345 Healthcare jobs in Helotes

$2,200 Sign-on Bonus for External Candidates

WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator 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

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

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:

• 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
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Proficient computer skills to work efficiently with electronic medical records
• Proven excellent organizational and prioritization skills

Preferred Qualifications:

• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• IV Certification
• Experience with outbound patient telecommunications
• Fluent written and verbal skills in English and Spanish

Physical & Mental Requirement:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $0.00 to 35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

$2,200 Sign-on Bonus for External Candidates

WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator 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

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

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:

• 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
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Proficient computer skills to work efficiently with electronic medical records
• Proven excellent organizational and prioritization skills

Preferred Qualifications:

• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• IV Certification
• Experience with outbound patient telecommunications
• Fluent written and verbal skills in English and Spanish

Physical & Mental Requirement:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $0.00 to 35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director Clinical Services - Case Management with oversight of Case Management staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR, CHIP, Medicare, EPO Members. Works with Community First staff at all levels to facilitate Member satisfaction and unit efficiency.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. A Bachelor's or Master's degree in Nursing or a related field is preferred. Seven years of clinical nursing case management/service coordination experience with two years of management experience is required. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
LICENSURE/CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. Case Management certification, or similar, is preferred. A Master’s degree may be considered in lieu of certification. Must have a valid Texas driver’s license and reliable transportation.

POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director Clinical Services - Case Management with oversight of Case Management staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR, CHIP, Medicare, EPO Members. Works with Community First staff at all levels to facilitate Member satisfaction and unit efficiency.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. A Bachelor's or Master's degree in Nursing or a related field is preferred. Seven years of clinical nursing case management/service coordination experience with two years of management experience is required. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
LICENSURE/CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. Case Management certification, or similar, is preferred. A Master’s degree may be considered in lieu of certification. Must have a valid Texas driver’s license and reliable transportation.

POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director Clinical Services - Case Management with oversight of Case Management staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR, CHIP, Medicare, EPO Members. Works with Community First staff at all levels to facilitate Member satisfaction and unit efficiency.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. A Bachelor's or Master's degree in Nursing or a related field is preferred. Seven years of clinical nursing case management/service coordination experience with two years of management experience is required. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
LICENSURE/CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. Case Management certification, or similar, is preferred. A Master’s degree may be considered in lieu of certification. Must have a valid Texas driver’s license and reliable transportation.

Job Family :

Travel Required :

Clearance Required :

What You Will Do:

The Call Center / Customer Service Representative – Healthcare is an extension of a client’s business office staff. Representatives are responsible for taking in-coming and out-going calls to patients and insurance companies to resolve patient accounts. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned

This position will be based Monday through Friday out of our San Antonio, TX office. Individuals must be able to work an eight hour shift between the hours of 7:30 AM CT - 5:30 PM CT.

• Inbound calling emphasis

• Account Review

• EOB knowledge

• Assist patients with policy statuses and insurance verifications

• Customer Service

• Account Updates

• Strong Verbal / Written Communication Skills

• Complete all business-related requests and correspondence from patients.

• Complete all assigned projects in a timely manner.

• Assist client and patients in all requested tasks.

• Communicate to Guidehouse management areas of concern or areas of improvement.

• Research and respond to all patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

What You Will Need :

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED.

• 0-2+ years working within the following sectors: healthcare, insurance, business, finance or customer service.

• Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.

What Would Be Nice to Have:

• PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel.

• 1+ year experience working in a Healthcare or Customer Service setting.

• Ability to initiate and follow through on projects and work independently with minimal supervision.

• Bilingual Spanish a plus but not required

#IndeedSponsored

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or .  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

By applying, you consent to your information being transmitted by College Recruiter to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See Guidehouse Privacy Policy at privacy-policy? and SonicJobs Privacy Policy at us/privacy-policy and Terms of Use at us/terms-conditions

$2,200 Sign-on Bonus for External Candidates

WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator 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

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

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:

• 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
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Proficient computer skills to work efficiently with electronic medical records
• Proven excellent organizational and prioritization skills

Preferred Qualifications:

• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• IV Certification
• Experience with outbound patient telecommunications
• Fluent written and verbal skills in English and Spanish

Physical & Mental Requirement:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $0.00 to 35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

$2,200 Sign-on Bonus for External Candidates

WellMed, part of the Optum family of businesses, is seeking a LVN Healthcare Coordinator 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

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

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:

• 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
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Proficient computer skills to work efficiently with electronic medical records
• Proven excellent organizational and prioritization skills

Preferred Qualifications:

• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• IV Certification
• Experience with outbound patient telecommunications
• Fluent written and verbal skills in English and Spanish

Physical & Mental Requirement:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $0.00 to 35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director Clinical Services - Case Management with oversight of Case Management staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR, CHIP, Medicare, EPO Members. Works with Community First staff at all levels to facilitate Member satisfaction and unit efficiency.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. A Bachelor's or Master's degree in Nursing or a related field is preferred. Seven years of clinical nursing case management/service coordination experience with two years of management experience is required. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
LICENSURE/CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. Case Management certification, or similar, is preferred. A Master’s degree may be considered in lieu of certification. Must have a valid Texas driver’s license and reliable transportation.