LPN Transition Care Coordinator, ProHealth Physicians

UnitedHealth Group•Farmington, CT

2d•$20 - $36•Hybrid

About The Position

Opportunities with ProHealth Physicians, part of the Optum family of businesses. When you work at ProHealth Physicians, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together. Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience: Exceptional teamwork Robust medical resources Passionate professionals with a focus on patient-centered care

Requirements

Professional education in nursing
Active, current and unrestricted LPN licensure in CT
3+ years in acute, primary or hospital setting
Solid Microsoft Office Suite (Excel, and Word) experience
Basic computer knowledge and aptitude
Reliable transportation

Nice To Haves

Experience with EMR systems (EPIC)
Experience in motivational interviewing

Responsibilities

Actively manages ProHealth inpatient/outpatient hospital census lists to conduct transition in care outreach
Directly engages patients to ensure follow-up appointments are scheduled, discharge instructions understood, and medication reconciliation
Communicates as needed with Regional Medical Directors, providers, practice managers and other care team members to identify and help solve for barriers to care or gaps in care
Document transition care activities in patient electronic health record
Initiates second level review regarding complex patient needs with a RN Transition Care Coordinator
Engage patients using motivational interviewing techniques through phone calls or other methods
May be asked to participate in cross training in order to function in multiple roles as required
Collaborates with Case Managers and other staff, both in the central office and at practice/payer sites, to ensure outreach efforts are aligned and not duplicative
Perform other duties as assigned