Licensed Vocational Nurse (LVN) - ECM
About the role
The Licensed Vocational Nurse (LVN) serves as a vital member of the Enhanced Care Management (ECM) team, supporting high-risk Medi-Cal members with complex medical, behavioral health, and social needs throughout Hiring County.
Responsibilities
Support care coordination activities for members enrolled in the CalAIM Enhanced Care Management (ECM) program
Assist members in understanding treatment plans, discharge instructions, medications, and provider recommendations
Conduct clinical outreach to members, caregivers, providers, hospitals, and health plans
Monitor member progress and communicate clinical concerns to the Registered Nurse Clinical Case Consultant
Affiliate with continuity of care and transitions following hospitalizations, emergency department visits, and other healthcare events
Affiliate with coordination of specialty care, behavioral health services, and community-based resources
Support in-home, community-based, and provider-site visits with members as assigned
Collaborate with Registered Nurses, Lead Care Managers, Community Health Workers, Behavioral Health staff, providers, health plans, and community organizations
Support member engagement efforts and strengthen relationships with hard-to-reach populations
Ensure member safety and report concerns according to organizational protocols
Participate in quality improvement initiatives and workflow enhancement projects
Attend required training, meetings, and professional development opportunities
Requirements
Current and unrestricted California Licensed Vocational Nurse (LVN) license
Minimum one (1) year of clinical experience in healthcare, managed care, home health, public health, behavioral health, post-acute care, or community health settings
Experience working with underserved or vulnerable populations preferred
Strong understanding of care coordination and chronic disease management principles
Excellent communication, organizational, and interpersonal skills
Ability to work independently and collaboratively within interdisciplinary teams
Basic proficiency with electronic health records and Microsoft Office applications
Valid California Driver's License (Class C minimum)
Reliable transportation and current automobile insurance meeting California minimum requirements
Ability to successfully pass a Motor Vehicle Report (MVR) review
Qualifications
Experience with CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management programs
Experience working with Medi-Cal populations
Experience supporting individuals experiencing homelessness, serious mental illness, substance use disorders, justice involvement, or multiple chronic conditions
Bilingual in Spanish, Vietnamese, Tagalog, Punjabi, Hmong, or other languages commonly spoken within Hiring County communities
Community-based healthcare experience