Care Manager LPN LVN - Case and Disease Government Program - Remote
location_onChocolate Caper, 105, South Main Street, Oregon, Dane County, Wisconsin, 53575, United States
Job Description
About the Role
The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include disease management programs, including educating, motivating and empowering members to manage their disease. Case management includes triage and referral, transition of care planning, end of life care planning, and other support to advocate for and assist the member in the achievement of optimal health, access to care, and appropriately utilizing resources.
These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life. Case management services include nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance finding alternative services when benefits are exhausted. This position works within the health plan framework of managing medical expenses while also working to improve access and quality care to our members.
Remote Work Eligibility
Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:
- Oregon
Candidates residing in Oregon are encouraged to apply.
Why Join Providence Health Plan?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Equal Opportunity Employer
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Work location
Work model: Remote
Chocolate Caper, 105, South Main Street, Oregon, Dane County, Wisconsin, 53575, United States
Oregon, Wisconsin
Key Responsibilities
- check_circleProvide care coordination services to Providence Health Plan members
- check_circleAssist with end of life care planning and support
- check_circleAdvocate for members to achieve optimal health and access to care
- check_circleManage member health plan benefits and find alternative services
- check_circleCollaborate with physicians in the management of patient care
- check_circleConduct triage, referral, and transition of care planning
- check_circleEducate, motivate, and empower members to manage their diseases
Requirements
- verifiedCertificate/Diploma from a state approved practical nursing program – Major: Nursing
- verifiedAssociate's Degree: Healthcare or healthcare related field
- verifiedOregon Licensed Practical Nurse license upon hire
- verified5 years clinical nursing experience
- verified2 years experience working with physicians in the collaboration and management of patient care
Benefits & Perks
Skills, education and keywords
Skills: nursing, care coordination, disease management, case management, health insurance, cms, oha.
Education: Associate's Degree in Healthcare or healthcare related field required; Bachelor's Degree in Health education or healthcare related field preferred.