proven ability to interact productively with individuals and with multidisciplinary teams.
- Proven excellent verbal and written skills.
- Proven solid interpersonal skills.
- Proven excellent organizational and prioritization skills.
Nice-to-haves
- IV Certification.
- Experience related to patient education and/or motivational interviewing skills and self-management goal setting.
- Experience with outbound patient telecommunications.
- Proven fluent written and verbal skills in English and Spanish.
Benefits
- Comprehensive benefits package.
- Incentive and recognition programs.
- Equity stock purchase.
- 401k contribution.
