✨ About The Role
- Responsible for patient case management for longitudinal engagement, coordination for discharge planning, transition of care needs, and outpatient patient management through the care continuum
- Determine medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination
- Coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD
- Act as an advocate for patients and their families, guiding them through the health care system for transition planning and longitudinal care
- Collaborate effectively with Interdisciplinary Care Team (IDCT) to establish individualized transition plans and/or action plans for patients
âš¡ Requirements
- Licensed Practical/Vocational Nurse with current, unrestricted LPN/LVN license specific to the state of employment
- 2+ years of managed care and/or case management experience
- Demonstrated knowledge of managed care, medical terminology, referral process, claims, and ICD-10 codes
- Strong verbal and written communication skills
- Ability to work independently and collaboratively with a team