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LVN Case Manager

Location : Montebello, California
Job Type : Temp/Contract
Reference Code : Altura, MSO
Required Years of Experience : 2-3 Years
Required Education : High school Diploma or GED
Job Industry : Healthcare - Health Services

Job Description :

Location: Montebello, CA


 


Schedule: Full Time / Hours between 8am & 5pm.


 


Pay:  $33 - $46 - Depending on Experience


 


Job Type: Temporary Assignment


 


 


 


Job Summary: The LVN Case Manager will support daily care coordination with concurrent review for patients in the hospital or Skilled Nursing Facility (SNF) in-person as well as telephonically. This position will also provide case management to patients who are admitted to the hospital or SNF and those patients who may need to be enrolled in ambulatory case management. Working as part of an interdisciplinary care team in collaboration with the Medical Management Team, the LVN case manager will be responsible for coordinating care, including supporting patient discharge planning (to home, SNF, Long-Term Care Facility, etc.), coordinating with IPA clinics, scheduling post-discharge visits with IPA Clinical Care Team as well as with IPA Primary Care Provider.


 


Required Skills and Abilities:


 1. Excellent communication and customer services skills and the ability to resolve complex customer service issues and/or escalate to supervisor, as needed. 


2. Bilingual: English/Spanish. 


3. Knowledge of Case Management Process, Chronic Care Model, and Patient-Centered Medical Home Model (PCMH). 


4. Knowledge of regulatory requirements, health plan contracts, government benefits, and community resources. 


5. Must be able to apply critical thinking skills and make sound judgement at all levels throughout the patient’s continuum of care as well as make necessary referrals on behalf of the Patient/Provider/Caregiver. 


6. Ability to complete basic/intermediate math computations and medical math conversions. 


7. Ability to read, write, and speak in a clear, accurate, and professional manner; includes active listening skills and understanding medical terminology. 


8. Personally courteous, responsive, and overtly hospitable to patients, colleagues, and all professional contacts. 


9. Assists any and all internal or external stakeholders with any problems they may have in a cooperative manner.


Required Qualifications :
Specifications / Experience:


1. Graduation from an accredited nursing program. 

2. Current valid License as a Registered Nurse through the California Board of Registered Nursing; 

3. Bachelor’s degree in social work, nursing, or another health or human services field with the appropriate licensure preferred 

4. Current CPR/First Aid training required. 

5. Strong familiarity with local and regional care management resources preferred (e.g. Enhanced Care Management, Complex Case Management, CHDP, Community Support Services). 

6. Familiarity with case management and care delivery best practice protocols. 

7. Experience and familiarity with Utilization Management (UM) standard processes.

 8. Experience with data analytics software preferred (e.g. Cozeva, Tableau). 

9. Experience with physically or mentally impaired adults and/or geriatric population and working as part of a multi-disciplinary team. 

10. Minimum of 3 years of experience in public health nursing, acute care, case management and/or home health care required; minimum 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred.
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