Skills & Competencies for Licensed Practical Nurse - Medical Management
Licensed Practical Nurse - Medical Management job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Licensed Practical Nurse - Medical Management
Coordinates with healthcare providers and plan members to maximize member benefits while managing costs.
JOB RESPONSIBILITIES for Licensed Practical Nurse - Medical Management
Assesses medical necessity of patient admissions, surgical and diagnostic procedures, and other related services. Conducts pre-certification or authorization, and monitors compliance with established medical guidelines and policies. May assist members in appeals for denied services.
Licensed Practical Nurse - Medical Management SALARY RANGE
BASE 50%
$68,106
TOTAL 50%
$69,596
Job Level
AZ0
Job Code
HC07000595
Education/Degree
High School Diploma or Technical Certificate
Reports To
Registered Nurse or Supervisor
Licensed Practical Nurse - Medical Management Skills and Competencies List
9 general skills or competencies (Job family competencies) for Licensed Practical Nurse - Medical Management
1
Job Family Competencies –
Quality Improvement
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Cites techniques and procedures relating to quality control and process improvement.
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Level 2 Behaviors
(Light Experience)
Assists in the execution of continuous improvements to quality systems, programs, and initiatives.
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Level 3 Behaviors
(Moderate Experience)
Administers quality improvement projects, including setting up technology-based quality tools.
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Level 4 Behaviors
(Extensive Experience)
Directs organizational change and overall processes through the principles of quality improvement.
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Level 5 Behaviors
(Mastery)
Builds projects that address quality gaps or drive continuous improvement related to quality systems.
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2
Job Family Competencies –
Case Management
Proficiency Level -1
Level 1 Behaviors
(General Familiarity)
Names several intervention techniques and clinical services used in case management.
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Level 2 Behaviors
(Light Experience)
Updates clients' records to reflect their latest treatment procedures, condition, and progress.
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Level 3 Behaviors
(Moderate Experience)
Translates gathered data into a care plan that details the client's health objectives and healthcare options.
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Level 4 Behaviors
(Extensive Experience)
Recommends changes in the treatment plan or alternative steps when the expected treatment results are not obtained.
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Level 5 Behaviors
(Mastery)
Sets the process and metrics in evaluating the efficacy or impacts of the case management program on clients.
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3
Licensed Practical Nurse - Medical Management
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Licensed Practical Nurse - Medical Management
Proficiency Level - 4
5
Competency for -
Licensed Practical Nurse - Medical Management
Proficiency Level - 5
6 soft skills or competencies (core competencies) for Licensed Practical Nurse - Medical Management
1
Core Competencies –
Attention to Detail
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists the traits of an employee showing great attention to detail.
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Level 2 Behaviors
(Light Experience)
Utilizes specific approaches and tools for checking and cross-checking outputs.
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Level 3 Behaviors
(Moderate Experience)
Uses tools to organize and monitor work progress.
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Level 4 Behaviors
(Extensive Experience)
Manages training to improve staffs' concentration and attention to detail.
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Level 5 Behaviors
(Mastery)
Learns from previous works' strengths and weaknesses to guide new projects.
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2
Core Competencies –
Time Management
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Lists basic planning tools and applications used in tracking and organizing time and tasks visually.
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Level 2 Behaviors
(Light Experience)
Seeks all resources needed to accomplish a task efficiently and effectively.
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Level 3 Behaviors
(Moderate Experience)
Works closely with colleagues to identify and reduce interruptions and barriers to time utilization.
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Level 4 Behaviors
(Extensive Experience)
Provides strategic direction to the workforce in managing time to avoid low-value work.
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Level 5 Behaviors
(Mastery)
Monitors the performance of business units to determine and eliminate deviations from priorities.
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3
Licensed Practical Nurse - Medical Management
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Licensed Practical Nurse - Medical Management
Proficiency Level - 4
5
Competency for -
Licensed Practical Nurse - Medical Management
Proficiency Level - 5
Summary of Licensed Practical Nurse - Medical Management skills and competencies
There are 0 hard skills for Licensed Practical Nurse - Medical Management.
9 general skills for Licensed Practical Nurse - Medical Management, Quality Improvement, Case Management, Managed Care Management, etc.
6 soft skills for Licensed Practical Nurse - Medical Management, Attention to Detail, Time Management, Flexibility, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Licensed Practical Nurse - Medical Management, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Flexibility.
9 general skills for Licensed Practical Nurse - Medical Management, Quality Improvement, Case Management, Managed Care Management, etc.
6 soft skills for Licensed Practical Nurse - Medical Management, Attention to Detail, Time Management, Flexibility, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Licensed Practical Nurse - Medical Management, he or she needs to be proficient in Attention to Detail, be proficient in Time Management, and be proficient in Flexibility.
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