Job ID: 26-93625
Position Type: Fulltime
Location: Remote
Work Type: Remote
Est. Pay Range: $44.14/hr. to $48.00/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:
- Conduct telephonic visits using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports (MLTSS).
- Perform in person assessments for non MLTSS members to determine medical needs and support appropriate service referrals (e.g., adult medical daycare, pediatric medical daycare, personal care assistant services, nursing facility custodial care, Personal Preference Program, and MLTSS enrollment).
- Work with diverse populations, including pediatric and medically complex members.
- Coordinate and collaborate with members, authorized representatives, primary care providers, and interdisciplinary care teams.
- Schedule and participate in interdisciplinary meetings, advocating for members to ensure safe transitions and appropriate services.
- Develop individualized care plans and authorize services within MLTSS/FIDE program benefits in a cost-effective manner.
- Document all assessments, interactions, and care planning activities accurately and in a timely manner in the electronic health record.
- Utilize strong critical thinking and problem-solving skills in daily work.
- Mentor new staff once appropriate proficiency has been achieved
Experience:
- Active, unrestricted RN license in the state of New York.
- Minimum of 3 years of clinical experience in settings such as hospitals, home health, or ambulatory care.
Preferred Qualifications:
- Experience in case management and/or discharge planning
- Background in managed care
- Crisis intervention skills
Education:
- Case Management Certification CCM preferred
- Minimum of an associate degree in Nursing
- Active and unrestricted RN license in the state of NY
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.
