Lvn, Outpatient Care Manager

Job Description
Essential duties and responsibilities:

1. Functions as liaison between administration, members, physicians and other healthcare providers.
2. Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.
3. Performs a Clinical Assessment/Questionnaire of the member and determines an acuity score for necessary scheduled follow-up.
4. Develops an outcome-based plan of care, based on the member’s input and assessed member needs. Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member’s case file.
5. Documents member assessment and reassessment, member care plans, and other pertinent information completed in the member’s medical records.
6. Identifies planned and unplanned transitions of care from Requests for Services or daily inpatient and SNF census.
7. Educates the member/caregiver on the transition process and how to reduce unplanned transitions of care.
8. Manages transition of care from the sending to receiving settings ensuring that the Plan of Care moves with the member and updates/modifies the care plan as the member’s health care status changes.
9. Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization nurses
10. Identifies and addresses psychosocial needs of the members and family and facilitates consultations with Social Worker, as necessary.
11. Identifies and addresses pharmacological needs of the members and facilitates consultations with the pharmacy department, as necessary.
12. Responsible for the coordination of clinic appointments, medication reconciliation, PCP and SPC visits.
13. Meet with members/caregiver face to face in different locations (clinic, home, hospital, and community) in order to build a rapport with member so that the case manager can better support member/caregiver with care coordination and the plan of care.
14. Other duties as assigned by management.

Job Type: Full-time
Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

The pay range for this position at commencement of employment is expected to be between $28.00/hour to $35.00/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Requirements
The Outpatient Care Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members.
The Care Manager will assess and develop a care plan in collaboration with the Primary Care Physician, member, and other health care practitioners as needed. The goal of Care Manager is to effectively manage members on an outpatient basis to assure the appropriate level-of-care is provided, to prevent in patient admission and re-admissions, and ensure that the members’ medical, environmental, and psychosocial needs are met over the continuum of care.
Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Clinical

Experience:

• Care Management: 1 year (Preferred)

Language:

• English/Spanish Speaking (Preferred)

License/Certification:

• LVN (Required)
• Current Driver's License andAutomobile Insurance

Work Location: In person