$3500 Sign on Bonus Available 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 Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing.

　　Primary Responsibilities:

　　Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions

　　Supports longitudinal care of the patient with chronic care conditions by:

　　performing assessment of health conditions

　　initiating medication reconciliation for PCP to complete

　　conducting Motivational Interviewing and Self-Management Goal setting

　　providing patient education

　　Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:

　　performing assessment of transitional needs

　　initiating medication reconciliation for PCP to complete

　　establishing and reviewing contingency plan and 24/7 patient support availability

　　providing patient education in a self-management format

　　completing 3 in 30 on all high risk members experiencing a discharge

　　ensure a 7 calendar day follow up with PCP post discharge

　　assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals

　　refers to case management for complex case needs, longitudinal needs, and/or disease management

　　Coordinate with providers to establish or update plan of care

　　Performs accurate and timely documentation in the electronic medical record

　　Participates in daily huddles and Patient Care Coordination (PCC) meetings

　　Prepares accurate and timely reports, as required, for weekly meetings

　　Maintains continued competence in nursing practice and knowledge of current evidence based practices

　　May perform clinical tasks within their scope of practice

　　Performs all other related duties as assigned

　　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:

　　LVN licensure in TX

　　Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment

　　Current BLS certification

　　2+ years of experience in a physician’s office, clinical or hospital setting

　　Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD

　　Proficient computer skills to work efficiently with electronic medical records

　　Proven ability to interact productively with individuals and with multidisciplinary teams

　　Proven excellent verbal and written skills

　　Proven solid interpersonal skills

　　Proven excellent organizational and prioritization skills

　　Preferred Qualifications:

　　IV Certification

　　Experience related to patient education and/or motivational interviewing skills and self-management goal setting

　　Experience with outbound patient telecommunications

　　Proven fluent written and verbal skills in English and Spanish

　　Physical & Mental Requirement:

　　Ability to stand for extended periods of timeAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission .

　　Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

　　UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.