Inpatient Nurse Care Manager, Licenced Vocational Nurse - San Bernardino, CA

UnitedHealth Group•San Bernardino, CA

1d•$20 - $36•Onsite

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Care Manager - Licensed Vocational Nurse provides ongoing support and expertise through comprehensive evaluation, planning and implementation of individual member needs. The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning. It is the purpose of the Care Manager – Licensed Vocational Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically or on-site. This position will be based on-site at St. Bernadino’s Medical Center in San Bernardino, California. Hours are Mon-Fri 8am-5pm.

Requirements

Current and unrestricted LVN license in California
2+ years of clinical nursing experience including care management in a hospital setting
Discharge Planning and Care Coordination experience
Ability to work 8am-5pm PST on-site daily in San Bernardino, CA
Ability to meet listed physical demands
Driver’s license and access to reliable transportation
Working knowledge of health care delivery systems
Working knowledge of PC applications including MS Office Suite and other supportive technology
Ability to use written and oral communication skills
Ability to read and interpret data
Skill in writing clear, grammatically correct, easy to use instructional documentation
Ability to identify learning needs, set goals and seek educational opportunities
Ability to analyze problems and formulate appropriate plans, solutions, and courses of action
Knowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverbally
Ability to work with frequent interruptions
Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates
Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners
Ability to manage detail and work with accuracy
Ability to recognize and act appropriately in situations where patient care needs exceed scope of practice
Skill in working with a team and the ability to collaborate on projects with colleagues
Skill in working effectively under deadlines and changing priorities
Ability to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice
All staff members are to promote a positive and productive work environment by actin maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patients
Must hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growth
Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction
Follows written and oral instructions and completes routine tasks independently
Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements
Ensures confidentiality of patient information following HIPAA guidelines and company policies
Attends training to meet requirements of the job position and as needed or mandated by company policies and regulations
Has regular and predictable attendance

Nice To Haves

2+ years of clinical nursing experience with a health insurer

Responsibilities

Develop a comprehensive discharge plan that will address members’ individual needs and meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan
Consistently and accurately completes all required documentation including but not limited to timely completion of the readmission assessment and discharge planning documentation
Engages in rounds and interacts with Hospitalists / SNFist and Hospital Care Managers to discuss care plan changes
Decrease healthcare costs of members by working collaboratively to assist members in managing post discharge visits to primary care/Specialist, including Palliative care and other post discharge programs, to decrease ER Utilization, readmits to hospital, and admissions to skilled nursing facilities
Provides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up care
Independently keeps current on areas of care management, quality management, utilization management, and member education
Provides recommendations in the development of policies and procedures that meet the requirements of State and Federal guidelines
Acts as liaison and member advocate with other care providers and programs
Participate in team meetings, Interdisciplinary meetings, rounds, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)
Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomes
Supports collection of information and other statistical data relevant to care loads, productivity and health care trends within member population
Performs additional duties as assigned