Care Navigator (LPN) - Montgomery/Philadelphia/Bucks County Details

Care Navigator (LPN) - Montgomery/Philadelphia/Bucks County

UnitedHealth Group - Horsham, PA

Employment Type : Full-Time

Careers with Optum. We built an entire organization around one giant objective; make the health system work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on an elite team. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

The Complex Care Management (CCM) Care Navigator works with a team of Advanced Practice Providers (APCs) to collaboratively support the APCs and provide support for members residing in skilled nursing facilities and/or assisted living centers. The role includes strong technical skills, communication and collaboration with the clinical team, facility staff and members.

Primary Responsibilities

• Support APC with overall coordination of member care
• Functioning as part of a collaborative team
• Data entry/backfill and member chart management for:
  • New effectives
  • Post hospital
  • Pre-visit updates
  • Health maintenance
  • Stars
  • Lab results
  • Medication
• Obtain medical records following hospitalizations and physician appointments
• Time management
• Obtain consult notes, hospital discharge summaries, lab results
• Upload lab results, medication changes, new member information into the EMR
• Obtain updates on members receiving Part B therapy
• Track skilled days and assist with completion of DSTs
• Assist with scheduling of member appointments and transportation
• Arrange facility and member education
• Build facility relationships
• IESNP : Assist members to utilize benefits
• IESNP : Coordinating Home Health, DME, transportation, level of care changes

Daily Practices:

• Strong communication skills required

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 Diploma or GED
• Current and unrestricted LPN license in the state of Pennsylvania
  • You must be a Pennsylvania resident that lives within Bucks, Philadelphia, or Montgomery Counties
• 2+ years’ experience in assisted living, long term care or home health care
• 1+ year experience with EMRs
• Valid Pennsylvania state Driver’s License that is unrestricted and have reliable transportation that is registered to with current auto insurance
• Must be available to work Monday - Friday; 11:00am-7:30pm EST
• Proficient in Microsoft Word (edit, create & save documents), Microsoft Excel (adding, sorting & filtering data) and Microsoft Office (email, folders, attachments and calendaring)
• You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
  

Careers with Optum. We built an entire organization around one giant objective; make the health system work better for everyone. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on an elite team. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Key Words: #RPO, LPN, Care Navigator, Bucks County, Philadelphia County, Montgomery County, Coordinating Home Health, DME, transportation, level of care changes, EMR, Hospital Discharge, utilization of benefits, Pennsylvania, Travel LPN, assisted living, long term care or home health care