Licensed Practical Nurse - Medical Management jobs in Brockton, MA

Licensed Practical Nurse - Medical Management coordinates with healthcare providers and plan members to maximize member benefits while managing costs. Assesses medical necessity of patient admissions, surgical and diagnostic procedures, and other related services. Being a Licensed Practical Nurse - Medical Management conducts pre-certification or authorization, and monitors compliance with established medical guidelines and policies. May assist members in appeals for denied services. Additionally, Licensed Practical Nurse - Medical Management requires a high school diploma. Typically reports to a registered nurse or supervisor. Requires graduation from approved LPN educational program. Requires a state license to practice. Licensed Practical Nurse - Medical Management's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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Licensed Practical Nurse Personal Care Management Evaluation
  • Tempus Unlimited Inc
  • Stoughton, MA FULL_TIME
  • Description

    Summary/Objective

    This is a great opportunity for a Licensed Practical Nurse to work in the PCA Evaluation Department, which is a unique program that makes a truly wonderful difference in the lives of children and adults. You will make your own schedule that are based on the needs of the consumer and do reevaluations and adjustments. You will work with a wide range of disabilities by completing assessments for the MassHealth PCA program.


    Monday-Friday 8:30a.m.-4:30p.m. business hours with some flexibility to meet consumer needs. 

    Suffolk and Middlesex Counties coverage area and up to a 60 mile radius. 


    Essential Functions

    • Perform annual reevaluations of members who are applying for personal care services in accordance with MassHealth regulations 130 CMR 422.422(C).
    • Submit completed evaluation within the specific timeframe.
    • Respond to hours adjustment requests in a timely manner.
    • Respond to MassHealth inquiries and offer professional input regarding PCA evaluation as requested.
    • Learn and adhere to the PCA Program standards.
    • Schedule reevaluation visits and update your calendar accordingly.
    • Document progress notes in data base in a timely manner.
    • Communicate with PCA Eval Dept Assistants in regards to no shows, no contacts, hospitalizations, termination requests and any other concerns.
    • Submit monthly mileage sheets within the required timeframe.
    • Work collaboratively with other members of the PCA Program.
    • Communicate with Supervisor and the Office Staff when issues arise.
    • Interact with Tempus Unlimited, Inc. offices to resolve concerns related to the evaluation in effort to support consumer’s independence.
    • Attend monthly staff meetings.
    • Report suspicion of fraud to the PCM Management Team.
    • Report all suspected abuse or neglect to the appropriate agency such as DPPC, Executive Office of Elder Affairs, or Department of Children and Families.
    • Represent the agency in a professional, positive manner and provide services that are culturally sensitive.
    • Perform other duties as assigned by the Manager.


    Requirements

    Competencies

    • Ability to establish and maintain professional relationships with consumers, family members, co-workers and community professionals.
    • Ability to independently organize work and meet deadlines.
    • Ability to multi-task in a busy environment.
    • Ability to solve problems creatively, when necessary.
    • Excellent communication skills.
    • Accuracy and attention to detail.
    • Ability to adapt to constant change with a positive attitude.
    • Ability to maintain confidentiality.
    • Ability to work efficiently as a team player.
    • Ability to exercise sound judgment in making decisions.


    Preferred Experience

    • Bilingual fluency in other languages preferred.
    • Current Massachusetts license to practice as a Licensed Practical Nurse in a good standing with the Board.
    • Must have at least 1 years recent experience in the direct care of the elderly or disabled population.
    • Familiarity with MassHealth PCA Program preferred.


    Required Education

    • Associate’s Degree preferred.


    Work Environment

    • This job operates in a professional office and home office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, electronic filing systems.


    Physical Demands

    • While performing the duties of this job, the employee is frequently required to sit, stand, bend, stoop, walk, carry and lift objects.


    Travel

    • Travel within the coverage area is required for this position. Must have a valid driver’s license and reliable transportation.


    Work Authorization/Security Clearance

    • CORI
    • I-9


    EEO Statement

    Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law.

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.


    Other Duties

    Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.


