Disease Management LVN

LSMA Management Inc • San Bernardino, CA

8d

About The Position

The Disease Management LVN serves as the primary 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, and ensures delivery of excellent customer service that aligns with organizational expectations. The Disease Management LVN also carries a limited caseload, 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

• Graduate of an accredited Licensed Vocational Nursing program.
• 2+ years of inpatient review experience in a managed care organization or healthcare facility.
• Current State LVN License
• Current BLS Certificate
• 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 the primary clinical resource for Care Management review staff.
• Provides guidance on procedures, standards, workflows, and program compliance.
• Oversees daily case review workflows and auditing processes.
• Ensures delivery of excellent customer service.
• Carries a limited caseload.
• Evaluates patient needs and determines program eligibility.
• Develops care plans that promote optimal clinical outcomes, high-quality care, efficient resource utilization, and patient satisfaction.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed