• LPN Case Manager

    ID 2018-4928
    Department 9907 UTILIZATION MANAGEMENT
    Job Status
    Regular Full-Time
    Location
    US-FL-Land O'Lakes
    Shift
    Monday-Friday, 8:00 AM-5:00PM
  • Job Description

    This posting is for a Full Time LPN Case Manager within our Utilization Management Department. We are seeking a candidate with an LPN License, good telephone etiquette and an understanding of Healthcare Effectiveness Data and Information Set (HEDIS). The scheduled shift will be Monday-Friday, 8:00 a.m. - 5:00 p.m., no nights or weekends!

    Responsibilities

    • Evaluates and identifies patient needs
      • Interfaces with primary care physicians, specialists and various disciplines on the development of care management plans
      • Implements care/treatment plans by coordinating access to health services across multiple providers/disciplines/settings
      • Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination and discharge planning
      • Promotes self-care management through health promotion and education
    • Monitors care delivery and outcomes
      • Collaborates with physicians to ensure evidence-based guidelines are implemented
      • Identifies cost-effective measures and makes recommendations for alternate utilization of resources
      • Participates in the formulation, implementation and monitoring of action strategies and outcomes of care and patient/caregiver experience 
    • Acts as a clinical liaison with outside agencies
      • Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment
    • Performs data collection and analysis for selected preventive and quality metrics
      • Assists in using results to improve care and service
    • Promotes patient engagement and shared decision-making
      • Interacts with patients and family regarding individualized patient/family education plans
      • Communicates clinical knowledge/evidence-based medicine to patients in a manner that is understandable

    Requirements

    • LPN with valid Florida license
    • Minimum of two years clinical experience
    • Minimum of two years experience in case management, utilization management or discharge planning preferred
    • Excellent communication and problem solving skills
    • Strong customer service orientation
    • Computer proficiency in Word, Excel and other applications

    Physical and Mental Demands:

    • Routine desk and office activities
    • Ability to move frequently throughout the facility and to sit for long periods of time
    • High level verbal and written communication skills
    • Above average ability to manage multiple tasks  and projects simultaneously

     

    Occupational Exposure:

    • Low risk exposure to bloodborne pathogens and chemical hazards.

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