LVN Patient Navigator in office McAllen, Texas

4 days ago

Mcallen, United States Optum 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 discover the meaning behind Caring. Connecting. Growing together.

This position is responsible for the coordination of care for patients admitted to an acute care setting under the care of a WellMed Hospitalists Provider. The Patient Navigator (PN) is the advocate/liaison between patients and their care team to help navigate the patient transition from the acute care setting to their home setting. The PN functions as a dedicated patient-care facilitator without clinical responsibilities. The PN will work collaboratively with the One Partners, to include Primary Care Physician, Care Management, Quality Department, and/or Network Management to facilitate a seamless transition. The position must maintain accurate records, complete a detailed tracker of activities, and develop processes for securing effective and efficient coordination amongst the interdisciplinary team. This position will be under the general guidance of the Hospitalist Program Administrator.

Primary Responsibilities:
  • Utilize available data and resources to accurately identify members who are in the inpatient setting
  • Assist Hospitalists team to obtain medical records from outside entities including accurate medication list, specialist consults, hospital records, and any other records requested
  • Prior to discharge from hospital facility and in collaboration with Care Management and Clinic Health Care Coordinator/Manager, obtain transition appointments with primary care physician, and specialists as applicable; and communicate with patient and/or family transition appointment information
  • Maintain effective communication pathway with Facility and WellMed Care Management teams to facilitate seamless transition processes
  • Utilize current electronic medical records and provider portal to reconcile patient information needed to assist with meeting current quality metrics
  • Participate in daily huddles with Hospitalists, Care Management, and other One Team Partners to discuss patient's discharge plans, identify any potential barriers, and implement appropriate solutions to address such barriers to mitigate readmissions
  • Participate in weekly patient care conference meetings and collaborate with the interdisciplinary team, to include Primary Care Physicians, Care Management, and Clinic Health Care Coordinators/Managers to discuss identified barriers and verify appropriate referrals for wrap around WellMed or Community services are secured
  • Assist with completion of patient satisfaction surveys to evaluate current Hospitalists Program and complete data entry into the appropriate database
  • Work with the Program and local leadership to execute CVO and Quality strategies
  • Utilizing current provider portal and other available resources, assist with monitoring quality measures and report gaps to Hospitalists providers to assist with closing of any open gaps prior to patient's discharge
  • Performs other related duties as assigned

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 GED
  • Active, unrestricted Texas Licensed Vocational Nurse
  • 1+ years of experience as LVN in a clinical, hospital, or medical setting
  • 2+ years of administrative support experience
  • Ability to work independently, with some supervision and direction from manager
  • Possesses medical terminology knowledge base
  • Demonstrated excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
  • Ability to maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
  • Ability to maintain strict confidentiality at all times to include but limited to patients and coworkers.
  • Ability to comply with all organizational policies regarding ethical business practices
  • Ability to adhere to all department policies and procedures
  • Proven basic knowledge of Microsoft Office products, including Word and Outlook

Preferred Qualifications:
  • 2+ years of experience in a physician's clinic or hospital
  • Experience working in a medical care setting as a receptionist or Medical Assistant
  • Bilingual language proficiency (English/Spanish)

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.

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