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LVN Case Manager
3 months ago
Internal Number: 504916
Description
Job Summary
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Essential Functions
Care Coordination
Knowledge/Skills/Abilities/Expectations
Knowledge of government and non-government payor practices, regulations, standards and reimbursement. Knowledge of Medicare benefits and insurance processes and contracts. Knowledge of accreditation standards and compliance requirements. Must read, write and speak fluent English. Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software. Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. Must have regular attendance. Approximate percent of time required to travel, 0%. Performs other related duties as assigned.Qualifications
Education
Graduate of an accredited program required: LPN/LVN or RN. Master of Social Work with licensure as required by state regulations; or Bachelor of Social Work with licensure as required by state regulations.Licenses/Certification
Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.Experience
One year of experience in healthcare setting. Experience in case management, utilization review, or discharge planning a plus.