Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas
2 months ago
**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. **
This position is responsible for the coordination of HEDIS and STARs data gathering process within the clinic setting. This role is responsible for the education to the clinic on quality measures and coordinates strategies for closing gaps. Evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, developing formal training and improvement programs and maintaining up-to-date knowledge of regulatory (HEDIS/STARs) standards and guidelines.
**Primary Responsibilities:**
+ Analyze data, evaluate for possible data integrity and data deficits and document findings
+ Analyze and trend HEDIS/STAR rates, identify barriers to improvement of rates and create interpretive exhibits
+ Obtains quality detail report and flags patient's charts with the missing measures
+ Works closely with local leadership to execute quality strategies
+ Supports and assists PCPs/clinics with quality data collection
+ Provides reports and monitors performance at local level
+ Engages PCP and clinic staff in developing strategies to close quality gaps
+ Supports and improves communications between market and corporate departments
+ Maintains education/knowledge base of HEDIS/STARs standards and guidelines
+ Performs all other related duties as assigned
**Required Qualifications:**
+ Licensed Vocational/Professional Nurse
+ Prior HEDIS/STAR experience or participation with similar regulatory reporting
+ 3+ years of healthcare experience to include experience in a managed care setting
+ 3+ years of experience with data analysis/quality chart reviews. Must be able to review data and provide recommendations for improvement
+ Experienced using Microsoft office applications, including databases, word-processing, and excel spreadsheets
+ This is an office / field base Position
**Preferred Qualifications:**
+ 2+ years of college, in pursuance of a Bachelor's or Associate's degree
+ 2+ years of experience working with HEDIS/STAR measures
**Physical & Mental Requirements:**
+ Ability to lift up to 25 pounds
+ Ability to sit for extended periods of time
+ Ability to stand 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
_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._
-
Licensed Vocational Nurse
5 months ago
Gonzales, United States Touchstone Communities Full timeThe Heights of Gonzales Gonzales Texas LVN Charge Nurse Join us in making a positive impact on the lives of our residents and community members. Apply today and become part of our dedicated team. Our community is seeking a compassionate and experienced LVN Charge Nurse to join our team The ideal candidate must possess a current and valid Texas LVN...
-
Licensed Vocational Nurse
2 months ago
Gonzales, United States Touchstone Communities Full timeThe Heights of Gonzales Gonzales, TX LVN Charge Nurse SHIFT AVAILABLE: 6P-6A Join us in making a positive impact on the lives of our residents and community members. Apply today and become part of our dedicated team. Our community is seeking a compassionate and experienced LVN Charge Nurse to join our team The ideal candidate must possess a current and...
-
Licensed Vocational Nurse
3 weeks ago
Gonzales, United States Touchstone Communities Full timeLVN Charge Nurse Job DescriptionWe are seeking a compassionate and experienced LVN Charge Nurse to join our team at Touchstone Communities in Gonzales, TX.Key Responsibilities:Provide exceptional patient care and support to our residents and community members.Lead and manage a team of LVNs to ensure high-quality care and services.Collaborate with other...
-
Gonzales, United States Optum Full timeWellMed, part of the Optum family of businesses, is seeking a RN Clinical Coding Nurse Consultant WellMed 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...
-
Gonzales, United States Optum Full time$2,200. Sign on Bonus Available 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 Licensed Vocational Nurse LVN/LPN Healthcare Coordinator to join our team in South Side San Antonio, TX. Optum is a clinician-led care organization that is...
-
Licensed Vocational Nurse
2 weeks ago
Gonzales, United States Touchstone Communities Full timeLVN Charge Nurse OpportunityWe are seeking a compassionate and experienced LVN Charge Nurse to join our team at Touchstone Communities in Gonzales, Texas.About the Role:Provide exceptional nursing care to our residents and community membersLead and manage a team of LVNs to ensure high-quality patient careCollaborate with other healthcare professionals to...
-
Gonzales, United States UnitedHealth Group Full timeSenior Clinical Coding Nurse Consultant OpportunityWe are seeking a highly skilled Senior Clinical Coding Nurse Consultant to join our team at WellMed in San Antonio, Texas. As a key member of our team, you will play a critical role in driving consistent, efficient processes and sharing best practices with providers and market teams to achieve corporate and...
