Ambulatory Case Manager, LVN

About the Role

Provide comprehensive care coordination and case management services to members, ensuring seamless transitions of care, promoting health stabilization, and reducing avoidable hospitalizations. The PHP Ambulatory Case Management team handles High-Risk Case Management, Complex Case Management (CCM), Special Needs Plan Case Management (SNP), and Care Coordination including Transitions of Care (TOC).

Engage with members, families, healthcare providers, and multidisciplinary teams to create and implement individualized care plans. Serve as a liaison between key stakeholders including members, providers, and health plans.

Responsibilities

• Provide care coordination and case management services to members.
• Ensure seamless transitions of care and promote health stabilization.
• Reduce avoidable hospitalizations through effective case management.
• Collaborate with multidisciplinary teams, patients, and families.
• Create and implement individualized care plans.
• Serve as a liaison between members, providers, and health plans.

Requirements

• High school diploma or GED.
• Current California State LVN licensure.
• Minimum 2 years of clinical experience.
• Valid California Driver’s License and proof of automobile insurance.

Preferred Qualifications

• Associate degree.
• Experience in case management.
• Managed Care experience.
• Proficiency in Excel & Word.

Skills

• Knowledge of case management principles, care coordination, and transition of care processes.
• Ability to work collaboratively with multidisciplinary teams, patients, and families.
• Strong communication, organizational, and problem-solving skills.
• Computer literate, with ability to navigate multiple computer applications.

About the Organization

PIH Health is a nonprofit, regional healthcare network serving approximately 3 million residents in Los Angeles County, Orange County, and the San Gabriel Valley region. The fully integrated network includes PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical group, home healthcare services, hospice care, and specialized services in heart, cancer, digestive health, orthopedics, women’s health, urgent care, and emergency services. The organization is nationally recognized for excellence in patient care and patient experience.

Pay

$33.35–$55.75 per hour.

Schedule

Days.

Location: 6557 Greenleaf Ave, Whittier, CA 90601.