Chronic Care Navigator LVN/LPN

The Healthcare Coordinator is responsible for successfully supporting patients with stable chronic health conditions to navigate the healthcare system. The 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 Coordinator interacts and collaborates with multidisciplinary care teams, including physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The 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 with chronic disease diagnoses Supports longitudinal care of the patient with stable chronic care conditions by: performing focused assessment of chronic care conditions performing medication reconciliation conducting Motivational Interviewing and Self‑Management Goal setting providing patient education using standardized, approved educational materials creating referrals to appropriate agencies and resources Supports transition of the patient with stable chronic care conditions from inpatient to outpatient setting, by: performing focused assessment of transitional needs performing medication reconciliation reviewing contingency plan providing patient education using standardized, approved educational materials assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments Notifies providers and/or supervising RN of changes to patient's health condition 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 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 Excellent verbal and written skills Solid interpersonal skills Ability to interact productively with individuals and with multidisciplinary teams Proficient computer skills to work efficiently with electronic medical records Excellent organizational and prioritization skills This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications IV Certification Experience related to patient education and/or motivational interviewing skills and self‑management goal setting 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 and Benefits 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 401(k) contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $20.38 to $36.44 per hour based on full‑time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Texas Health Institute