Nurse Case Manager II in Orange-Osceola-Brevard-Seminole Counties, FL

Lancesoft

Tallahassee, FL

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JOB DETAILS

SALARY

$35–$38 Per Hour

SKILLS

Ambulatory Care, Case Management, Certified Case Manager (CCM), Clinical Support, Coaching, Communication Skills, Compensation and Benefits, Computer Skills, Corporate Policies, Cost Control, Documentation, Establish Priorities, Health Plan, Healthcare, Healthcare Providers, Home Care, Hospital, Interviewing Skills, Long-Term Care, Maintain Compliance, Managed Care, Medicaid, Member Orientation, Multitasking, Negotiation Skills, Presentation/Verbal Skills, Quality Management, Quality of Care, Registered Nurse (RN), Regulatory Compliance, Team Player, Typing, Willing to Travel, Writing Skills

LOCATION

Tallahassee, FL

POSTED

5 days ago

Job ID: 26-71728
Job Title: ‘‘Nurse Case Manager'
Position Type: Full-Time Contract Role
Location: Orange-Osceola-Brevard-Seminole Counties, FL
Work Type: 75% Travel + 25% Remote
Est. Pay Range: $35.00/Hour to $38.00/Hour on W2 (USD)
Schedule: Monday - Friday 8 am to 5 pm

Candidate must reside in Orange-Osceola-Brevard-Seminole Counties and will service Orange-Osceola-Brevard-Seminole and be able to travel to facilities/homes within the regions/neighboring counties. Hours required are M - F 8am - 5 pm EST with some flexibility for start/ stop times. Local travel up to 75%. Applies critical thinking, evidence-based clinical criteria to support contractual goals.

Duties:

Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Conducts comprehensive evaluation of Members using care management tools and information/data review
Coordinates and implements assigned care plan activities and monitors care plan progress
Conducts multidisciplinary review to achieve optimal outcomes
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
Helps member actively and knowledgeably participate with their provider in healthcare decision-making Monitoring,
Evaluation and Documentation of Care:
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Experience:

3 years Clinical practice experience, e.G., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations?

Position Summary:
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Requires an RN with unrestricted active license

Education:
RN with current unrestricted state licensure.
Case Management Certification CCM preferred

About the Company

Lancesoft

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE

2,000 to 2,499 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

2000

WEBSITE

http://www.lancesoft.com/