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Case Manager - LCSW

Job in Louisville - Jefferson County - KY Kentucky - USA
Company: The Judge Group
Full Time position
Listed on 2020-10-29
Job specializations:
  • Nursing
    RN Nurse
  • Healthcare
Job Description & How to Apply Below
Location: Louisville, KY

Description: Our client is currently seeking a Case Manager - LCSW! This position is 100% remote, however candidates must be located in Louisville, KY to qualify!

Responsible for health care management and coordination of 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 members progress and services to ensure consistent cost effective care that complies with company policy and all state and federal regulations and guidelines.

This job will have the following responsibilities:

Case Managers will be conducting telephonic case review.

Provides case management services to members with chronic or complex conditions including: o Proactively identifies members that may qualify for potential case management services. o Conducts assessment of member needs by collecting in-depth information from company information system, the member, members family/caregiver, hospital staff, physicians and other providers. o Identifies, assesses and manages members per established criteria. o 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. o Performs ongoing monitoring of the plan of care to evaluate effectiveness. o Documents care plan progress in company information system. o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes. o 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 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 orientation and mentoring of new team members as appropriate. Maintains professional relationships with 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 company Code of Conduct. Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth. Complies with required workplace safety standards.

Qualifications & Requirements:
  • Required Education: Bachelors degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).
  • Required Experience: 0-2 years of clinical experience with case management experience. Experience working with Medicaid populations is a plus.
  • Required Licensure/Certification: Active, unrestricted State LCSW license to qualify.
  • Must have valid drivers license with good driving record and be able to drive locally.
If you or someone you know is both qualified and interested in this role, please send an up to date resume to Ashley at (Please contact us using the "Apply for this Job Posting" box below)!


This job and many more are available through The Judge Group. Find us on the web at .com
Position Requirements
1 to 2 Years work experience
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