Case Manager LVN-LPN

HumanGood • Los Altos, CA

5d • $42 - $52 • Onsite

About The Position

Make an impact beyond the bedside by helping residents successfully transition from skilled nursing to their next level of care. As a Case Manager – LVN/LPN, you’ll coordinate care and discharge planning for skilled nursing and post-acute residents, partnering with residents, families, clinical teams, physicians, payers, and community providers to support safe and timely transitions. This role is ideal for an LVN/LPN who enjoys care coordination, problem-solving, resident and family communication, and interdisciplinary teamwork.

Requirements

• Current, active LVN or LPN license in the state of employment and graduation from an accredited nursing program.
• At least 2 years of licensed nursing experience in skilled nursing, post-acute care, rehabilitation, discharge planning, case management, or a related clinical setting.
• Experience with interdisciplinary care planning, discharge planning, care transitions, or post-acute service coordination.
• Strong communication, organization, documentation, and problem-solving skills.
• Current CPR/BLS certification and proficiency with electronic health records, as required.

Nice To Haves

• 3+ years of skilled nursing or post-acute nursing experience.
• Experience with Short Stay care coordination, PDPM, Medicare/Medicare Advantage, payer authorizations, or ACOs.
• Experience coordinating home health, DME, rehabilitation, transportation, appointments, and other discharge services.
• Familiarity with PointClickCare, readmission-reduction initiatives, quality improvement, or care-transition programs.

Responsibilities

• Manage a caseload of skilled nursing and post-acute residents from admission through discharge.
• Develop and coordinate discharge plans, identifying resident goals, caregiver support, potential barriers, and post-discharge needs.
• Partner with residents, families, nursing, rehabilitation, social services, physicians, payers, and outside providers to coordinate care and transitions.
• Coordinate follow-up services including home health, rehabilitation, medical equipment, medications, transportation, appointments, and community resources.
• Educate residents and families on discharge plans, follow-up care, medications, treatments, and available resources.
• Monitor resident progress, participate in interdisciplinary care planning, and escalate clinical concerns or changes in condition as appropriate.
• Maintain accurate and timely case-management, care-planning, and discharge documentation.
• Support post-discharge follow-up, payer requirements, quality initiatives, and efforts to reduce avoidable readmissions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree