GLOBALHEALTH HOLDINGS LLC logo
GLOBALHEALTH HOLDINGS LLC

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Care Specialist LPN

Location

United States + 9 moreAll locations: United States | United Kingdom | Canada | Germany | France | India | Brazil | Australia | Estonia | Japan

Posted

56 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Care Specialist LPN

GLOBALHEALTH HOLDINGS LLC

Role Description This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care. Qualifications - Active Licensed Practical Nurse in the state of Oklahoma required - Active multi-state license is preferred - Previous experience in managed care/utilization management preferred Requirements - Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures. - Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes. - Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges. - Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention. - Coordination of services for members, including community resources and collaboration with other members of the care team. - Educate members and their caregivers on conditions and self-management techniques. - Participate in elements of the SNP MOC, including completing HRA and working with the member to reach desired goals, under the direction of the assigned Case Manager. - Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care. Benefits - Current work environment is remote, however, some state exclusions apply. - Must have access to a reliable and secured internet connection source. - Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. - This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies. Company Description This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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