Nurse Case Manager - Case Management Nurse - LPN/LVN

LanceSoft Inc.,; Toledo (OH); On-site; USD 60,000 - 67,000; Full time

Benefits offered by this job

Medical Insurance options

Dental and Vision Insurance

401k Contributions

Critical Illness Insurance

Voluntary Permanent Life Insurance

Other Employee Perks

Job summary

A leading healthcare company seeks a Case Management Nurse for a full-time position in Toledo, OH. This role involves health assessments, care coordination, and evaluating member needs. Candidates should have an LPN license with a minimum of 2 years of nursing experience, strong organizational skills, and the ability to work independently, while effectively managing a diverse caseload.

Qualifications

• Requires 2 years LPN nursing experience, preferred 3+.
• Must be licensed and maintain professional relationships.
• Familiar with community resources and proficient with computer systems.

Responsibilities

• Complete health screenings and manage member caseload.
• Coordinate care and update care plans based on assessments.
• Participate in interdisciplinary team meetings.

Skills

Organizational skills

Effective communication

Independence

Knowledge of community resources

Education

Licensed LPN

High School or equivalent

Tools

Microsoft Office Software

Job description

16 hours ago Be among the first 25 applicants

Direct message the job poster from LanceSoft Inc.,

Duration: 5+ months with possible extension

Est. Pay Range: $29.00/hr. to $32.00/hr.

Schedule: M-F 8-5

Position Summary

• Complete health screening questionnaires, assessments which may be market specific.
• Support reduction of population of unable to reach members by telephone and in -person visits.
• Ensure member has filled/received their medication(s) and has an understanding on how to take their ordered medications.
• Manage caseload of members with current stratification of monitoring, low and medium or those with high social determinants of care needs- frequency /contract guidelines
• Provides clinical assistance to determine appropriate services and supports due to member’s health needs (including but not limited to: Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports)
• Evaluation of health and social indicators
• Identifies and engages barriers to achieving optimal member health.
• Uses discretion to apply strategies to reduce member risk.
• Presents cases at case conferences for multidisciplinary focus to benefit overall member management.
• Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the member’s condition(s) and abilities to self-manage.
• Coordinates resources, assists with securing DME, and helps to ensure timely physician follow-up.
• Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel.
• Updates the Care Plan for any change in condition or behavioral health status.
• Provide support to members in transitions of car

Duties:

• Responsible for interacting with low stratification members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions.
• Based on assessments and claims data creates a care plan for members to follow 70%
• Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the member’s health care needs, barriers to care and explore better outcomes for the member 20%
• Identify and link members with health plan benefits and community resources 5%
• Perform administrative work to maintain skills needed for job duties 5% 5%

Experience:

• Required: 2 years LPN Nursing exp, preferred 3 + year’s experience.
• Regular and reliable attendance
• Familiar with community resources & services
• Strong organizational skills
• Works independently.
• Maintains professional relationships with the members we serve as well as colleagues.
• Communicates effectively and professionally verbally and in writing.
• Proficient with computer systems
• Knowledgeable in Microsoft Office Software
• Has a dedicated homework space

Education:

• HS or equivalent, must be licensed LPN.

Employee Benefits:

At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:

• Four options of medical Insurance
• Dental and Vision Insurance
• 401k Contributions
• Critical Illness Insurance
• Voluntary Permanent Life Insurance
• Other Employee Perks

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

• Industries

  IT Services and IT Consulting

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