Case Manager Assistant / LPN
New
USAFull-TimeMiddle
Salary23 - 27 USD per hour
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Job Details
- Experience
- 5 years of varied clinical experience preferred, or three years in a specialty field.
- Required Skills
- Communication SkillsComputer skills
Requirements
- Licensed Practical Nurse or Medical Assistant/Nursing Assistant Certification (current active and unrestricted, in current state of practice and residence, within the United States or its territories)
- Licensed Practical Nursing Education preferred
- Basic Computer skills
- 5 years of varied clinical experience preferred, or three years in a specialty field
Responsibilities
- Practice within the scope of his/her licensure and operate under the direct supervision of the RN Case Manager.
- Perform case management functions as directed by the CM, excluding Initial Case Assessments and Formulation of the Initial Care Plan.
- Review all medical data which can be provided to update a case management plan which will incorporate contact with providers, payers, with the patient and with the patient’s primary caregiver.
- Make contact with the payer office to find out and understand any benefit constraints that will have an impact on the plan of action.
- Proceed with contacting medical care providers and with equipment vendors to verify medical necessity of care or equipment that has been ordered.
- Make care arrangements for quality patient care according to the needs of the patient, the physician’s orders and the benefits available.
- Maintain case in computer system documenting case actions for each patient under your Assigned Case Managers caseload, under direction of the Case Manager. Complete all aspects of case in the computer.
- Prepare timely reports to the payer to detail all case actions, the results of those actions, and the continuing case management plan, which are reviewed by the Case Manager.
- Maintain billing as appropriate in computer system.
- Continue to maintain contact with the providers and with the patient across the continuum of care to be sure that patient needs are being met.
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