Complex Care Manager RN

Case Manager

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

The Case Manager shall work with the entire team to provide appropriate, comprehensive, and proactive onsite and telephonic case management services and to promote the provision of only the highest quality, most appropriate, cost-effective healthcare to plan participants with chronic or catastrophic illnesses or injuries, in accordance with applicable laws, the CCM/CMSA Standards of Practice, the policies and procedures according to the AAHC/URAC Guidelines. Experience and certification in diabetes management (such as Certified Diabetic Educator) is a strong preference for this role. The right candidate will be an RN with a CDE certification, or an RN with experience managing diabetes and willing to obtain a CDE certification.

Responsibilities:

• Defines role and scope of activities to the patient in a comprehensible manner.
• Communicates to the patient that the information gathered will be shared with the payer.
• Gathers consent for case management activities.
• Determines individual needs based on an assessment that identifies all significant needs related to the Medical condition and care
• Works in a holistic manner, considering both medical and psychosocial issues.
• Identifies issues that might interfere with the provision of the highest quality, most appropriate, cost-effective care.
• Keeps in mind that a thorough, objective assessment is necessary to a successful outcome.
• Creates an individualized plan of action based on the assessment, which facilitates the coordination of appropriate and necessary treatment, and services required by the patient.
• Gives consideration, in developing the plan, to the benefit plan design/coverage options. Sets appropriate, measurable goals.
• Provides the patient with information to make "informed" decisions, empowering and encouraging the patient to make his own decisions through including him in the planning process.
• Develops contingency plans.
• Develops a plan, which advocates for the patient and maximizes benefit dollars.
• Researches and includes costs of services and use of community resources in plan design.
• Implements a plan that is based on the assessment. Skillfully negotiates and coordinates care based on the plan developed.
• Identifies and coordinates resources to ensure success of the plan.
• Works within the health plan provisions. Refers to only those providers that are familiar or researched to ensure high quality (either through personal knowledge/experience, onsite inspections, conversations with providers, review of accreditations and credentials, networking with other case managers, review of outcomes, statistics, payer, and patient satisfaction).
• Monitors the provision of the coordinated plan.
• Evaluates plan on a regular basis to determine effectiveness, patient satisfaction, provider comfort, payer satisfaction, if the plan is meeting the needs of all involved parties (but most particularly-the patient's needs) cost effectiveness, patient compliance with treatment, and the impact on the patient's quality of life.
• Determines if revisions are required due to changes in medical condition, family status, insurance coverage, etc.

Qualifications:

• Registered Nurse with a minimum of 5 years Clinical Experience
• Credentials such as CCM/CRRN, OCN or other pertinent certifications (preferred)
• Excellent written, telephone, and computer skills
• Positive, proactive, team-oriented approach/attitude
• Time management and organizational skills, flexible, with the ability to work independently
• Active, unrestricted multi-state license
• Recent clinical experience

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.