Nurse Case Manager II - Transition OD Care Registered Nurse

LanceSoft Inc; Tallahassee (FL); Remote; Full time

Job summary

A leading healthcare company is seeking a Case Manager to provide assessment, planning, and advocacy services. This full-time remote position requires local travel within specified counties. Ideal candidates are bilingual and have at least two years of clinical experience. Employee benefits include medical, dental, vision insurance, and a 401k plan.

Benefits

Medical Insurance

Dental and Vision Insurance

401k Contributions

Critical Illness Insurance

Voluntary Permanent Life Insurance

Accident Insurance

Other Employee Perks

Qualifications

• Minimum 2 years of clinical experience required.
• Local travel up to 75% to meet members face to face.

Responsibilities

• Complete at least 10 NF member assessments weekly.
• Follow up on CM referrals and visit current NH members in-person.
• Work collaboratively with case managers to identify high risk members.

Skills

Bi-Lingual Spanish/ English

Critical Thinking

Education

RN with current unrestricted state licensure

Job description

Job ID:25-230516
Position Type: Full time
Location:Hillsborough, Highlands, Polk, Hardee, and Manatee Co
Work Type: Remote with travel in Hillsborough, Highlands, Polk, Hardee, and Manatee Co
Est. Pay Range: $38.00/hrs. - $41.65/hrs.
Schedule: M-F 8-5

Position Summary:

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Duties:

• Complete at least 10 NF member assessments weekly
• Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community
• Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments.
• Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.).
• Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.
• Contact facility’s Business Office once a week to follow-up on mbr’s census and will coordinate with Social Services and CM to facilitate discharge.
• Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral)
• Drive enhanced value of health care to increase member satisfaction and retention and drive new membership growth.
• Be involved in at least two community relations event per year
• Engage in building strong relationships that contribute towards member satisfaction and retention

Required Qualifications:

• Candidate must reside in Tampa area and will service Hillsborough, Highlands, Polk, Hardee, and Manatee Counties and be able to travel to facilities within the regions/neighboring counties. Hours required are M - F 8am - 5 pm EST with some flexibility for start/ stop times. Local travel up to 75%. Applies critical thinking, evidence-based clinical criteria to support contractual rebalancing goals.
• Candidate must reside in FL and area of coverage.- Minimum 2 years of clinical experience- Bi-Lingual Spanish/ English required.-Willing and able to travel 75% of their time to meet members face to face and surrounding counties/areas.

Preferred Qualifications:

• Managed Care Experience.
• Discharge coordination experience.
• Transition of care experience.
• Home Health experience.
• Case Management experience.
• Position requires proficiency with computer skills which includes navigating multiple systems.
• Ability to work in a fast-paced environment
• Experience Level: Specify the level of experience required mid-level

Education:

• RN with current unrestricted state licensure.

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
• Accident Insurance
• Other Employee Perks

LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.