Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas
Company: Optum
Location: Gonzales
Posted on: May 8, 2025
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Job Description:
WellMed, part of the Optum family of businesses, is seeking a
Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs 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. -
This position is responsible for the coordination of HEDIS and
STARs data gathering process within the clinic setting. -This role
is responsible for the education to the clinic on quality measures
and coordinates strategies for closing gaps. -Evaluates the quality
and completeness of clinical documentation processes by performing
quality medical record reviews, assisting in the improvement of the
clinical documentation process, maintaining accurate records of
review activities, developing formal training and improvement
programs and maintaining up-to-date knowledge of regulatory
(HEDIS/STARs) standards and guidelines.
Primary Responsibilities:
Analyze data, evaluate for possible data integrity and data
deficits and document findings
Analyze and trend HEDIS/STAR rates, identify barriers to
improvement of rates and create interpretive exhibits
Obtains quality detail report and flags patient's charts with the
missing measures
Works closely with local leadership to execute quality
strategies
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 close
quality gaps
Supports and improves communications between market and corporate
departments
Maintains education/knowledge base of HEDIS/STARs standards and
guidelines
Performs all other related duties as assigned
This is an office/Field Base Position
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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.
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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:
Licensed Vocational/Professional Nurse
3+ years of healthcare experience to include experience in a
managed care setting
3+ years of experience with data analysis/quality chart reviews.
Must be able to review data and provide recommendations for
improvement
Experienced using Microsoft office applications, including
databases, word-processing, and excel spreadsheets
Driver's license and access to reliable transportation that will
enable you to travel to client and/or patient sites -
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Preferred Qualifications:
2+ years of college, in pursuance of a Bachelor's or Associate's
degree
2+ years of experience working with HEDIS/STAR measures
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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/or
machinery
Ability to receive and comprehend instructions verbally and/or in
writing
Ability to use logical reasoning for simple and complex problem
solving
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, Cedar Park , Licensed Vocational Nurse LVN/LPN Quality HEDIS/STARs San Antonio Texas, Healthcare , Gonzales, Texas
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