Hiriing for Nurse Case Manager II in Tampa area and will service Hillsborough, Highlands, Polk, Hardee, and Manatee Co

Nurse Case Manager II - Transition Od Care Registered Nurse

Estimated Length of Assignment: 06 months (Possible Extension) (The dates provided are only an estimate and not a guarantee)

Est. Pay Range: $35.00/Hour to $38.01/Hour on W2 (USD)

Work Type: Candidate must reside in County of FL and will service Florida Keys and be able to travel to facilities within the regions/neighboring counties. Schedule M-F 8:00 AM 5:00 PM

OR

• Candidate must reside in Miami-Dade County and will service Miami-Dade Co. and the Florida Keys and be able to travel to facilities within the regions/neighboring counties.
• Candidate must reside in Tampa area and will service Hillsborough, Highlands, Polk, Hardee, and Manatee Co and be able to travel to facilities within the regions/neighboring counties.
• Candidate must reside in Orlando area and will service Orange, Osceola, Brevard, & Seminole Counties and be able to travel to facilities 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 rebalancing goals.

• Complete at least 10 NF member assessments weekly
• Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community
• Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments.
• Complete telephonic or in-person contact to assess the home prior to discharge and identify any environmental supports needed to support transition (i.e. ramp, DME installation etc.).

Conduct an in-person Significant Change Visit with member and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.

• Contact facility's Business Office once a week to follow-up on mbr's census and will coordinate with Social Services and CM to facilitate discharge.
• Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapse or coordinate safe transition (Upon receiving referral)
• Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth.
• Be involved in at least two community relations event per year
• Engage in building strong relationships that contribute towards member satisfaction and retention

Experience Needed: Candidate must reside in FL and area of coverage.- Minimum 2 years of clinical experience- Bi-Lingual Spanish/ English required.-Willing and able to travel 75% of their time to meet members face to face _______ and surrounding counties/areas. Preferred Skills: Managed Care experience-Discharge coordination experience-Transition of care experience-Home Health experience- Case Management experience-- Position requires proficiency with computer skills which includes navigating multiple systems- Ability to work in a fast-paced environment Experience Level: Specify the level of experience required mid-level

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/Licensure: Active, unrestricted and good standing RN license in the state of Florida. Education: Associate Degree Required and BSN 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