LPN/LVN Case Management Nurse

The Nurse will:

• Deliver professional activities in the Case Management job family.
• Coordinate enrollee care needs across the continuum for assigned members who are medically stable but require primary psychosocial support and acute intermittent medical support.
• Interview members and relatives to obtain social history relevant to medical problems and care planning.
• Assist members with environmental difficulties that interfere with obtaining maximum benefits from medical care.
• Serve as a liaison between primary care team, members, relatives and appropriate outside agencies.
• Apply standard techniques and procedures to routine instructions that require professional knowledge in specialist areas.
• Provide standard professional advice and creates initial reports/analyses for review.
• Provide guidance, coaching, and direction to more junior members of the team in Case Management

Responsibilities include:

• Responsible for the effective and sufficient support of all Case Management activities to include review of inpatient and outpatient medical records for appropriateness of case management resources.
• Uses an established set of criteria to evaluates and approve the ...