Home Health LVN in Office Case Manager

Optum - Cedar Park, TX

Full-time - Mid Level

Cedar Park, TX

Insurance Carriers and Related Activities

About the position

The Home Health LVN in Office Case Manager role at Optum involves overseeing clinical operations within the home health department. The position requires coordination of various healthcare services, ensuring compliance with regulations, and providing leadership to clinical staff. The LVN will be responsible for patient care management, staff scheduling, and maintaining quality standards in service delivery.

Responsibilities

• Provides direction and leadership to designated Agency personnel to ensure quality and continuity of services.
• Ensures compliance of health care staff with federal and state regulations and agency policies.
• Executes clients' plans of care as written and reassesses client needs as necessary.
• Participates in orientation and training of clinical and paraprofessional staff.
• Monitors staff performance and ensures timely supervisory requirements are met.
• Demonstrates effective leadership and problem-solving skills.
• Coordinates patient services and interdisciplinary communication.
• Receives and coordinates patient referrals from various sources.
• Participates in interdisciplinary care conferences and management functions.
• Monitors documentation to ensure accuracy and compliance with payer guidelines.
• Investigates patient/family complaints and takes corrective action as needed.
• Makes home visits to provide patient care as required.
• Recognizes and reports life-threatening situations appropriately.
• Participates in accreditation and licensing endeavors according to requirements.
• Assists in developing Performance Improvement Plan reports and participates in quality improvement activities.
• Educates clinical staff on documentation standards and patient care.
• Monitors assigned cases for compliance with third-party payer requirements.
• Attends required in-service programs to maintain home care knowledge.
• Demonstrates effective time management and communication skills.
• Promotes agency philosophy and maintains patient confidentiality.
• Participates in on-call duties as assigned.

Requirements

• High school diploma or equivalent.
• Graduate of an accredited practical nurse or vocational nursing program.
• Current unrestricted license in Texas as a Licensed Vocational Nurse.
• Valid Texas Driver's License and personal auto insurance coverage.
• Current CPR certification.
• 2+ years of clinical experience in community home health or medical/surgical setting.
• Experience with electronic medical record applications.
• Thorough knowledge of nursing practice and regulations regarding home care.
• Basic computer skills including Microsoft Word and Outlook.
• Excellent observation, communication, and problem-solving skills.
• Proven independent nursing practice and ability to prioritize tasks.

Nice-to-haves

• Experience in a leadership or supervisory role within a healthcare setting.
• Familiarity with home health care regulations and standards.
• Advanced computer skills and proficiency in electronic medical records.

Benefits

• $2,500 Sign-on Bonus for External Candidates
• Opportunities for professional development and career growth.
• Comprehensive health insurance coverage.
• Flexible scheduling options.