LVN Field - Home Health
Choice Health At Home · Danville, VA
Job description(tap to read)
About the Role: The Home Health Field LVN/LPN plays a critical role in delivering high-quality nursing care to patients within their homes, ensuring comfort, safety, and effective management of health conditions. This position requires the ability to assess patient health status, administer medications, and provide wound care while collaborating closely with physicians, therapists, and family members. The LVN/LPN will be responsible for developing and implementing individualized care plans that promote patient independence and improve overall well-being. This role demands strong clinical judgment and compassionate communication to educate patients and caregivers on treatment protocols and health maintenance. Ultimately, the Home Health Field LVN/LPN contributes to enhancing patient outcomes by providing personalized, attentive care in a home setting, supporting recovery and chronic disease management outside of traditional clinical environments. As a Home Health LVN, you will: • Under the direction of the RN, assist in identifying the patient's physical, psycho social, and environmental needs as evidenced by documentation, clinical record, team report, and evaluations. • Participate in planning and implementing care in conjunction with the RN, in accordance with the POC. • Applies concepts of infection control and standard precautions in coordinating/performing patient care activities to prevent contamination and transmission of disease. • Assure the continuity of care through delivery of quality patient care. • Provide effective communication to patient/family, team members, and other health care professionals as evidenced by clinical notes, case conferences, communication notes, and evaluations. • Monitor assigned cases to ensure compliance with requirements of third party payor. • Promote Agency philosophy and administrative policies to ensure quality of care. Requirements • Current LVN License • Valid Driver's License • Valid Auto Insurance • CPR Certification • HomeCare HomeBase experience preferred Benefits and Perks • Medical, Dental, Vision Insurance • 401k You're eligible after 3 months of service/The plan is 100% fully vested immediately/Choice Health At Home contributes 100% of the first 3% you contribute each pay period • Health Savings Account • Life Insurance • Short & Long Term Disability Insurance • Paid Time Off and Paid Holidays • Company vehicle upon availability after 90 days of full time employment and all the terms and conditions set by the Fleet Car team are met.
Care Navigator Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra's transformative care model helps people recover twice as fast and results in a 26%annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. As a Care Navigator, you'll be doing the important, meaningful work of managing crises, providing in-the-moment telephone support to clients with complex behavioral health issues, ensuring client safety, and connecting clients to high-quality, evidence-based providers and facilities. This position does not involve providing in-person services or therapy but instead focuses on supporting clients in connecting to care, exclusively by phone and email. This role may be for you if you are an excellent written and verbal communicator, an ace at time management, skilled with crisis management, and passionate about connecting individuals to excellent care. It's important that you're comfortable adopting new technology platforms and have a growth mindset. We're all here for the same goal: to improve access to the highest quality mental health care for our clients–when they need it most. You must be able to work the following shift(s): Sunday - Thursday: 12am-8:30am PT (1am-9:30am MT / 2am-10:30am CT / 3am-11:30am ET) Responsibilities • A fast-paced, growing company – We move quickly to evolve tools and protocols based on data, so team members are expected to be curious and open to feedback, adapt quickly to new protocols, and make significant contributions to process improvements. • A team with dynamic roles – we expect our team members to go beyond just casework by providing actionable feedback for internal teams and thinking critically about our care model. Unlike larger companies, we are building the company from the ground up, so we are iterating many processes as we grow – comfort with change is a must! • Making an impact – over 10 million members are eligible for care through Lyra, and every day we impact the lives of thousands of people by improving access to life-changing mental health care. Qualifications • Master's degree in clinical social work or equivalent; LCSW or equivalent independent clinical licensure is required (e.g. LMFT, LPC, LPCC, etc) or a Bachelor's degree in nursing (RN). We're unable to provide supervised hours toward licensure. Candidates without a state license to deliver mental health services, independently, will not be considered (with the exception of the RN license) • Must have two years post license experience (EAP/clinical call center experience preferred) • Bachelor's degree in nursing (RN); Must have two years psychiatric intake, assessment RB, other related experience (EAP/clinical call center experience preferred) • Significant experience managing high-risk clinical situations (e.g., suicidality, mandated reporting) • Bilingual, Spanish-speaking candidates strongly preferred (but not required) • Must be a full time resident of the United States; work cannot be completed from outside the United States. $38.65 - $38.65 an hour Pay and Benefits As a full-time Clinical Care Navigator After Hours, you will be employed by Lyra Health, Inc. The anticipated base rate for this full-time position is $38.65 per hour. The base rate is determined by role and level, and the base rate will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. The base rate is only one part of an employee's total compensation package at Lyra. We also offer generous benefits that include: comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) Lyra for Lyrians; coaching and therapy services competitive time off with pay policies including vacation, sick days, and company holidays paid parental leave 401K retirement benefits monthly tech allowance We like to spread joy throughout the year with well-being perks and activities, surprise swag, regular community celebration…and more! Lyra Health does not use text or chat applications to conduct interviews or make job offers. We have a thoughtful and interactive interview process that primarily includes video-based interviews with our hiring teams. Communications will always be conducted from lyrahealth(dot)com or lyraclinical(dot)com domain names. Please disregard any other communications that do not include these domain names but appear to be from Lyra Recruiting. We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.
