LPN Discharge Coordinator - Hybrid

UnitedHealth Group•Poughkeepsie, NY

4h•Hybrid

About The Position

Optum NY/NJ is seeking an LPN Discharge Coordinator to join their team in Middletown, NY. Optum is a clinician-led care organization focused on transforming healthcare and making it better for everyone. As part of the Optum Care Delivery team, the LPN Discharge Coordinator will have access to clinical resources, data, and global organizational support to help patients live healthier lives. Optum emphasizes an exceptional career experience, enabling employees to thrive at work and at home, and encourages contributing new practice ideas to improve care. The role involves ensuring smooth transitions for patients without working nights, weekends, or holidays, offering full-time employment with excellent hourly compensation and benefits. As a Discharge Care Coordination Nurse, the individual will be an integral member of the direct delivery care team, serving as a gateway to information and support. Daily communication with the acute care team, Embedded Care Coordination RN, PCP office care team, patients, and caregivers is crucial to ensure optimal communication and care during and after the acute care episode. The primary goal is to facilitate understanding of the hospitalization, discharge care plan, and assess patient literacy.

Requirements

Active and unrestricted LPN license in the state of New York
10+ years of clinical nursing experience
Experience in caring for chronic disease patients
Experience with navigation of local medical and social support systems
Care Coordination, Case Management, Home Health, Hospital, or Urgent Care experience

Nice To Haves

Experience in clinical or community health settings
Experience with Electronic Medical Records and Microsoft Excel

Responsibilities

Assess patient and family's unmet health and social needs
Provide effective communications to improve health literacy
Develop a care plan based on mutual goals with patient, family, and provider's emergency plan, medical summary, and ongoing action plan
Monitor patient's adherence to plan of care and progress toward goals, facilitating changes as needed
Facilitate patient access to appropriate medical and specialty providers and other care coordination team support specialists
Ensure effective tracking of test results, medication management, and adherence to follow-up appointments
Facilitate communication between specialists and Primary Care Physician post-discharge for cohesive care plan development
Attend and actively participate in care coordinator-related training and meeting activities
Perform regular visits to provide patient and family support and education