Licensed Vocational Nurse LVN/LPN Home Health Quality Assurance San Antonio Texas
Company: Optum
Location: San Antonio
Posted on: February 22, 2025
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Job Description:
Opportunities at WellMed, -part of the Optum family of
businesses. We believe all patients are entitled to the highest
level of medical care. Here, you will join a team who shares your
passion for helping people achieve better health. With
opportunities for physicians, clinical staff and non-patient-facing
roles, you can make a difference with us as you discover the
meaning behind -Caring. Connecting. Growing together.------ -
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The Home Health Quality Assurance LPN/LVN, under the supervision of
QA RN, audits clinical records for compliance to all applicable
laws, federal and state rules and regulations and Agency's policies
and monitors factors which directly and indirectly influence the
care rendered to the patients. -
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Primary Responsibilities: -
Performs audits of 100% of all OASIS and PT/OT/ST evaluations for
the assigned Branch and clinician alpha under the supervision of a
Registered Nurse, to make sure the clinician/therapist followed
relevant regulatory guidelines, policies and procedures
Performs 75% to 100% audits of all daily skill visits notes
performed by the RN's, LVN or therapist, depending on the
clinician's return for review records in the previous 90 day
period. Duty performed under the supervision of a Registered
Nurse
Evaluates the documentation of medical care to make sure the
clinician/therapist followed relevant CMS regulatory guidelines and
the Agency's policies and procedures
Checks to make sure that all physician orders are followed and that
there is an order in the EMR system for the skill visit performed
by the clinician
Verifies that all necessary documentation is included in the
EMR
Returns OASIS/evaluation/skill visit note to the clinician if
additional documentation is needed, for correction or if additional
information is necessary to be in compliance
Based on review of clinical documentation, identify potential
quality of care issues and potential fraud/waste/abuse
Monitors and reports market and clinician specific trends
identified to manager for further review, action or additional
clinician education
Assists in developing processes to improve quality of notes
Educates clinician on proper documentation needs for regulatory
compliance
Establishes a trusting relationship with clinicians and
co-workers
Exhibits professionalism and is courteous with all clinicians and
co-workers
Demonstrates knowledge and observance of Patient's Bill of Rights
and Notice of Privacy Practices
Participates in educational programs and all required in-service
programs to maintain comprehensive QA knowledge base, as assigned
by supervisor
Complies with all Homecare Dimensions, Inc. Agency's policies and
procedures. Promotes and maintains an agency environment that is in
compliance with federal, state, and local regulatory agencies.
-Participates in the agency's endeavors for accreditation,
licensing and professional recognition according to state, federal
and/or CHAP's requirement
Demonstrates personal responsibility with regard to attendance and
punctuality
Maintains privacy and confidentiality with regard to all patient,
staff and agency information
Expresses verbal and written communication in a clear, positive and
cooperative manner.
Demonstrates flexibility, enthusiasm and willingness to cooperate
while working with others or in place of others, as necessary
Promotes the agency image by adhering to the Dress Code
Performs all other QA related duties as assigned
Maintains LPN/LVN licensure current, at all times, and in good
standing with the Board of Nurse Examiners for the state of
employment -
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This is an office base position near IH-10
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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: -
Graduate of an accredited LVN/LPN program
Current licensure as a Licensed Vocational Nurse in good standing
with the Board of Nurse Examiners for the state of Texas
2+ years of experience as an LPN/LVN in a home health care
environment
Proven excellent verbal and written communication skills
Proven ability to interact productively with individuals and with
multidisciplinary teams
Proven ability to define problem, collect data, establish facts,
interpret an extensive variety of technical, medical, regulatory
instruction and deal with numerous issues to draw a valid
conclusion
Proven excellent organizational and prioritization skills
Access to reliable transportation and valid driver's license
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 -
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Preferred Qualifications:
2+ years of Home Health QA experience
Proficient computer skills, including Microsoft Word, Excel and
Outlook
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Physical & Mental Requirements:
Ability to lift up to 20 pounds (must be able to lift
documents/boxes from one location to another, if necessary)
Ability to push or pull heavy objects using up to 5 pounds of
force
Ability to stand for extended periods of time
Ability to properly drive and operate a personal/company
vehicle
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The hourly range for this role is $19.86 to $38.85 -per hour based
on full-time employment. Pay is based on several factors including
but not limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers 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
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives.
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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. - -
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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. -
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UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment. -
Keywords: Optum, San Antonio , Licensed Vocational Nurse LVN/LPN Home Health Quality Assurance San Antonio Texas, Healthcare , San Antonio, Texas
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