Inpatient Care Manager, LPN or LVN - Ontario, CA

Care Manager - Licensed Practical Nurse

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Care Manager - Licensed Practical Nurse provides ongoing support and expertise through comprehensive evaluation, planning and implementation of individual member needs. The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning. It is the purpose of the Care Manager - Licensed Practical Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically or on-site.

Primary Responsibilities:

• Develop a comprehensive discharge plan that will address member's individual needs and meets with patients, patients' family and caregivers as needed to discuss care and treatment plan
• Consistently and accurately completes all required documentation including but not limited to timely completion of the readmission assessment and discharge planning documentation
• Engages in rounds and interacts with Hospitalists / SNFist and Hospital Care Managers to discuss care plan changes
• Decrease healthcare costs of members by working collaboratively to assist members in managing post discharge visits to primary care/Specialist, including Palliative care and other post discharge programs, to decrease ER Utilization, readmits to hospital, and admissions to skilled nursing facilities
• Provides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up care
• Independently keeps current on areas of care management, quality management, utilization management, and member education
• Provides recommendations in the development of policies and procedures that meet the requirements of State and Federal guidelines
• Acts as liaison and member advocate with other care providers and programs
• Participate in team meetings, Interdisciplinary meetings, rounds, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)
• Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomes
• Supports collection of information and other statistical data relevant to care loads, productivity and health care trends within member population
• Performs additional duties as assigned

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

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:

• Degree in Nursing from an accredited school of nursing
• Unrestricted LPN licensure

Preferred Qualifications:

• Bachelor's degree
• 2+ years clinical experience in a health care setting, care management for a health insurer

Professional Competencies:

• Working knowledge of health care delivery systems
• Working knowledge of PC applications including MS Office Suite and other supportive technology
• Ability to use written and oral communication skills
• Ability to read and interpret data
• Skill in writing clear, grammatically correct, easy to use instructional documentation
• Ability to identify learning needs, set goals and seek educational opportunities
• Ability to analyze problems and formulate appropriate plans, solutions, and courses of action
• Knowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverbally
• Ability to work with frequent interruptions
• Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates
• Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners
• Ability to manage detail and work with accuracy
• Ability to recognize and act appropriately in situations where patient care needs exceed scope of practice
• Skill in working with a team and the ability to collaborate on projects with colleagues
• Skill in working effectively under deadlines and changing priorities
• Ability to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice

Skills:

• All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patients
• Must hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growth
• Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction
• Follows written and oral instructions and completes routine tasks independently
• Completes annual compliance training on HIPAA/Privacy/Confidentiality/NonDiscrimination/Harassment/Integrity Statement and signs Agreements
• Ensures confidentiality of patient information following HIPAA guidelines and company policies
• Attends training to meet requirements of the job position and as needed or mandated by company policies and regulations
• Has regular and predictable attendance

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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 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.