LVN Healthcare Coordinator WellMed Richardson

$1,500 Sign On Bonus For External Candidates

8 days of PTO & Closed on Major Holidays, 401K Match

Well Med, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator to join our team in Richardson, 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. We believe you deserve an exceptional career, and will empower you to live your best life at work and erience 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.

The Nurse Case Manager I (NCM) is responsible for patient case management for longitudinal engagement, coordination for discharge planning, transition of care needs and outpatient patient management through the care continuum. The Nurse Care Manager will determine medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. The Nurse Case Manager will coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD.

Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for patients. This role acts as a support to team members, coaching, guiding and providing feedback as necessary.

The Nurse Case Manager will act as an advocate for patients and their families guide them through the health care system for transition planning and longitudinal care. The Nurse Case Manager will work in partnership with an assigned Care Advocate and Social Worker.

Primary Responsibilities:

* Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status

* Provide member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan

* Identify patient needs, close health care gaps, develop action plan and prioritize goals

* With oversight of RN and/or MD, utilizing evidence-based practice, develop interventions while considering member barriers independently

* Provide patients with "welcome home" calls to ensure that discharged patients' receive the necessary services and resources according to transition plan

* In partnership with care team triad, make referrals to community sources and programs identified for patients

* Utilize motivational interviewing techniques to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy

* Manages assessments regarding patient treatment plans and establish collaborative relationships with physician advisors, clients, patients, and providers

* Collaborates effectively with Interdisciplinary Care Team (IDCT) to establish an individualized transition plan and/or action plan for patients

* Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in departmental huddles

* Demonstrate knowledge of utilization management processes and current standards of care as a foundation for utilization review and transition planning activities

* Maintain in-depth knowledge of all company products and services as well as customer issues and needs through ongoing training and self-directed research

* Manage assigned caseload in an efficient and effective manner…