Care Manager I – LPN

🔥 0 minutes ago

🦀 Maryland – Remote

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💵 $31 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Logo of Astrana Health

Astrana Health

1001 - 5000 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Astrana Health is a healthcare company that operates community-focused clinics and a provider-facing technology platform to coordinate care across primary, urgent, and multi-specialty services. It supports providers and local communities by streamlining access to care, automating prior authorizations, and connecting patients with in-network clinicians. Astrana combines clinical services with doctor-built technology to improve patient experience and provider workflows.

📋 Description

• Develop and initiate client-centred, comprehensive Individual Care Plans • Identify, arrange, and monitor appropriate community services • Coordinate and facilitate patient care through assessment, evaluation, planning, implementation, communication, and follow-up • Manage discharge plans and collaborate with patients, families, physicians, and nurses • Advocate for patients regarding insurance coverage and financial assistance • Maintain comprehensive clinical records through detailed, accurate documentation • Coordinate interdisciplinary care to support timely access, continuity among providers, and resource optimization • Apply care transition principles and coordinate warm hand-offs to appropriate providers and/or health plans • Assist the UM Manager and participate in internal and external audits • Serve as primary liaison with contracted health plans for case management activities • Protect the privacy and security of PHI in line with Medical Group/MSO policies and HIPAA requirements • Perform other duties and special projects as assigned

🎯 Requirements

• Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) required • Two (2) years’ utilization management experience applying evidence-based clinical criteria and benefit plans required • Three (3) years’ clinical experience, preferably in case management or a related area, required • Bachelor’s degree in nursing or a related health services field • Certified Case Manager (CCM) certification preferred • Tagalog or Ilocano language skills preferred • Knowledge of Medicare, Medicaid, and other entitlement programmes • Knowledge of HIPAA requirements and PHI privacy and security

🏖️ Benefits

• Remote position • Equal Employment Opportunity and Affirmative Action employer • Reasonable accommodation available for applicants with disabilities

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