LPN Discharge Coordinator - Hybrid

Optum NY/NJ, is seeking a LPN Discharge Coordinator to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and erience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.

Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Join Our Team as an LPN Discharge Coordinator!

Location:

Middletown, NY (Hybrid with visits to Garnet Health)

Schedule:

Monday to Friday, 7:30 AM - 4:00 PM

About Optum NY:
Optum NY, formerly Optum Tri-State NY, is a clinician-led care organization dedicated to transforming healthcare. As part of the Optum Care Delivery team, you'll play a crucial role in our mission to improve healthcare for everyone.

Why Optum? At Optum, you'll have access to the clinical resources, data, and support of a global organization, empowering you to help patients live healthier lives. Work alongside talented peers in a collaborative environment that values diversity and inclusion, driving towards the Quadruple Aim. We believe in providing an exceptional career experience, enabling you to thrive both at work and at home.

Make a Difference:
Are you ready to make a meaningful impact in the lives of our patients? As an LPN Discharge Coordinator, you'll ensure smooth transitions for patients without the hassle of nights, weekends, or holidays. This full-time position offers excellent hourly compensation and benefits within 30 days, including generous PTO, paid holidays, annual bonus potential, annual reviews, tuition reimbursement, and opportunities for continued career progression.

Plus, all clinical licensure costs are covered!

Your Role:
As a Discharge Care Coordination Nurse, you'll be an integral member of the direct delivery care team, serving as a gateway to information and support. Your daily communication with the acute care team, Embedded Care Coordination RN, PCP office care team, patients, and caregivers will ensure optimal communication and care during and after the acute care episode. Your goal is to facilitate understanding of the hospitalization, discharge care plan, and assess patient literacy.

Primary Responsibilities:

* Assess patient and family's unmet health and social needs

* Provide effective communications to improve health literacy

* Develop a care plan based on mutual goals with patient, family, and provider's emergency plan, medical summary, and ongoing action plan

* Monitor patient's adherence to plan of care and progress toward goals, facilitating changes as needed

* Facilitate patient access to appropriate medical and specialty providers and other care coordination team support specialists

* Ensure effective tracking of test results, medication management, and adherence to follow-up appointments

* Facilitate communication between specialists and Primary Care Physician post-discharge for cohesive care plan development

* Attend and actively participate in care coordinator-related training and meeting activities

* Perform regular visits to provide patient and family support and education

About Optum NY/NJ:
Formed in 2022 by merging Riverside Medical Group, Care Mount Medical, and Pro Health Care, Optum NY/NJ combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ provides patient-focused medical care to the entire family. Our team works in local clinics, surgery centers, and urgent care centers, within care models focused on managing risk, achieving higher quality outcomes, and driving change through collaboration and innovation.

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:

* Active and unrestricted LPN license in the state of New York

* 10+ years of clinical nursing experience

* Experience in caring for chronic disease patients

* Experience with navigation of local medical and social support systems

* Care Coordination, Case Management, Home Health, Hospital, or Urgent Care experience

Preferred Qualifications:

* Experience in clinical or community health settings

* Experience with Electronic Medical Records and Microsoft…