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Office Nurse Bilingual Preferred Optum

United Health Group

Sun City Center, Florida, 33570

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Salary:

$67434 - $82711 Year

Job type:

Monday to Friday

Job Schedule:

Day shift

Job benefits:

Health insurance
Paid time off
Employee discount
Dental insurance
Vision insurance
401(k)
401(k) matching
Flexible schedule
Parental Leave
Tuition reimbursement
Flexible spending account
Retirement plan

Description:

The Office Nurse is responsible to the Center Administrator and assists, under the direction of the physician, in the provision of direct patient care in accordance with Company policies and procedures and established standards of nursing practice. This role reflects subject matter expertise in two key areas; clinic nursing and care management.


Primary Responsibilities:
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
Represents the Company in a professional manner, following all Company policies and procedures
Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Responsible for timely, efficient, and accurate triage response and documentation according to Nursing Standards & Company protocol
Under direction and supervision of a physician, administer prescribed medications and immunizations, administers, monitors, and manages intravenous infusions
Provides clinical treatment and other patient services within the ambulatory care setting
Ability to take vital signs, perform approved clinical tasks including but not limited to: Evaluating patient needs, performing triage related to presenting clinical needs, administering prescribed medications, assisting physician with examinations and treatments, preparing, and applying dressings and performing wound care; instructing patient in health measures and self-care, changing Foley catheters, and flushing ports
Maintains accurate, legible clinical documentation within the medical records assuring compliance within all guidelines. Maintain all documentation required by the clinic (i.e., triage logs, OSHA required logs, telephone messages, etc.)
Participates in health promotion activities
Assists the PCP in the monitoring and planning of care for members of the Complex Care Program, High Risk Program and/or Disease Management Programs
Maintains an active nursing appointment schedule for assisting the PCP in the monitoring of members’ healthcare needs which may include but are not limited to B/P checks, wound care needs, nebulizer treatments, and health care education
Monitors inpatient, outpatient, and SNF patients and initiate patient care arrangements
Reports findings to PCP, Medical Director, and Administrator
Reinforces patient education regarding preventive care, dietary restrictions, medications, and other therapeutic regimes. Coordinate home health and DME requests and provide recommendations to PCP
Provides oversight in patient care evaluation, coordinate the collaboration of the Primary Care Provider and Consultants, and make suggestions to improve plans to meet patient needs
Assists with the monitoring of utilization management and make recommendations regarding effectiveness of health care resources, trending, and intervention
Assists in the assessment of clinic operations and make recommendations as necessary
Ensures compliance with CMS and AHCA guidelines and covered service guidelines
Assists with the contestation of Part A and Part B /claims as needed
Consistently applies guidelines to the medical record review process
Evaluates and recommends health delivery network changes with the PCP, Medical Director, and Center Administrator
Participates in QI projects. Attends Case Management Meetings
Participates in patient satisfaction program as required and follow up on all inpatient/outpatient discharges
Acts as the clinical resource for the non-licensed office personnel. Acts as the clinical leader in regards to the triage process within the front desk area, group visits, and other programs as requested
Performs other duties as assigned
Must have consistent, punctual, and reliable attendance
Ability to travel as necessary based on business need
Ability to work overtime based on business need

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:
High school graduate, GED or equivalent
State Licensed LPN or RN
Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or ability to obtain in 90 days
Additional Requirements for LPNs:
Certificate in Practical Nursing
IV Certification or ability to obtain within 90 days of employment
Valid Florida LPN licensure
Additional Requirements for RNs:
Associates or Bachelor’s degree in Science
Valid Florida RN license


Preferred Qualifications:
2+ years of experience in Med-Surg, ER, ICU, Acute Care
Experience with electronic health records (EHR)
Experience in MS Office
Ability to read, write and speak the Spanish language fluently

Skill:

Communication
Leadership
Teamwork
Interpersonal
Learning/adaptability
Self-management
Organizational
Computer
Problem solving
Open mindedness
Strong work ethic
technology

Others Requirements:

2+ years of experience in Med-Surg ER ICU Acute Care
Experience with electronic health records (EHR)
Experience in MS Office
Ability to read write and speak the Spanish language fluently

Category:

Health care

Positions:

3

Location:

Remote