Home Health LVN in Office Case Manager at Optum

$2,500 Sign-on Bonus for External Candidates

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.

The Assistant Clinical Team Manager performs management functions in coordination of all clinical disciplines including: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical social services. The Assistant Clinical Team Manager coordinates with CTM on all activities and assumes responsibility for continuity, appropriateness, and quality of services delivered within the home health department. The Assistant Clinical Team Manager assists the CTM with the day-to-day scheduling of staff, monitors performance of staff, assists in the orientation of staff and serves on committees to improve operations. The Assistant Clinical Team Manager performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure the provision of quality care. Performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Primary Responsibilities:

• Provides direction and leadership to designated Agency personnel in an effort to ensure quality and continuity of services through competent personnel management skills
• Ensures that all supervised health care staff maintains compliance of federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of care
• Ensures that a client's plan of care is executed as written
• Ensures that a reassessment of a client's needs is performed by the appropriate health care professional:
  • when there is a significant health status change in the client's condition; at the physician's request; or after hospital discharge
• Participates and assists in orientation and training of clinical and paraprofessional staff
• Ensures that on-site supervisory requirements of designated staff are met on a timely basis
• Demonstrates an effective leadership style and solves problems in an efficient and logical manner after accurately analyzing facts
• Ensures scheduling and assignments are appropriately based on patient needs, staff expertise, and geographical locations
• Assists in the coordination of patient services, to include lab reports, updated patient reports, and interdisciplinary communication
• Receives and coordinates patient referrals from case managers, physicians, and other referral sources
• Participates in interdisciplinary care conferences, Agency programs and management functions, as assigned
• Monitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelines
• Ensures that clinical notes, supply log/visit logs are accurate and turned into the office according to Agency policy
• Provides assistance to CTM with investigation of patient/family complaints promptly and takes corrective action as needed
• Makes home visits to provide patient care as needed
• Recognizes and reports life threatening situations and responds appropriately
• Demonstrates knowledge of emergency procedures and responds appropriately
• Participates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirements
• Assists CTM in the development of Performance Improvement Plan reports to include achieved goals, opportunities for improvement, statistical data and projections
• Participates in home care Performance Improvement Program activities to continuously improve the quality of patient care
• Serves as a resource person for clinical staff and management in matters pertaining to Performance Improvement
• Participates in periodic review of clinical records to promote quality patient care
• Educates clinical staff on documentation standards and patient care as needed
• Monitors assigned cases to ensure compliance with requirements of third party payers
• Demonstrates knowledge of current status of requirements of third party payers by identifying and reporting potential payment/coverage issues
• Attends all required in-service programs to maintain comprehensive home care knowledge base within the review year, as assigned by supervisor
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive and cooperative manner
• Demonstrates personal responsibility with regard to attendance and punctuality
• Promotes Agency philosophy, mission statement and administrative policies to ensure quality of care
• Maintains privacy and confidentiality with regard to all patient, staff and Agency information
• Provides positive, supportive communication to patients, families, visitors, physicians and other personnel
• Promotes the Agency image by adhering to the Dress Code
• Meets productivity requirements based on Agency standard
• Demonstrates knowledge and observance of the Patient's Bill of Rights
• Follows all infection control, standard precautions, and safety guidelines/standards per Agency policy
• Follows the appropriate chain of command in all forms of communication
• Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others as necessary
• Participates in on-call duties within the on-call rotation schedule, to include weekends as assigned
• Performs other duties as assigned

Competencies

• Maintain privacy and confidentiality with regard to all patient, staff & agency information
• Problem solving Skills
• Interpersonal Skills
• Communication Proficiency (Oral & Written)
• Project & Time Management Skills
• Ethical Conduct - follows appropriate chain of command
• Adaptability & Dependability
• Safety & Security
• Thoroughness

Position Type/Expected Hours of Work

• Employee must be available during the "core" work hours and must work 40 hours each week to maintain full-time status

Travel

• Travel is expected for this position

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma or equivalent
• Graduate of an accredited practical nurse or vocational nursing program
• Current unrestricted license in the state of Texas as a Licensed Vocational Nurse (for Texas employees)
• Must possess a valid Texas (for Texas employees) Driver's License and maintain personal auto insurance coverage in accordance with organization requirements
• Must have and maintain current CPR certification
• 2+ years of clinical experience preferable in a community home health or medical/surgical setting
• Experience working with electronic medical record application
• Demonstrates thorough knowledge of current nursing practice, professional standards of care and state and federal regulations regarding home care
• Basic computer skills to include: Microsoft Word, Outlook, and other e-mail systems
• Demonstrates excellent observation, verbal and written communication skills, problem solving, basic math skills, and nursing skills per competency checklist
• Proven evidence of independent nursing practice in delivering nursing care
• Proven ability to endure prolonged or considerable walking or standing; lift position or transfer patients in a proximate location; lift supplies and equipment; perform reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing, functional or corrected, to perform required nursing skills
• Proven complies with accepted professional standards and practices
• Proven ability to prioritize and communicate objectives clearly
• Proven ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent organizational and prioritization skills
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Physical and Mental Requirements:

• Ability to lift up to fifty (50) pounds (must be able to lift and transfer patients from one location to another, if necessary
• Ability to push/pull heavy objects using up to fifty (50) pounds of force
• Ability to sit for extended periods of time
• Ability to stand for extended period of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to properly drive and operate a personal/company vehicle
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