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Point C · 2 days ago

Case Manager

United States

Full-time

Remote

Mid, Senior Level

$70K/yr - $80K/yr

5+ years exp

Point C is a National third-party administrator (TPA) that delivers customized self-funded benefit programs. The Case Management Nurse will support patients by serving as a liaison between patients, providers, care teams, and community resources, ensuring continuity of care and adherence to treatment plans.

Health CareHealth InsuranceHospital

Responsibilities

Create and promote adherence to treatment plans, as developed by patients’ healthcare providers

Create and maintain accurate, detailed clinical patient reports for clients and carriers

Monitor and document adherence to treatment plans, evaluate effectiveness, monitor patient progress in a timely manner

Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals

Increase patients’ ability for self-management and shared decision making

Increase comprehension through culturally and linguistically appropriate education

Assist with medication reconciliation

Connect patients to relevant community resources, with the goal of enhancing patient health and wellbeing

Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), stop-loss carrier, and community resources

Assess a patient’s unmet health and social needs

Acknowledges patient’s right on confidentiality issues, always maintains patient confidentiality and follows HIPAA guidelines and regulations

Qualification

Licensed Practical Nurse (LPN)Case Management experience5 years clinical experienceProficient computing skillsEducation skillsCounseling skillsTelecommunication skillsProfessionalismLeadership skillsCommunication skillsConfidentiality