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.