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LVN Case Manager - San Antonio, TX

UnitedHealth Group


Location:
San Antonio, TX
Date:
02/22/2018
2018-02-222018-03-23
Job Code:
737105
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Job Details

737105 LVN Case Manager San Antonio TX

LVN Case Manager - San Antonio, TX (737105)

Position Description

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

 

The LVN Case Manager position is responsible for verification of appropriate incoming orders, completed orders and authorization of insurance benefits. Receive and respond to all incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the Company's ability to meet them. Enter referral information in system including clinical information and orders for services if available. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and insures the information is accurate. Responsible for staffing all new referrals, scheduling of patient visits daily per physician orders, review schedules often for any unassigned visits to be staffed and next day schedules.

 

This position will work Friday, Saturday, Sunday, Monday.  Excellent compensation, benefits within 30 days, bonus potential, annual reviews.

 

Primary Responsibilities:

  • Accepts and records initial client information to include type of referral, type of insurance, and patient demographics
  • Enter referral or order into EMR system both for home health
  • Verifies information with patient including demographics, insurance carrier, physician and pertinent information to help in the completion of the referral
  • Support team members of intake in reviewing orders received from physician office, hospital and case managers for accuracy and the supported documentation in order to serve the patient for home health
  • Follow up with referral source when questions arise in reference to an incomplete order or new referral
  • Develop and maintain a working knowledge of all services and resources provided by the Company and available within the community
  • Requests the referral source fax orders on all patients
  • Will receive report for weekend from intake and home health staff
  • Notifies pharmacy and home health when verification of new referral is complete
  • Ensures information inputted into the EMR system is accurate and complete to ensure timeliness of patient care, obtaining authorization for services requested   
  • Responsible for scheduling all physician orders, new referrals and schedules appropriate field staff member on a daily basis
  • Retrieves lab results from previous day
  • Responsible for scheduling per physician order and ensuring re-authorization department has updated order in order to obtain authorization from physician office

Required Qualifications:

  • Current and unrestricted TX LVN license
  • Excellent computer skills
  • 3+ years clinical experience
  • 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:

  • Managed care background
  • Home healthcare experience

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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.

 

 

Job Keywords: LVN, LPN, Licensed Vocational Nurse, Home Health, Case Manager, CM, San Antonio, TX, Texas

Job Details

  • Contest Number737105
  • Job TitleLVN Case Manager - San Antonio, TX
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • San Antonio, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftWeekend
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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