LVN Case Manager

About the role

We are seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) Case Manager to join our dynamic healthcare team. The LVN Case Manager will oversee a diverse caseload, coordinate patient care, conduct medical necessity reviews, and ensure regulatory compliance. This role involves both in-person and telehealth interactions to effectively manage treatment plans and patient relationships.

Responsibilities

• Perform comprehensive assessments of patients' medical, psychosocial, and functional needs.
• Develop, implement, and revise individualized care plans, monitoring progress toward patient goals.
• Facilitate smooth transitions between different levels of care, including post-discharge visits and coordinate care between patients, ER, hospitals, and Urgent Cares.
• Provide ongoing support and case management in accordance with the case/treatment plan and Transfer of Care.
• Oversee the day-to-day administrative duties of the department.
• Perform audits to ensure quality assurance.
• Conduct clinical/medical necessity reviews and authorize services that meet medical criteria.
• Act as a liaison between patients, families, healthcare providers, and community resources.
• Maintain accurate and up-to-date patient records in accordance with regulatory and organizational standards.
• Keep current with knowledge and understanding of applicable accreditation and regulatory statutes related to healthcare, managed care, and case management practice.
• Performs other duties as assigned.

Requirements

• Current and valid Licensed Vocational Nurse (LVN) license in the state of California required.
• Associate or Bachelor’s degree in nursing, healthcare/business administration, or equivalent experience required.
• Minimum of 2 years of clinical nursing experience in a medical setting (e.g., office, hospital, SNF, medical clinic) required.
• Minimum of 1 year of experience in a managed care or healthcare environment related to Case Management.
• Current BLS certification required.
• Experience in managed care, palliative care, hospice, or neurology preferred.
• Experience with virtual care and telemedicine preferred.
• Knowledge and experience in working with homeless individuals and marginalized populations preferred.
• Experience in acute care and/or ICU/CCU settings preferred.
• Experience with Medicare and Medi-Cal environments preferred.

Skills

• Strong knowledge of medical terminology, healthcare systems, and case management principles.
• Excellent communication, interpersonal, and organizational skills.
• Proficiency in electronic health record (EHR) systems and basic computer applications.
• Certification in Case Management (e.g., CCMC or ARN) preferred.
• Knowledge of Core Measures and basic statistics preferred.
• Bilingual in English and Spanish preferred.

Physical Requirements

• Occasional travel to healthcare facilities and community resources to build relationships.
• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 10 pounds at times.

Pay

$68,640 USD - $83,200 USD

Benefits

Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:

• Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
• Short & Long-Term Disability Benefits: Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support when life throws challenges your way.
• 401(K): Building your financial future with us. Effective after 1 year of employment.
• Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
• Paid Holidays: Quality time to enjoy celebrations.
• Employee Referral Program: Share the opportunities and reap the rewards.
• Company Discount Program: Enjoy savings on everyday expenses and memberships.