Description : Case Manager - LPN/LVN. Company : HealthComp. Location : +2 locationsRemote
Description
Healthcomp is hiring a Case Manager with an active LPN/LVN license, who will coordinate patient care over the phone between providers and caregivers to help ensure cost-effective, high-quality healthcare for health insurance plan participant. This is a great opportunity for someone who is looking to evolve their nursing career and grow within a rapidly expanding organization!
Key Responsibilities
- Manage cases on a short- and long-term basis over the phone
- Perform basic questionnaires and assessments to determine a patient’s diagnosis, treatments, barriers to care, and healthcare needs
- Works with RN Case Manager to create and implement individualized plans
- Educate patients on treatment and services options, navigating their health plan, benefits utilization, coordinating referrals, etc.
- Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care
- Monitor interventions, evaluate the effectiveness of the treatment plan, report measurable outcomes
- Establish working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information
- Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs
- Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis
Skills, Knowledge & Expertise
- Graduation from an accredited LPN/LVN program
- Current compact LPN/LVN license preffered
- Experience in medical, surgical, and/or acute care setting
- Strong understanding of how to manage cases and coordinate health programs
- Clear communication style and strong collaboration skills
Benefits
- Competitive salary with bonus opportunity
- Flexible paid time off policy to support a healthy work-life environment
- Full offering of health and wellness benefits for you and your family
- Company paid life insurance and disability plan
- 401K plan with company matching
- In addition to the base wage for this role, there is additional bonus potential to earn up to $1,200.00 per month based on performance.
About HealthComp Operating since 1994, we’re a third-party administrator (TPA) committed to providing employers with all the services needed to administer their benefits efficiently resulting in better health outcomes for their employees and higher cost savings for them. We partner with a variety of health providers and technology vendors to ensure a robust offering of medical, dental, vision, COBRA, HIPAA, flexible spending accounts and reference-based pricing, so members can make the most out of their benefits. It’s comprehensive care without the confusion.
HealthComp is an Equal Opportunity Employer.
HealthComp recruiting correspondence will always come from a talent acquisition representative with an official @healthcomp e-mail address. In addition, our representatives will never ask for any form of payment from a new hire or candidate. Please report suspicious activity to [email protected].
