ACO Case Manager LVN - Telecommute in Ontario, CA area
Location: Ontario, California
Internal Number: 107349966
Monday-Friday 8:30am - 5pm
North American Medical Management, California, Inc. (NAMM) develops and manages clinician networks, offering a full range of services to assist physicians and other clinicians in their managed care and business operations. For over 25 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.
Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as a LVN Case Manager, you'll be making a difference in peoples' lives by offering telephonic support and assistance to members with health education, program referrals or general health services. You will work with patients to manage their health conditions for ultimate outcomes by placing out-bound calls as dictated by consumer and business needs.
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Whether in-person or over-the-phone, we're working to help others live healthier lives while providing an opportunity for you to do your life's best work.(sm)
If you are located in Ontario, CA, you will have the flexibility to telecommute* as you take on some tough challenges.
Responsible for planning, directing, and coordinating medical and health care services.
Design and manage health care plans for members according to their individual needs.
Acts as a liaison between members, their families, and primary care providers.
Must be an effective communicator with members, families, health care providers, and the health plans.
Educating members and families on disease management
Provide health education, coaching and treatment decision support for members
Meets all of the medical, psychosocial and financial needs of the member
Accurately uses database for daily documentation of clinical information
Receive information from consumers about specific symptoms and questions
Conduct interviews to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy
Ask open ended questions, identify significant from insignificant responses, ask about other diagnoses, probe for additional information, and redirect as necessary
Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs-Review and identify appropriate evidence-based information for consumers
Revise plans of care or close cases based on consumer success toward goals
Document goal attainment (e.g., proof points, completion of intervention to obtain goal, caller understanding of action plan) and enter data in appropriate systems
Other responsibilities as assigned
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.
Minimum High School diploma
Current, unrestricted LVN or LPN licensure
3+ years of Clinical experience, resulting in excellent clinical skills and judgment
Experience with inbound and outbound telephonic skills
Knowledgeable of working with HMOs and PPOs
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. 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 high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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: Case Manager, LVN, LPN, Clinical, Nurse, CM, ACO, Ontario, CA, California, Telecommute