Care Manager LPN Optum Seffner

Sign On Bonus for External Candidates

(LPN $2,500)

Incentive Bonuses 2 times a year

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Position in this function is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. Works in conjunction with the care team and PCP as care team leader. Ensures evaluation is in alignment with site based goals.

• Prioritizes patient care needs upon initial visit and addresses emerging issues
• Meets with patients, patients' family and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program
• Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
• Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes
• Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care
• Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients and families
• Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports

• High school graduate, GED or equivalent
• State Licensed LPN
• Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or be able to obtain within 90 days of employment
• Requirements for LPNs:
  
  
  • Certificate in Practical Nursing
  • Valid Florida LPN license
  • IV certification or the ability to obtain within 90 days of employment

• 1+ experience in an acute clinical care setting
• HMO experience
• Ability to read, write and speak the Spanish language fluently