  • 1 Month Ago

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Licensed Practical Nurse - FT Nights | Stoughton LTACH
  • Post Acute Medical
  • Stoughton, MA FULL_TIME
  • Employment Type: Part-Time Hours Per Week: 12 Licensed Practical Nurse Full-time Nights Interviewing now apply today! Ask us about our new PAY rates! The Licensed Practical Nurse is responsible for pr...
  • 4 Days Ago

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Licensed Practical Nurse - LVN/LPN - Home Health FT
  • Food Management Search
  • Canton, MA FULL_TIME
  • Seeking Licensed Practical Nurses (LPN) for our fantastic home health team. Join the leader in Home health Services! - Full-time opportunity Open Needs include: Full Time Expectations and Duties: We a...
  • 10 Days Ago

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Licensed Practical Nurse (LPN)
  • The Current Weymouth
  • Weymouth, MA FULL_TIME
  • Job Description Reporting to Director of Health and Wellness, the Wellness Nurse (LPN) provides direct nursing care to the residents, and supervises the day-to-day nursing activities performed by care...
  • 19 Days Ago

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Licensed Practical Nurse (LPN)
  • Wellpath
  • Bridgewater, MA PART_TIME
  • You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a caree...
  • 19 Days Ago

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Licensed Practical Nurse (LPN)
  • braintree
  • Braintree, MA PART_TIME,FULL_TIME,PER_DIEM
  • Job Overview Summary: Under the direction and supervision of the RN, Nursing Supervisor, Unit Manager, DON and/or ADON, the licensed practical nurse delivers efficient and effective nursing care while...
  • 21 Days Ago

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0 Licensed Practical Nurse - Medical Management jobs found in Brockton, MA area

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Baylor RN/LPN (Registered Nurse/Licensed Practical Nurse)
  • Blueberry Hill Rehabilitation and Healthcare Center
  • Beverly, MA
  • Blueberry Hill Rehabilitation and Healthcare Center - Baylor RNs and LPNs needed for a 132-bed Skilled Nursing Facility ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse RN or Licensed Practical Nurse LPN in Raynham
  • ComForCare Home Health Care - Canton
  • Canton, MA
  • Looking For: Registered Nurse (RN) or Licensed Practical Nurse (LPN) Location: Raynham Facility Shifts: 7a-3p 3p-11p 11p...
  • 3/27/2024 12:00:00 AM

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Travel Licensed Practical Nurse/Registered Nurse
  • Healthcare Staffing Plus
  • Quincy, MA
  • Compensation : $45 - $45 Hourly Client Job Ref ID : 138322 Travel Licensed Practical Nurse/Registered Nurse Quincy, Mass...
  • 3/26/2024 12:00:00 AM

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Registered Nurse (RN) Licensed Practical Nurse (LPN)
  • Medical Recruitment Strategies
  • Boston, MA
  • Job Description Job Description Medical Recruitment Strategies is urgently looking for a nurse who is licensed within th...
  • 3/25/2024 12:00:00 AM

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Registered Nurse (RN) Licensed Practical Nurse (LPN)
  • Medical Recruitment Strategies
  • Medford, MA
  • Job Description Job Description Medical Recruitment Strategies is urgently looking for a nurse who is licensed within th...
  • 3/25/2024 12:00:00 AM

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Registered Nurse (RN) Licensed Practical Nurse (LPN)
  • Medical Recruitment Strategies
  • Lexington, MA
  • Job Description Job Description Medical Recruitment Strategies is urgently looking for a nurse who is licensed within th...
  • 3/25/2024 12:00:00 AM

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Registered Nurse (RN) Licensed Practical Nurse (LPN)
  • Medical Recruitment Strategies
  • Andover, MA
  • Job Description Job Description Medical Recruitment Strategies is urgently looking for a nurse who is licensed within th...
  • 3/25/2024 12:00:00 AM

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Registered Nurse and Licensed Practical Nurse Positions
  • Zdorovie ADH Needham LLC
  • Needham, MA
  • Job Description Job Description Job positions available for RNs or LPNs in a senior daycare center setting. Russian lang...
  • 3/25/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 21.6 square miles (56 km2), of which 21.5 square miles (56 km2) is land and 0.1 square miles (0.26 km2) (0.56%) is water. Brockton is the 162nd largest city by land area in the Commonwealth, and the twelfth largest of the twenty-seven towns in Plymouth County. Brockton is bordered by Stoughton to the northwest, Avon to the north, Holbrook to the northeast, Abington to the northeast, Whitman and East Bridgewater to the southeast, West Bridgewater to the south, and Easton to the west. Brockton is approximately 25 miles s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Licensed Practical Nurse - Medical Management jobs
$68,486 to $85,095
Brockton, Massachusetts area prices
were up 1.6% from a year ago

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