LPN Case Manager

LPN Case Manager#25-58113

$0-$30 per hour

Columbus, OH

All On-site

Job Description

Our Client, a Retail Pharmacy company, is looking for a LPN Case Manager for their Columbus OH /Remote location.

Responsibilities:

Complete health screening questionnaires, assessments which may be market specific.

Support reduction of population of unable to reach members by telephone and in -person visits.

Ensure member has filled/received their medication(s) and has an understanding on how to take their ordered medications.

Manage caseload of members with current stratification of monitoring, low and medium or those with high social determinants of care needs- frequency /contract guidelines

Provides clinical assistance to determine appropriate services and supports due to member's health needs (including but not limited to: Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management, Community Resources and supports)

Evaluation of health and social indicators

Identifies and engages barriers to achieving optimal member health.

Uses discretion to apply strategies to reduce member risk.

Presents cases at case conferences for multidisciplinary focus to benefit overall member management.

Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the member's condition(s) and abilities to self-manage.

Coordinates resources, assists with securing DME, and helps to ensure timely physician follow-up.

Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers, members, and other key personnel.

Updates the Care Plan for any change in condition or behavioral health status.

Provide support to members in transitions of care

Responsible for interacting with low stratification members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions. Based on assessments and claims data creates a care plan for members to follow 70%

Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the member's health care needs, barriers to care and explore better outcomes for the member 20%

Identify and link members with health plan benefits and community resources 5%

Perform administrative work to maintain skills needed for job duties 5% 5%

Requirements:

Verifyable High School Diploma or GED Required

2 years LPN Nursing exp, preferred 3 + years experience.

Regular and reliable attendance

Familiar with community resources & services

Strong organizational skills

Works independently.

Maintains professional relationships with the members we serve as well as colleagues.

Communicates effectively and professionally verbally and in writing.

Proficient with computer systems

Knowledgeable in Microsoft Office Software

Excellent customer service skills

Has a dedicated home work space

Education: HS or equivalent, must be licensed LPN.

Why Should You Apply?

Health Benefits

Referral Program

Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.