Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas Position Available In Ascension, Louisiana

Job Description:

WellMed, part of the Optum family of businesses, is seeking aLicensed Vocational Nurse LVN/LPN Quality HEDIS/STARs to join ourteam in San Antonio, TX. Optum is a clinician-led care organizationthat is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integralpart of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of aglobal organization behind you so you can help your patients livehealthier lives. Here, you’ll work alongside talented peers in acollaborative environment that is guided by diversity and inclusionwhile driving towards the Quadruple Aim. We believe you deserve anexceptional career, and will empower you to live your best life atwork and at home. Experience the fulfillment of advancing thehealth of your community with the excitement of contributing newpractice ideas and initiatives that could help improve care formillions of patients across the country. Because together, we havethe power to make health care better for everyone. Join us anddiscover how rewarding medicine can be while Caring. Connecting.

Growing together.

• This position is responsible for the coordination of HEDIS andSTARs data gathering process within the clinic setting.
• This roleis responsible for the education to the clinic on quality measuresand coordinates strategies for closing gaps.
• Evaluates the qualityand completeness of clinical documentation processes by performingquality medical record reviews, assisting in the improvement of theclinical documentation process, maintaining accurate records ofreview activities, developing formal training and improvementprograms and maintaining up-to-date knowledge of regulatory(HEDIS/STARs) standards and guidelines.

Primary Responsibilities:

Analyze data, evaluate for possible data integrity and datadeficits and document findings Analyze and trend

HEDIS/STAR

rates, identify barriers toimprovement of rates and create interpretive exhibits Obtains quality detail report and flags patient’s charts with themissing measures Works closely with local leadership to execute qualitystrategies Supports and assists PCPs/clinics with quality data collection Provides reports and monitors performance at local level Engages PCP and clinic staff in developing strategies to closequality gaps Supports and improves communications between market and corporatedepartments Maintains education/knowledge base of HEDIS/STARs standards andguidelines Performs all other related duties as assigned This is an office/Field Base Position

• In 2011, WellMed partnered with Optum to provide care to patientsacross Texas and Florida.

WellMed is a network of doctors,specialists and other medical professionals that specialize inproviding care for more than 1 million older adults with over16,000 doctors’ offices. At WellMed our focus is simple. We’reinnovators in preventative health care, striving to change the faceof health care for seniors. WellMed has more than 22,000+ primarycare physicians, hospitalists, specialists, and advanced practiceclinicians 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 anenvironment that will challenge you and give you clear direction onwhat it takes to succeed in your role as well as providedevelopment for other roles you may be interested in.

RequiredQualifications:

Licensed Vocational/Professional Nurse 3+ years of healthcare experience to include experience in amanaged care setting 3+ years of experience with data analysis/quality chart reviews.

Must be able to review data and provide recommendations forimprovement

HEDIS/STAR

experience or participation with similar regulatoryreporting Experienced using Microsoft office applications, includingdatabases, word-processing, and excel spreadsheets Driver’s license and access to reliable transportation that willenable you to travel to client and/or patient sites•

Preferred Qualifications:

2+ years of college, in pursuance of a Bachelor’s or Associate’sdegree 2+ years of experience working with

HEDIS/STAR

measures•

Physical & Mental Requirements:

Ability to lift up to 25 pounds Ability to sit for extended periods of time Ability to stand for extended periods of time Ability to use fine motor skills to operate office equipment and/ormachinery Ability to receive and comprehend instructions verbally and/or inwriting Ability to use logical reasoning for simple and complex problemsolving The hourly range for this role is $19.86 to $38.85 per hour basedon full-time employment. Pay is based on several factors includingbut not limited to local labor markets, education, work experience,certifications, etc. UnitedHealth Group complies with all minimumwage laws as applicable. In addition to your salary, UnitedHealthGroup offers benefits such as, a comprehensive benefits package,incentive and recognition programs, equity stock purchase and 401kcontribution (all benefits are subject to eligibilityrequirements). No matter where or when you begin a career withUnitedHealth Group, you’ll find a far-reaching choice of benefitsand incentives. OptumCare is an Equal Employment Opportunity employer underapplicable law and qualified applicants will receive considerationfor employment without regard to race, national origin, religion,age, color, sex, sexual orientation, gender identity, disability,or protected veteran status, or any other characteristic protectedby local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to passa drug test before beginning employment.