LVN Home Health Case Manager Corpus Christi
Company: Optum
Location: Bishop
Posted on: February 11, 2025
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Job Description:
$ 2,500. Sign on Bonus for External Candidates -
Incentive Bonus 2 times a year
18 days of PTO & Closed on Major Holidays
401K Match
WellMed, part of the Optum family of businesses, is seeking a LVN
Home Health Case Manager to join our team in Corpus Christi, 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.
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
In 2011, WellMed partnered with Optum to provide care to patients
across Texas and Florida. WellMed is a network of doctors,
specialists and other medical professionals that specialize in
providing care for more than 1 million older adults with over
16,000 doctors' offices. At WellMed our focus is simple. We're
innovators in preventative health care, striving to change the face
of health care for seniors. WellMed has more than 22,000+ primary
care physicians, hospitalists, specialists, and advanced practice
clinicians who excel in caring for 900,000+ older adults. Together,
we're making health care work better for everyone.
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) -
Valid Texas (for Texas employees) Driver's License and maintain
personal auto insurance coverage in accordance with organization
requirements -
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 ability to comply 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
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
Ability to receive and comprehend instructions verbally and/or in
writing
Ability to use logical reasoning for simple and complex
situations
Work Environment (Patient's Home):
The work environment characteristics described here are
representative of those an employee encounters while performing the
essential functions of this job. -Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
May work in patient homes under varying conditions with possible
exposure to fumes, odors, pets, insects, rodents, blood, body
fluids and infectious diseases; some exposures to inclement
weather; rotating call and emergency call. - In rare occasions, the
work environment may involve abusive, combative or psychologically
disturbed patient/family members. Requires ability to handle stress
situations with calmness and courtesy at all time
At 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.
Keywords: Optum, Corpus Christi , LVN Home Health Case Manager Corpus Christi, Healthcare , Bishop, Texas
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