Nurse Case Manager II - LTSS Clinical Case Manager II - Clinical, Field - Illinois

Lancesoft

Springfield, IL

JOB DETAILS
SALARY
$35.87
SKILLS
Analysis Skills, Case Management, Certified Case Manager (CCM), Clinical Information, Communication Skills, Compensation and Benefits, Computer Skills, Corporate Policies, Cost Control, Home Care, Interpersonal Skills, Licensed Clinical Social Worker (LCSW), Maintain Compliance, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Organizational Skills, Problem Solving Skills, Quality Management, Registered Nurse (RN), Regulations, Regulatory Compliance, Team Player, Work From Home
LOCATION
Springfield, IL
POSTED
23 days ago
Job ID: 26-73279

Position Type: Full-time
 
Location:
Cook, Lake, Will, Kane, Winnebago, Rock Island, IL.

Work Type: Field
 
Est. Pay Range: $35.87/hr. To $39.32/hr. All-inclusive on W2


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.
 
Duties:
  • Through the use of clinical tools and information/data review, conducts comprehensive assessments of
  • referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
  • Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate
  • administration of benefits
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
 
Experience:
  • Minimum 3-5 years clinical practical experience preferred
  • Minimum 2-3 years Care Management, dis
  • charge planning and/or home health care coordination experience preferred
  • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
  • Excellent analytical and problem-solving skills
  • Effective communications, organizational, and interpersonal skills.
  • Ability to work independently
  • Effective computer skills including navigating multiple systems and keyboarding
  • Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
 
Education:
  • Requires an LCSW or LCPC or RN with unrestricted IL active license.
  • Experience with case management.
  • Case Management Certification CCM preferred

Employee Benefits:
At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:
Four options of medical Insurance
Dental and Vision Insurance
401k Contributions
Critical Illness Insurance
Voluntary Permanent Life Insurance
Accident Insurance
Other Employee Perks
 
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.

About the Company

L

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/