-
Licensed Vocational Nurse Leader
2 weeks ago
Gonzales, United States Touchstone Communities Full timeTransforming Lives with Compassion and CareAt Touchstone Communities, we're seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) to join our team as a Charge Nurse Leader. This is an exceptional opportunity to make a meaningful impact on the lives of our residents and community members.What We Offer:A supportive environment where your voice...
-
Travel Nurse RN Position
4 weeks ago
Gonzales, Texas, United States Favorite Healthcare Staffing Full timeMedical Surgical Registered Nurse Job OpportunityFavorite Healthcare Staffing is seeking an experienced Medical Surgical Registered Nurse for a 13-week travel contract in San Antonio, TX. This assignment is ideal for candidates with at least six months of recent experience in Medical Surgical nursing.Contract DetailsContract Length: 13 weeksLocation: San...
-
Gonzales, United States UnitedHealth Group Full time**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...
-
Licensed Vocational Nurse
4 weeks ago
Gonzales, Texas, United States Touchstone Communities Full timeLVN Charge Nurse OpportunityWe are seeking a compassionate and experienced LVN Charge Nurse to join our team at Touchstone Communities.About the Role:Provide exceptional patient care and leadership to our residents and community members.Collaborate with our healthcare team to ensure high-quality care and services.Manage and coordinate nursing staff to ensure...
-
Gonzales, United States Optum Full timeOpportunities 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...
-
Gonzales, United States UnitedHealth Group Full timeOpportunities 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...
-
Gonzales, United States DirectEmployers Full time**For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start** **Caring. Connecting. Growing together** **.??**The primary responsibility of the Case Manager is to identify, screen, track, monitor and coordinate the care of...
-
Healthcare Private Duty Nurse LPN
4 days ago
Gonzales, United States Aveanna Full timeAveanna Private Duty Nurse - LVN/LPN RNWe are seeking a compassionate and skilled Private Duty Nurse to join our team at Aveanna Healthcare. As a Private Duty Nurse, you will provide one-on-one care to our patients in the comfort of their own homes, assisting them with transitioning from the hospital and providing continuous care to remain at home with their...
-
LVN Charge Nurse- Sign on Bonus
2 weeks ago
Gonzales, United States Touchstone Communities Full timeThe Heights of Gonzales Gonzales, Texas NOW OFFERING A $2500 SIGN ON BONUS FOR NIGHT SHIFT ONLY! SEEKING 6P-6A LVN CHARGE NURSE Join us in making a positive impact on the lives of our residents and community members. Apply today and become part of our dedicated team. Our community is seeking a compassionate and experienced LVN Charge Nurse to join our...
-
Healthcare Private Duty Nurse LPN
2 weeks ago
Gonzales, United States Aveanna Full timeAveanna Private Duty Nurse - LVN/LPN RNAveanna's Private Duty nurses provide one-on-one care to patients in the comfort of their own homes, assisting with transitions from hospital to home and ensuring continuous care.Key Responsibilities:Implementation of physicians' prescribed plan of carePatient assessments and coordination of careAdministration of...
-
Occupational Therapist
1 week ago
Gonzales, Texas, United States Soliant Full timeJob OverviewWe are seeking a licensed Occupational Therapist to join our team in a school-based setting near San Antonio, Texas. This is a full-time contract position for the 2024-2025 school year. The ideal candidate will have previous experience working in a school-based environment and a current Texas OT license.Key ResponsibilitiesProvide occupational...
-
Aveanna Healthcare Private Duty Nurse LPN
2 weeks ago
Gonzales, United States Aveanna Healthcare LLC Full timeAveanna Healthcare Private Duty Nurse LPNAveanna Healthcare is a leading national provider of home health services to medically fragile children and adults. We are seeking a compassionate and skilled Private Duty Nurse LPN to join our team.Responsibilities:Implementation of physicians' prescribed plan of carePatient assessments and coordination of...
-
Full-Time Occupational Therapist
1 month ago
Gonzales, United States Soliant Full timeJob DescriptionJob DescriptionMinimum 1+ years occupational therapy experience required.Full Time Occupational Therapist (OT) TexasSoliant is seeking a licensed Occupational Therapist for a school-based job near San Antonio, Texas. This is a Full-Timecontract job for the 2024-2025school year. Applicants with previous school-based experience are preferred....
