What are the responsibilities and job description for the LPN Nurse Manager position at Computech Corporation?
Job Title: LPN Nurse case Manager
Location: Toledo OH and immediate surrounding counties.
Schedule: M-F 8-5
Contract duration: 5 Months
The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan.
- 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 care
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%
Experience:
- Required 2 years LPN Nursing exp, preferred
- 3 years 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
- Excellent customer service skills
- Has a dedicated home work space
Education:
- HS or equivalent, must be licensed LPN.
Job Type: Contract
Pay: $29.47 - $30.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Physical Setting:
- Clinic
Experience:
- LPN: 3 years (Required)
License/Certification:
- LPN (Required)
Work Location: In person
Salary : $29 - $30
