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
• Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
• Proven excellent verbal and written skills
• Proven solid interpersonal skills
• Ability to interact productively with individuals and with multidisciplinary teams
• Demonstrated proficiency computer skills to work efficiently with electronic medical records
• Proven 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
• Experience with outbound patient telecommunications
• Demonstrated fluent written and verbal skills in English and Spanish
  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.
  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
  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

• 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
  In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we’re making health care work better for everyone.
  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.