Great Falls, Montana
Gainesville, Georgia
Gainesville, Georgia
Dallas, Texas
New York, New York
Posted: 11-Dec-24
Location: Indianapolis, Indiana
Categories:
Internal Number: 145119038
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.
OptumCare is a rapidly growing national, integrated health care organization that helps physicians and other providers deliver the right care at the right time in the right setting. We design and manage delivery systems in markets where we can achieve the Quadruple Aim — a better patient experience, higher quality care, lower costs, and a better experience for providers. With our expertise and resources, we are on the front lines transforming the health care delivery system to help improve the overall health of patients and communities.
This physician led, patient centric, and data driven business creates value by delivering and facilitating care across the full continuum through high performing networks comprised of owned, managed and contracted physicians, advanced practitioners and other providers. Our system impact extends across physicians, specialty care, urgent care, home health, post-acute transitions, complex care in skilled nursing facilities and palliative care.
The Clinical Quality LPN is responsible for Primary Source Verification and Supplemental Data Entry. They assist with the coordination of HEDIS® and STARs data gathering within Cozeva, DataRAP and other applications as needed. This role evaluates the quality and completeness of clinical documentation, by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring all data submitted to the health plan meets the HEDIS®/Star technical specifications for medical records.
If you reside within the states of Indiana, Ohio, Kansas, Wisconsin, or Missouri, you’ll enjoy the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
- Review and abstract medical record data into appropriate application(s)
- Primary source verify abstracted medical record data
- Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings
- Provide education and feedback to abstractors
- Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines
- Assist team with re-training
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, unrestricted LPN or LVN license
Preferred Qualifications:
- Undergraduate degree in a healthcare related field
- Certified Professional Coder
- Experience obtaining medical record sections supportive of HEDIS/STAR measures
- Experience with data analysis/quality chart reviews
- Experience training and providing feedback to abstractors
- Microsoft office programs Word, Excel, Outlook
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
