LanceSoft, Inc. · 7 hours ago
Case Manager I
Hybrid, OH
Full-time
Hybrid
New Grad, Entry Level
$39.28/hr - $41.28/hr
0+ years expLanceSoft, Inc. is seeking a Healthcare - Case Manager I to manage and coordinate care for Client Healthcare members. The role involves developing and implementing care plans, conducting assessments, and ensuring compliance with regulations while promoting integration of services for members.
Information Technology
Responsibilities
Work is remote , however, home visits to members are required. Visits will be in greater Cincinnati area so candidates MUST be local to Cincinnati, OH or nearby
Responsible for health care management and coordination of Client Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care
Coordinates and monitors Client member’s progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines
Provides case management services to members with chronic or complex conditions including
Proactively identifies members that may qualify for potential case management services
Conducts assessment of member needs by collecting in-depth information from Client information system, the member, member’s family/caregiver, hospital staff, physicians and other providers. o Identifies, assesses and manages members per established criteria
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs
Performs ongoing monitoring of the plan of care to evaluate effectiveness
Documents care plan progress in Client information system
Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes
Measures the effectiveness of interventions to determine case management outcomes
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client members
Conducts face to face or home visits as required
Maintains department productivity and quality measures
Manages and completes assigned work plan objectives and projects in a timely manner. • Demonstrates dependability and reliability
Maintains effective team member relations
Adheres to all documentation guidelines
Attends regular staff meetings
Participates in Interdisciplinary Care Team (ICT) meetings
Assists with orientation and mentoring of new team members, as appropriate
Maintains professional relationships with the provider community and internal and external customers
Conducts self in a professional manner at all times
Maintains cooperative and effective workplace relationships and adheres to the company Code of Conduct
Participates in appropriate case management conferences to enhance skills and promote professional growth
Complies with required workplace safety standards
Qualification
Required
Candidates MUST be local to Cincinnati, OH or nearby
RN, LSW, or LISW licensure is required
Bachelor's degree in Nursing, or Master's degree in Social Work or Health Education
A combination of education and experience may be considered in lieu of a degree
0–2 years of clinical experience
Case management experience
Active, unrestricted State Registered Nursing license, or Licensed Clinical Social Worker (LCSW), or Advanced Practice Social Worker (APSW) in good standing
A combination of education and experience may be considered in lieu of LCSW or APSW
Valid driver's license with a good driving record and ability to drive locally
Demonstrated ability to communicate, problem-solve, and work effectively with people
Excellent organizational skills with the ability to manage multiple priorities
Ability to work independently and handle multiple projects simultaneously
Strong analytical skills
Knowledge of applicable state and federal regulations
Knowledge of ICD-9, CPT coding, and HCPCS
Knowledge of SSI, Coordination of Benefits, and Third-Party Liability programs and integration
Familiarity with NCQA standards, state/federal regulations, and measurement techniques
In-depth knowledge of CCA and/or other case management tools
Ability to take initiative and see tasks through to completion
Computer skills with experience using Microsoft Office products
Excellent verbal and written communication skills
Ability to abide by Client policies
Ability to maintain regular attendance based on the agreed schedule
Maintains confidentiality and complies with HIPAA requirements
Skilled in establishing and maintaining positive working relationships with coworkers, clients, members, providers, and customers
Company
LanceSoft, Inc.
Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.
5001-10000 employees
H1B Sponsorship
LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)
Funding
Current Stage
Late StageLeadership Team
Ram Karuppusamy
Chairman & CEO
Simon Dealy
Chief Financial Officer
Company data provided by crunchbase