Care Management LVN
About The Position
The Care Management LVN serves as a clinical resource for Care Management review staff, providing guidance on procedures, standards, workflows, and program compliance. This role oversees daily case review workflows, auditing processes, ensures delivery of excellent customer service that aligns with organizational expectations, and manages a patient case load. The Care Management LVN evaluates patient needs, determines program eligibility, and develops care plans that promote optimal clinical outcomes, high-quality care, efficient resource utilization, and patient satisfaction.
Requirements
- High School diploma or equivalent required.
- Graduate of an accredited Licensed Vocational Nursing program.
- 2+ years of inpatient or care management review experience in a managed care organization or healthcare facility.
- Active, unrestricted California LVN License
- Strong knowledge of healthcare delivery, case management principles, and managed care operations.
- Proficiency in Microsoft Office (Word, Excel, Outlook, Access, PowerPoint).
- Ability to type at least 40 WPM with accuracy.
- Excellent communication, interpersonal, and customer-service skills.
- Ability to prioritize, problem-solve, and work independently with minimal supervision.
- Skilled in documentation, time management, and maintaining compliance with regulations.
- Ability to collaborate across multidisciplinary clinical teams.
Nice To Haves
- Additional coursework in Case Management or Managed Care.
- Experience in ambulatory case management and/or high-risk patient programs.
- Certified Case Manager (CCM) credential
Responsibilities
- Serves as a clinical resource for Care Management review staff, providing guidance on procedures, standards, workflows, and program compliance.
- Oversees daily case review workflows and auditing processes.
- Ensures delivery of excellent customer service that aligns with organizational expectations.
- Manages a patient case load.
- Evaluates patient needs, determines program eligibility, and develops care plans that promote optimal clinical outcomes, high-quality care, efficient resource utilization, and patient satisfaction.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