Behavioral Health Advocate, Utilization Management - Remote
UnitedHealthcare At Home · Danville, VA
Behavioral Health Advocate Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resourcesthey need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. This is a telephonic, queue based position responding to treatment requests and crisis calls. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Work with providers, facilities, and members to perform utilization management and authorization for outpatient services • Ensure that behavioral health care services provided are medically necessary per standard guidelines and provided in the most appropriate setting • Assess, plan, implement, coordinate, monitor, and evaluate the options and services to meet the enrollee's health needs using education, communication, and all available resources to promote quality, cost-effective outcomes • Plan for discharge and manage transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes • Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers 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 Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Licensed Ph.D. • Active, unrestricted, independent clinical licensure in state of residence (e.g., LCSW, LICSW, LMFT, LMHC LP, LPC, LPCC, etc.) • 2+ years of experience in a related mental health setting • Proficient in MS Office Suite, including Word, Outlook, Excel, and Teams • Dedicated, distraction-free workspace and secure, high-speed internet at home • Able to work Monday - Friday, 8am - 5pm CST • Available to work one weekday holiday per calendar year Preferred Qualifications: • Licensed Alcohol and Drug Counselor (LADC) • Experience working with Substance Use Disorders (SUD) • Experience working with children, adolescents, and families • Experience in an inpatient setting • Experience in a community mental health setting • Dual diagnosis experience with mental health and substance abuse • Experience in a managed care environment (i.e., health insurance company / managed care organization [MCO]) • Proven solid problem-solving skills • Proven excellent customer service skills • Proven excellent organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Outpatient Facility Coding Compliance | , |
UnitedHealth Group · Danville, VA
Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data andresources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while effectively communicating findings to stakeholders. The Auditor also analyzes audit outcomes to identify trends, determine root causes, and pinpoint opportunities for improvement, as well as assess the effectiveness of corrective actions. Additionally, as part of the Compliance Workplan the Auditor participates in quality assurance (QA) coding oversight, conducts independent reviews, and supports organizational compliance initiatives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Perform coding compliance and quality audits in support of Optum Insight Provider's Compliance Program and client expectations • Independently analyze and interpret clinical documentation from medical records • Validate coding accuracy for outpatient facility, including E/M services, procedures, and modifiers • Identify audit findings, calculate billing error rates, and perform root cause analysis to determine drivers of non-compliance • Assess and evaluate the adequacy and effectiveness of corrective action plans, providing follow-up validation as appropriate • Clearly document audit findings and articulate results tailored to the appropriate audience • Prepare written audit analysis and summary reports, including compliance risk, trends, and recommended corrective actions • Conduct ad hoc coding and billing audits as requested • Provide compliance oversight of QA audit activities, ensuring consistency and adherence to established standards • Audit vendor coders and auditors, including offshore staff • Monitor and track evolving industry trends, regulatory updates, and government audit activities to identify potential coding and billing risk areas • Stay current with applicable coding, billing, and regulatory guidelines • Research, develop, and present targeted education based on individual, team, and systemic audit findings 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: • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) • 5+ years of Outpatient Facility coding experience including: • NCCI/OCE billing edits related to outpatient services coding and billing • ICD-10-CM and CPT (including CPT-4) • ACEP Facility or similar Facility E/M matrix guidelines for outpatient facility code assignment • 5+ years of Outpatient Facility audit experience, including surgery, observation, and emergency department, including: (Strong industry knowledge of Medicare regulations and payment policies, including OPPS) Preferred Qualifications: • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA) a plus • Demonstrated ability to perform independent, autonomous audit and coding review functions • Strong professional communication skills, both oral and written • Ability to prioritize and manage multiple assignments, spreadsheets, documents, and reports • Proven time management skills with consistent follow-through to completion • Proficiency with Microsoft Excel, Teams, PowerPoint, Word, and Outlook Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. UnitedHealth Group 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
LPN/LVN - Corrections
CoreCivic of Tennessee, LLC-Milan · Danville, VA
LPN/LVN In Corrections Genie Healthcare is looking for a LPN/LVN to work in corrections for a 11.71 weeks travel assignment located in Milan, NM for the shift (3x12hr flex-please verify shift details with recruiter, 19:00:00-07:00:00, 12.00-3). Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change. Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc. Benefits: Medical insurance, dental insurance, vision insurance, 401(k) with company matching (50% up to 6% of what you contribute) Client details: City Milan State NM