LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch. Meet Your Recruiter Aman Bairagi
Nurse Case Manager II
Location
United States
Posted
5 days ago
Salary
$44 - $48 / hour
Seniority
Lead
No structured requirement data.
Job Description
Nurse Case Manager II
Lancesoft Inc.
Role Description 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. - Conduct telephonic visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS). - Perform in-person assessments for non-MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment). - Work with diverse populations, including pediatric and medically complex members. - Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams. - Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services. - Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner. - Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record. - Utilize strong critical thinking and problem-solving skills in daily work. - Mentor new staff once appropriate proficiency has been achieved. Qualifications - Active, unrestricted RN license in the state of New York. - Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care. Preferred Qualifications - Experience in case management and/or discharge planning. - Background in managed care. - Crisis intervention skills. Education - Case Management Certification CCM preferred. - Minimum of an associate degree in Nursing. - Active and unrestricted RN license in the state of NY. Benefits - Four options of medical Insurance. - Dental and Vision Insurance. - 401k Contributions. - Critical Illness Insurance. - Voluntary Permanent Life Insurance. - Accident Insurance. - Other Employee Perks.
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