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LPN Case Manager

Houma, LA 70360

Posted: 05/15/2024 Industry: Skill Trade Job Number: LPN case manager- HoumaLA Pay Rate: $22-$26/hr

Job Description

Local third party instance office looking to hire LPN case manager in the Houma area! Hours are Monday through Friday 8am to 5pm. 

 

Responsibilities

· Review chart documentation to ensure patient meets medical policy guidelines

· Prioritize incoming authorization requests according to urgency

· Obtain authorization and follow up regularly on pending cases

· Review up to date requirements needed to successfully obtain authorizations

· Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order

· Review appeals for denied authorization

· Meet weekly with the Third Party Administrator to review authorizations

· Notify TPA of critical cases for referral to case management

· Maintain client’s records by reviewing case notes: logging events and progress

· Advocate for needed services for the patient; obtain additional resources

· Follow-up with patient by providing personal support

· Correspond with medical providers regarding plan of care

Job Requirements

Knowledge, Skills and Abilities

· Knowledge of the authorization procedure and its direct impact on the client’s expenses

· Proficient use of CPT and ICD-10 codes

· Excellent computer skills including Excel, Word, and Internet use

· Detail oriented

· Plans and prioritizes to meet deadlines

· Excellent customer service skills; communicates clearly and effectively

· Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

 

Education/Experience Required

· Licensed Practical Nursing license

· Prior medical authorization/case management experience preferred

Meet Your Recruiter

Constance Shoemaker
Recruiting Account Manager

Meet Constance Shoemaker our Recruiting Account Manager at our Houma location. With her extensive background in management, IT, sales, and customer service, she brings a wealth of experience and skills to our team.

But Constance isn't just an amazing recruiter. She's also a dedicated mother, who loves spending time with her daughter and their dog. In her free time, you can find her lost in the pages of a good book or whipping up delectable treats in the kitchen.

What sets Constance apart is her infectious goofiness and unwavering dedication to her work. She's a true expert at finding the perfect match for candidates, thanks to her attention to detail and exceptional ability to connect.

At Steadfast, Constance's contagious energy helps us provide outstanding service to both clients and candidates. Her ability to multitask, combined with her natural knack for problem-solving, ensures that she can tackle any challenge that comes her way.

In a nutshell, Constance is a driven and detail-oriented recruiter who pours her heart into everything she does. We're incredibly grateful to have her on our team at Steadfast, and we know that clients and candidates will appreciate the care and dedication she brings to her work each and every day.

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About Houma, LA

Ready to take the next step in your career? Explore our job opportunities in the vibrant area of Houma, Louisiana! Nestled in the heart of Cajun Country, Houma offers a rich tapestry of culture, from delicious crawfish boils to lively Mardi Gras celebrations. Known for its charming bayous, Houma provides a picturesque backdrop for outdoor enthusiasts with opportunities for boating, fishing, and exploring the nearby Mandalay National Wildlife Refuge. Immerse yourself in the local art scene at the Downtown Art Gallery or catch a show at the Houma Terrebonne Civic Center. Join in the excitement of supporting the Houma Marlins baseball team or indulge in the local cuisine that mixes traditional Cajun flavors with a modern twist. Start your new career journey in this dynamic and enchanting region today!