Clinical Quality LVN Home Health (Urgent)

Company: Optum
Location: San Antonio
Posted on: June 24, 2025

Job Description:

$2,500 Sign on Bonus Available for External Candidates Incentive Bonus 2 times a year 18 days of PTO & Closed on Major Holidays 401K Match WellMed, part of the Optum family of businesses, is seeking a LVN/LPN to join our team in San Antonio, TX. 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. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience 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. 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. 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 In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians 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 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 - Driver’s license and 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 Preferred Qualifications: - 2 years of Home Health QA experience - Proficient computer skills, including Microsoft Word, Excel and Outlook 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 sit for extended periods of time - Ability to use fine motor skills to operate office equipment and/or machinery - Ability to receive and comprehend instructions verbally and/or in writing - Ability to use logical reasoning for simple and complex situations 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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Optum, San Marcos , Clinical Quality LVN Home Health (Urgent), Healthcare , San Antonio, Texas