Case Manager (RN) - REMOTE - Case Management

Company: LivaNova
Location: Houston
Posted on: January 27, 2023

Job Description:

Case Manager (RN) - REMOTEJoin us today and make a difference in people's lives!

RESPONSIBILITY AND AUTHORITY

The Case Manager is primarily responsible for the coordination and implementation of the LivaNova Patient Identification and implant process.

They are responsible for driving the full utilization of the patient relationship marketing (PRM) system and fulfilling the educational needs and implant logistics for patients and families.

In addition, Case Managers work directly with field sales personnel to meet territory quotas and revenue objectives by ensuring patients are provided adequate education. This position is vital in assisting patients to make well informed decisions and creating a rapid and hassle-free path to implant for those who decide VNS Therapy is the best choice for them.

PRIMARY ACTIVITIES

* Confirm completeness of Patient Identification forms and proactively seek any additional information necessary to implement the patient education program.


* Collaborate with sales team to ensure patient barriers are removed and internal and external resources are aligned to facilitate the implant process.


* Follow-up with patients to provide education on VNS Therapy either through an immediate phone education and/or scheduling them for field education.


* Provide support to teammates for the completion of letters of medical necessity and prior authorizations on behalf of the health care provider.


* Work with patients and care providers to ensure quick and easy access to surgical consults, surgical scheduling and implantation of VNS Therapy.


* Participate in territory conference calls to ensure efficient patient identification and strategies are used on every VNS Therapy candidate.


* Initiate appeal denials on behalf of physicians and hospitals.



ADDITIONAL ACTIVITIES

* Attend regional or national meetings, educational seminars, symposiums, conferences as required.


* Actively research, monitor, and identify VNS payer polices within assigned area and communicate information to internal customers.



MINIMUM REQUIREMENTS AND QUALIFICATIONS

* Education level: BSN, ADN, RN is a MUST.


* Prior experience in the office or hospital setting, patient education and coordination of care is a MUST.


* Proficiency with Word, Excel, PowerPoint, Microsoft Outlook, database programs and excellent typing skills are a MUST.


* Past experience with a neurology, mental health, or neurosurgeon practice is preferred but not mandatory.


* Preferred understanding of explanation of benefits and insurance terminology. Familiar with coding/billing language and procedures.



DESIRED SKILLS AND QUALIFICATIONS

* CCM certification preferred


* Exceptional written and verbal communication skills, with customers and patients at all levels.


* Good organizational skills and the ability to multi-task.


* Autonomous, self-starter and independent thinker with a strong results orientation.


* Robust interpersonal skills, with evidence of teamwork and collaboration.


*

#IndLvn

Our commitment to Diversity & Inclusion:

LivaNova values equality and celebrates diversity. We are committed to ensuring that our recruitment process is fair, transparent and free from unlawful discrimination.

Our selection process is driven by the key demands/requirements for the role rather than bias or discrimination on the basis of a candidate's sex, gender identity, age, marital status, veteran status, non-job-related disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.

Background Checks at LivaNova:

Upon successful completion of the hiring process an offer may be extended. Please note, LivaNova reserves the right to conduct background investigations and/or reference checks on all its potential employees, where permitted by local legislation. This offer therefore, is contingent upon a clearance of such a background investigation and/or reference check, and can be rescinded, where permitted by local legislation, based upon data received in the background check and/or refusal to cooperate with or any attempt to affect the results of this check. This process is not currently valid in Germany.

Notice to third party agencies:

Please note that we do not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Services Agreement, we will not consider, or agree to, payment of any referral compensation or recruiter fee. In the event that a recruiter or agency submits a resume or candidate without a previously signed agreement, we explicitly reserve the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.

Keywords: LivaNova, Houston , Case Manager (RN) - REMOTE - Case Management, Executive , Houston, Texas