LPN Case Manager: Care Coordination & Utilization Review

MedStar Health; Washington (District of Columbia); On-site; USD 45,000 - 74,000; Full time

Job summary

MedStar Health is seeking an LPN Case Manager to support the Care Management Department, coordinating quality, cost-effective care for patients. The role involves clinical review, referrals, and ensuring compliance with regulations.

Qualified candidates hold an LPN license in Maryland or DC and have utilization review experience plus diverse clinical background. Strong computer and medical knowledge are essential to coordinate benefits and communicate with providers.

Qualifications

• Knowledge of current healthcare delivery trends and utilization review criteria.
• Ability to use a computer to enter and retrieve data.
• Proficiency with Word, Excel and PowerPoint preferred.

Responsibilities

• Identify potential Case Management candidates through clinical review and referrals.
• Assist in meeting department goals while complying with policies and safety standards.
• Coordinate benefits coordination, reports, and pre-certifications as required.

Skills

Healthcare knowledge

Computer skills

Microsoft Office Proficiency

Education

LPN License (Maryland/DC)

Job description

MedStar Health is seeking an LPN Case Manager to support the Care Management Department, coordinating quality, cost-effective care for patients. The role involves clinical review, referrals, and ensuring compliance with regulations.

Qualified candidates hold an LPN license in Maryland or DC and have utilization review experience plus diverse clinical background. Strong computer and medical knowledge are essential to coordinate benefits and communicate with providers.