Case Manager

Mission Community Hospital•Los Angeles, CA

4d•Onsite

About The Position

Mission Community Hospital is seeking a compassionate, organized, and detail-oriented Licensed Vocational Nurse (LVN) to join the Case Management Department. The ideal candidate will have a minimum of one (1) year of Skilled Nursing Facility (SNF) experience and will assist the Case Management team in coordinating patient care, discharge planning, utilization management, and transitions of care to ensure quality outcomes and continuity of services. The LVN in Case Management plays an essential role in facilitating safe, efficient, and timely transitions of care for hospitalized patients.

Requirements

Current California Licensed Vocational Nurse (LVN) license in good standing.
Minimum of one (1) year of recent Skilled Nursing Facility (SNF) experience required.
Current Basic Life Support (BLS) certification.
Strong organizational, communication, and documentation skills.
Ability to work collaboratively with physicians, nurses, social workers, and interdisciplinary teams.
Proficiency in electronic medical records (EMR).

Nice To Haves

Knowledge of discharge planning, post-acute care services, and care coordination preferred.
Familiarity with Medicare, Medi-Cal, and commercial insurance requirements is preferred.

Responsibilities

Assist the Case Management team with discharge planning and coordination of post-acute care services.
Coordinate referrals to Skilled Nursing Facilities (SNFs), home health agencies, rehabilitation facilities, hospice, durable medical equipment (DME) providers, and other community resources.
Communicate with insurance companies, referral agencies, and healthcare providers to facilitate timely patient transitions.
Review clinical documentation to support appropriate discharge planning and continuity of care.
Monitor patient progress and identify potential barriers to discharge.
Collaborate with physicians, bedside nurses, therapists, and social workers to ensure safe and timely patient discharges.
Maintain accurate and timely documentation in the electronic medical record.
Assist with obtaining prior authorizations and coordinating payer requirements as assigned.
Educate patients and families regarding available post-discharge services and care options.
Participate in interdisciplinary rounds and Case Management meetings.
Ensure compliance with hospital policies, regulatory requirements, and patient confidentiality standards (HIPAA).
Perform other duties as assigned by the Director of Case Management.