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The LVN performs a variety of healthcare screening activities to assist providers in conducting quality clinics, including administering injections, diagnostic testing, phlebotomy, quality surveys and various other procedures. Delivers exceptional customer service and maintains established quality control standards. This position will work directly with our contracted providers to improve their quality goals and to provide education and training while onsite at the PCP clinic. The LVN offers guidance and support to the PCP and staff to ensure they have the tools and resources to meet their quality healthcare goals.
Primary Responsibilities:
Performs all duties within the scope of a LVN (procedures, injections, diagnostic testing, phlebotomy)
Coordinates healthcare screening results as directed by providers, company standards, and policies
Broad knowledge of information required to complete health screenings required
Travels with the mobile team to clinics and centralized locations to conduct screening clinics to support contracted physician network
Focus on medication adherence and work with office and patients to ensure the patients are able to obtain medications and take the medications according to the prescriber information
Record resolutions of med adherence and other quality indicators that have an action plan and follow through with physician and/or mobile team provider. Adjust action plan as indicated to improve compliance
Follows all physician office guidelines while conducting screening clinics onsite at contracted physician clinics
Arrives to all clinics as least 15 minutes early to introduce the team to the office staff and set up equipment in exam room designated for clinic
Organizes onsite clinics to ensure all equipment and supplies are on hand and set up in the exam rooms prior to receiving patients for screening appointments
Performs and completes all quality program health screenings per required metrics
Processes appropriate documents in an organized and accurate manner and copy all physician on patient results and quality forms submitted
Reviews all patient screening forms to ensure outstanding healthcare screenings are performed. Reviews medical records and collects referral information for colon screenings, DM eye exams, mammograms and labs
Records patient care documentation in the medical records accurately and according to company policy
Conducts post audits on all information submitted to quality program to make sure information was complete and presented withint the guidelines. Any items rejected due to noncompliance will be researched and resubmitted according to guidelines
Reviews all medical information, test results and suvey questions prior to the patient leaving to ensure all information is captured
Presents abnormal results to the provider promptly to ensure there is not an emergent condition that needs immediate attention
Post clinic preparation of mobile team charts for faxing, filing and forwading to the PCP offices
Compiles results and enters information into utilization reports for submission to management
Supports contracted physician group by providing training and education to the office staff in ePRG, use of equipment, and process to accurately complete quality forms sent by the PCP
Works collaboratively with mobile team staff, medical director, PBMs, and provider offices to ensure completion of quality forms and improve overall quality score
Floats to assigned positions/locations as needed to support and assist with patient screening overflows, high volume clinics and staff absences
Maintains confidentiality of all materials handled within the department as well as proper relase of patient information at all times
Maintains licensures/certifications (LVN and BLS) and quality control standards
Participates in marketing events as determined by business need
Performs all 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 graduate or GED equivalent
Current unrestricted Vocational Nurse License in applicable state
Current BLS certification for healthcare providers (written exam and in-person assessment) at time of hire or within 30 days of hire
Valid drivers license within the state of work
1+ years of related LVN experience in a clinical setting.
Basic computer literacy
Knowledge of medical terminology
ICD-10 and CPT coding
Proven ability to react calmly and effectively in emergency situations.
Proven independent problem identification resolution and decision making skills
Proven excellent communication and customer service skills
Proven ability to travel frequently within assigned market
Proven flexible and adaptable to change
Reliable transportation for daily travel to various locations/clinics as assigned
Preferred Qualifications:
3+ years of LVN experience in a clinical setting
Successful demonstration as a LVN in physician offiee with skills to teach, lead, and educate staff; understand the compliance of all quality procedures and clinical guidelines of the company clinic policies
HEDIS or Quality Audit experience
Bilingual (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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment