Case Manager-LPN

Case Manager-LPN

Responsible for assessment, planning, coordination, implementation and evaluation of injured/ill individuals involved in the medical case management process.

Facilitate appropriate medical care/treatment for work and non-work-related injuries and illnesses.

Working as an intermediary between carriers, attorneys, medical care providers, employers and employees to closely monitor the progress of the injured worker and report results back to the employer and insurance carrier.

Ensure appropriate and cost-effective healthcare services, leading to a medically rehabilitated individual who is ready to return to an optimal level of work and functioning.

Participate in the continual development and review of case management policies and protocols.

Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.

Attaining a minimum of 95% on the quality score on all audits based on protocol utilization

Meeting department requirement to listen to four calls and complete self-evaluations of calls each quarter – 2 intake and 2 follow-ups

Except for nights and holidays log 7 billable hours per 8-hour shift

Initial follow-up assessment completed in <24 hr.

Maintain nursing license in assigned states

Earn 15 job-related CEUs annually to improve clinical competence

Attend 75% of monthly staff/training meetings

LPN with current, valid state licensure required

Minimum of 2+ years clinical nursing experience required

Minimum of 2+ years Emergency Room/ICU experience preferred

Case Management and Workers compensation-related experience preferred

Excellent interpersonal skills, phone etiquette, time management and organizational skills are essential

Must be proficient in Microsoft Office with programs such as Word and Excel, as well as have experience with Internet searches and a comfort level with other software programs

Must be able to type 50 wpm minimum

Ability to set priorities and work independently is essential

Must be able to pass a background check and drug test, as applicable for the role

Typically, 8-12 hour per day shift work, with the possibility of evening, night, weekend and holiday hours.

Attend meetings and work with staff to complete projects and work assignments.

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Case Manager will work remotely from home. Professional work environment must be maintained while on duty.

Must be able to sit for extended periods of time.

Majority of shift will be spent placing and answering telephone calls.

While performing the duties of this job, the employee is regularly required to talk or listen. The employee frequently is required to stand, walk and reach with hands and arms.

Direct Reports: None