Job description

Job Title: LVN Case Manager

Job Location: Remote

Job Description -

Compact License and MCG, InterQual, and NCQA standards

Roles and Responsibilities

1. Capacity to collect relevant clinical data to support the care planning process
2. Care Plan support, intervention, and prioritization to transition members to optimal levels of health and self-management.
3. Capacity to participate in interdisciplinary team meetings as required
4. Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population
5. Provide transition of care interventions as required
6. Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population.
7. Facilitate linkage to appropriate community resources to address social determinants of health
8. Capacity to adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting
9. Able to ensure member communication and notices are composed in a manner consistent with regulatory standards.
10. Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

Qualifications:
Associate's degree in Nursing, preferred

• Minimum 2 years of experience in medical management clinical functions.
• Working knowledge of MCG, InterQual, and NCQA standards
• Active and Unrestricted License as a Licensed Vocational Nurse (LVN)
• Certification Managed Care Nursing (CMCN) preferred

Preferred Skills:
High level of critical thinking and problem-solving skills

• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
• Demonstrated flexibility, organization, and self-motivation
• Highly adaptable to change

Regards,

Shivam Kumar Dubey

US IT Recruiter

Job Type: Contract

Salary: $15.00 - $26.00 per hour

Schedule:

• 8 hour shift

Work Location: Remote

Speak with the employer
+91 +12483068438

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