Care Manager LPN - Community Care

Visiting Nurse Health System Inc•Buford, GA

10d•$43,732 - $65,598•Hybrid

About The Position

The Care Manager LPN plays a key role in assessing, coordinating, and monitoring community-based services for elderly or disabled clients under the Community Care Services Program (CCSP). This role includes conducting home visits, reassessing care needs, developing plans of care, and collaborating with physicians, social workers, and caregivers to ensure continuity of care.

Requirements

Are a graduate of an accredited LPN program
Hold current Georgia licensure and CPR certification
Have 2 years of nursing experience in community health, long-term care, or geriatrics
Understand Medicare/Medicaid regulations and care coordination best practices
Can function independently in a community-based environment
Possess strong clinical, documentation, and time management skills
Are comfortable with EMR systems and standard office software
Have reliable transportation and are comfortable traveling to client homes

Responsibilities

Conduct in-home or facility-based assessments of clients to determine appropriate services.
Collaborate with SW Care Managers and interdisciplinary teams on level-of-care (LOC) decisions.
Develop care paths and discharge plans based on client needs, condition, and support systems.
Complete and document assessment tools (e.g., GDS, MMSE, fall risk).
Schedule and perform timely assessments, reassessments, and follow-up per DCH policy.
Coordinate transitions from hospital to home/community settings.
Document care plans, hospitalizations, care transitions, services, and case notes per DCH and VNHS standards.
Approve services within established funding limits and ensure clinical appropriateness.
Participate in interdisciplinary team meetings, training sessions, and quarterly network events.
Support infection control practices and maintain confidential client records.