Nurse Case Manager II Virginia

Job ID: 26-119489

Position Type: Telephonic and Field work.

Location: Arlington Falls Church Vienna and Annandale VA

Work Type: Fulltime

Est. Pay Range: $44.15/hr. to $46.50/hr. all-inclusive on W2

Shift Timing: Monday - Friday 8am - 5pm

Position Summary:

• The Case Manager utilizes a collaborative process of assessment planning facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal cost-effective outcomes.
• Requires an RN with unrestricted active license in the state of VA or a compact license.

Duties:

• Through the use of clinical tools and information/data review conducts comprehensive assessments of referred members needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating members 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 members 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:

• 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 handwritten and computer-generated documents as well as a PC monitor.
• Typical office working environment with productivity and quality expectations

Education:

• RN with current unrestricted state licensure.
• 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.

Required Experience:

Manager