Case Manager Licensed Vocational Nurse WellMed Weatherford 2365050 | Weatherford, TX | WellMed

Healthcare Coordinator

Opportunities at WellMed, part of the Optum family of businesses. 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.

The Healthcare Coordinator is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Coordinator assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Coordinator interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the transition of care process. The Healthcare Coordinator acts as a resource for clinic staff. The Healthcare Coordinator works in a less structured, self-directed environment and performs all nursing duties within the scope of a LVN/LPN license of the applicable state board of nursing.

Primary Responsibilities:

• Works with the providers and clinic staff to identify patients at high risk through transitions of care. This is to support the market initiative of reducing utilizations, including ER visits, hospital admissions, and hospital readmissions
• Supports longitudinal care of the patient with chronic care conditions by:
• performing assessment of health conditions
• initiating medication reconciliation for PCP to complete
• conducting Motivational Interviewing and Self-Management Goal setting
• providing patient education
• Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:
• performing assessment of transitional needs
• initiating medication reconciliation for PCP to complete
• establishing and reviewing contingency plan and 24/7 patient support availability
• providing patient education in a self-management format
• completing 3 in 30 on all high risk members experiencing a discharge
• ensure a 7 calendar day follow up with PCP post discharge
• assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals
• refers to case management for complex case needs, longitudinal needs, and/or disease management
• Coordinate with providers to establish or update plan of care
• Performs accurate and timely documentation in the electronic medical record
• Participates in daily huddles and Patient Care Coordination (PCC) meetings
• Prepares accurate and timely reports, as required, for weekly meetings
• Maintains continued competence in nursing practice and knowledge of current evidence based practices
• May perform clinical tasks within their scope of practice
• 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:

• Licensed Practical/Vocational Nurse with an active and unrestricted license to practice in the state of employment
• Current BLS certification
• 2+ years of experience in a physician's office, clinical or hospital setting
• Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Proficient computer skills to work efficiently with electronic medical records
• Proven excellent organizational and prioritization skills

Preferred Qualifications:

• Experience related to patient education and/or motivational interviewing skills and self-management goal setting
• IV Certification
• Fluent written and verbal skills in English and Spanish

Physical & Mental Requirements:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit 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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.