LVN Hospitalist Navigator San Antonio

UnitedHealth Group • San Antonio, TX

225d • $19 - $38 • Onsite

About The Position

WellMed, part of the Optum family of businesses, is seeking a Licensed Vocational Nurse to join our team in San Antonio, 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. This position is responsible for the coordination of care for patients admitted to an acute care setting under the care of a WellMed Hospitalists Provider. The Patient Navigator (PN) is the advocate/liaison between patients and their care team to help navigate the patient transition from the acute care setting to their home setting. The PN functions as a dedicated patient-care facilitator without clinical responsibilities. The PN will work collaboratively with the One Partners, to include Primary Care Physician, Care Management, Quality Department, and/or Network Management to facilitate a seamless transition. The position must maintain accurate records, complete a detailed tracker of activities, and develop processes for securing effective and efficient coordination amongst the interdisciplinary team. This position will be under the general guidance of the Hospitalist Program Administrator.

Requirements

• High School Diploma or GED
• Active, unrestricted Texas Licensed Vocational Nurse
• 2+ years of administrative support experience
• 1+ years experience as LVN in a clinical, hospital, or medical setting
• Basic knowledge of Microsoft Office products, including Word and Outlook
• Ability to work independently, with some supervision and direction from manager
• Possess medical terminology knowledge base
• Possess and demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
• Ability to maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
• Ability to maintain strict confidentiality at all times to include but limited to patients and coworkers
• Ability to comply with all organizational policies regarding ethical business practices
• Ability to adhere to all department policies and procedures

Nice To Haves

• 2+ years of experience in a physician's clinic or hospital
• Additional years of experience working in a medical care setting as a receptionist or medical assistant
• Bilingual language proficiency (English/Spanish)

Responsibilities

• Utilize available data and resources to accurately identify members who are in the inpatient setting
• Assist Hospitalists team to obtain medical records from outside entities including accurate medication list, specialist consults, hospital records, and any other records requested
• Prior to discharge from hospital facility and in collaboration with Care Management and Clinic Health Care Coordinator/Manager, obtain transition appointments with primary care physician, and specialists as applicable; and communicate with patient and/or family transition appointment information
• Maintain effective communication pathway with Facility and WellMed Care Management teams to facilitate seamless transition processes
• Utilize current electronic medical records and provider portal to reconcile patient information needed to assist with meeting current quality metrics
• Participate in daily huddles with Hospitalists, Care Management, and other One Team Partners to discuss patient's discharge plans, identify any potential barriers, and implement appropriate solutions to address such barriers to mitigate readmissions
• Participate in weekly patient care conference meetings and collaborate with the interdisciplinary team, to include Primary Care Physicians, Care Management, and Clinic Health Care Coordinators/Managers to discuss identified barriers and verify appropriate referrals for wrap around WellMed or Community services are secured
• Assist with completion of patient satisfaction surveys to evaluate current Hospitalists Program and complete data entry into the appropriate database
• Work with the Program and local leadership to execute CVO and Quality strategies
• Utilizing current provider portal and other available resources, assist with monitoring quality measures and report gaps to Hospitalists providers to assist with closing of any open gaps prior to patient's discharge
• Performs other related duties as assigned

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED