Case Manager (RN or LSW)
The Judge Group Inc.

Job Info

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Location: Grandview Heights, OH
Description:
The Judge Group is seeking Case Manager (RN or LSW) in Franklin County, Ohio for a full-time remote contract position.

Schedule: Monday through Friday, 8am to 5pm EST

Location: Remote with potential for in person visits in Franklin County, OH

Qualified candidates will have:

• Bachelor's degree in Nursing or Master's degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).

• 0-2 years of clinical experience with 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 experience and education will be considered in lieu of LCSW or APSW.

• Valid driver's license with good driving record and be able to drive locally.

• Live in Franklin County

• Experience with community work/discharge planning - including home health care, nursing facility social worker, or hospital discharge planner.

• Wi-Fi in their home and have a dedicated space to work to prevent others from accessing PHI.

In this role, you will:

• Complete face-to-face comprehensive assessments of members per regulated timelines.

• Facilitate comprehensive waiver enrollment and disenrollment processes.

• Develop and implement a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

• Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

• Promote integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care.

• Assess for medical necessity and authorize all appropriate waiver services.

• Evaluate covered benefits and advise appropriately regarding funding source.

• Conduct face-to-face or home visits as required.

• Facilitate interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.

• Use motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts.

• Assess for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.

• Identify critical incidents and develops prevention plans to assure member's health and welfare. Provides consultation, recommendations, and education as appropriate to non-RN case managers

• Work cases with members who have complex medical conditions and medication regimens

• Conducts medication reconciliation when needed.

APPLY TODAY if this sounds like you!

For additional information, please reach out to Miranda Latscha - mlatscha@judge.com or call (949) 404-5095.

Contact: mlatscha@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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