Complex Case Manager RN

Lucent Health Solutions LLC•Nashville, TN

30d

About The Position

About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. Company Culture We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health. Honest Transparent Communication: be open and clear in all interactions without withholding crucial information Integrity: ensure accuracy in reporting, work outputs and any tasks assigned Truthfulness: provide honest feedback and report any issues or challenges as they arise Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior Ethical Fair Decision Making: ensure all actions and decisions respect company policies and values Accountability: own up to mistakes and take responsibility for rectifying them Respect: treat colleagues, clients and partners with fairness and dignity Confidentiality: safeguard sensitive information and avoid conflicts of interest Hardworking Consistency: meet or exceed deadlines, maintaining high productivity levels Proactiveness: take initiative to tackle challenges without waiting to be asked Willingness: voluntarily offer to assist in additional projects or tasks when needed Adaptability: work efficiently under pressure or in changing environments Summary The Case Manager shall work with the entire team to provide appropriate, comprehensive, and proactive onsite and telephonic case management services and to promote the provision of only the highest quality, most appropriate, cost-effective healthcare to plan participants with chronic or catastrophic illnesses or injuries, in accordance with applicable laws, the CCM/CMSA Standards of Practice, the policies and procedures according to the AAHC/URAC Guidelines. Experience and certification in diabetes management (such as Certified Diabetic Educator) is a strong preference for this role. The right candidate will be an RN with a CDE certification, or an RN with experience managing diabetes and willing to obtain a CDE certification

Requirements

Registered Nurse with a minimum of 5 years Clinical Experience
Excellent written, telephone, and computer skills
Positive, proactive, team-oriented approach/attitude
Time management and organizational skills, flexible, with the ability to work independently
Active, unrestricted multi-state license
Recent clinical experience

Nice To Haves

Credentials such as CCM/CRRN, OCN or other pertinent certifications (preferred)
Certified Diabetic Educator

Responsibilities

Defines role and scope of activities to the patient in a comprehensible manner.
Communicates to the patient that the information gathered will be shared with the payer.
Gathers consent for case management activities.
Determines individual needs based on an assessment that identifies all significant needs related to the Medical condition and care
Works in a holistic manner, considering both medical and psychosocial issues.
Identifies issues that might interfere with the provision of the highest quality, most appropriate, cost-effective care.
Keeps in mind that a thorough, objective assessment is necessary to a successful outcome.
Creates an individualized plan of action based on the assessment, which facilitates the coordination of appropriate and necessary treatment, and services required by the patient.
Gives consideration, in developing the plan, to the benefit plan design/coverage options. Sets appropriate, measurable goals.
Provides the patient with information to make "informed" decisions, empowering and encouraging the patient to make his own decisions through including him in the planning process.
Develops contingency plans.
Develops a plan, which advocates for the patient and maximizes benefit dollars.
Researches and includes costs of services and use of community resources in plan design.
Implements a plan that is based on the assessment. Skillfully negotiates and coordinates care based on the plan developed.
Identifies and coordinates resources to ensure success of the plan.
Works within the health plan provisions. Refers to only those providers that are familiar or researched to ensure high quality (either through personal knowledge/experience, onsite inspections, conversations with providers, review of accreditations and credentials, networking with other case managers, review of outcomes, statistics, payer, and patient satisfaction).
Monitors the provision of the coordinated plan.
Evaluates plan on a regular basis to determine effectiveness, patient satisfaction, provider comfort, payer satisfaction, if the plan is meeting the needs of all involved parties (but most particularly-the patient's needs) cost effectiveness, patient compliance with treatment, and the impact on the patient's quality of life.
Determines if revisions are required due to changes in medical condition, family status, insurance coverage, etc.