LICENSED VOCATIONAL NURSE-LCM (Sacramento Area)

About the role

The Lead Care Manager (LVN) coordinates and implements care plans for chronically ill or "high-risk" members, collaborating with various healthcare providers and community resources.

Responsibilities

• Engage eligible members and oversee the provision of ECM services.
• Connect members to other social services and supports, including transportation.
• Advocate on behalf of members with health care professionals.
• Coordinate with hospital staff on discharge plans.
• Accompany members to office visits, as needed.
• Monitor treatment adherence and provide health promotion and self-management training.
• Increase utilization of preventative care and reduce emergency room utilization and hospital readmissions.
• Create and promote adherence to a care plan, developed in coordination with the member, primary care provider, and family/caregiver(s).
• Facilitate member access to appropriate medical and specialty providers.
• Educate members and family/caregiver(s) about relevant community resources.
• Attend meetings between members, family/caregiver(s), care team, payers, and community resources, as needed.
• Cultivate and support primary care and specialty provider co-management.
• Identify "high-risk" members and add them to the member registry (or flag in EHR).
• Provide feedback for the improvement of the ECM Program.

Qualifications

• Current LVN licensure in the State of California.
• Proficiency in communication technologies (email, cell phone, etc.).
• Experience with Health IT systems and reports is desirable.
• Local knowledge about and connections to community health care and social welfare resources are desirable.

Skills

• Bi-lingual (Chinese, Mandarin, Spanish) a PLUS!
• Excellent analytical, problem-solving, and prioritization skills.
• Use statistical and graphic displays.
• Excellent verbal and written communication skills.
• High-level interpersonal skills.
• Able to work collaboratively and tactfully with multi-disciplinary and diverse teams.
• Effective computer skills, particularly Microsoft Office, Excel, PowerPoint, Word, etc.
• Work independently to complete assigned tasks.
• Team building.
• Project Management.
• Change Management.
• Quality and Process improvement tools.
• Project Execution.