Licensed Vocational Nurse-Lcm

Blehealth • Pomona, CA

13h • Remote

About The Position

The Lead Care Manager (LVN) collaborates with chronically ill or high-risk members and their families or caregivers, healthcare providers and staff, and community resources to coordinate Enhanced Care Management (ECM) services and implement member-centered care plans. The role supports members across accessible care settings, including their homes and hospitals, and works to provide a seamless care experience without duplication of services.

The Lead Care Manager assesses health and social needs; develops, monitors, and updates care plans; coordinates referrals, transitions of care, and provider relationships; connects members with community services and transportation; and advocates for members. The role uses motivational interviewing, trauma-informed care, and harm-reduction approaches, and provides health education, self-management support, and culturally and linguistically appropriate information. The position is remote, but requires travel to hospitals and members’ homes as needed, as well as occasional reporting to a satellite office or specified location for work, meetings, or training. The employee must maintain a personal vehicle and meet a minimum daily expectation of 30 schedules per day.

Requirements

• Associate’s degree or bachelor’s degree in health science or a related healthcare field is preferred.
• Must have and maintain a personal vehicle; monthly mileage reimbursement is provided according to applicable state and federal laws.
• Valid driver’s license, proof of insurance, and a good driving record.
• Proof of a negative TB test and CPR certification before the hire date.
• Completion of a Live Scan fingerprint and background check.
• Excellent analytical, problem-solving, and prioritization skills.
• Excellent verbal and written communication skills.
• Strong interpersonal skills and ability to collaborate tactfully with multidisciplinary and diverse teams, including employees, customers, and physicians.
• Effective computer skills, particularly with Microsoft Office applications including Excel, PowerPoint, and Word.
• Ability to work independently and complete assigned tasks.
• Must consistently achieve a minimum daily expectation of 30 schedules per day.

Nice To Haves

• Social Worker or LVN background, or experience in case management, is a plus.
• An associate’s degree or bachelor’s degree in health science or a related healthcare field is preferred.
• Experience or skills in team building, project management, change management, quality and process improvement tools, and project execution.

Responsibilities

• Coordinate with members, families or caregivers, providers, and community resources to ensure a seamless experience and avoid duplication of services.
• Engage eligible members and oversee provision of ECM services and implementation of care plans.
• Offer services where members live, seek care, or can most easily access them, in accordance with applicable plan guidelines.
• Connect members to social services and other supports, including arranging transportation.
• Advocate for members with healthcare professionals and serve as a contact point and informational resource for members, care teams, families or caregivers, payers, and community resources.
• Use motivational interviewing, trauma-informed care, and harm-reduction approaches.
• Coordinate with hospital staff on discharge plans and accompany members to office visits when needed and permitted by plan guidelines.
• Monitor treatment and medication adherence; promote timely access to appropriate care and preventive care; and work to reduce emergency department utilization and hospital readmissions.
• Provide health promotion, self-management training, and culturally and linguistically appropriate education.
• Develop care plans with members, families or caregivers, and providers, including emergency plans, health management plans, medical summaries, and ongoing action plans as appropriate.
• Monitor care-plan adherence and member progress, evaluate effectiveness, and facilitate changes as needed.
• Support members and families or caregivers in determining and requesting their desired level of care-coordination support.
• Facilitate access to medical and specialty providers and educate members and families or caregivers about relevant community resources.
• Facilitate and attend meetings among members, families or caregivers, care teams, payers, and community resources as needed.
• Support primary and specialty provider co-management through timely communication, inquiry, follow-up, and integration of information into care plans, including information about transitions of care and referrals.
• Identify high-risk members, including chronically ill members and those with special healthcare needs, and add them to the member registry or flag them in the EHR.
• Connect and follow up with members, families or caregivers, providers, and community resources through in-person visits, secure email, phone calls, text messages, and other communications.
• Attend Lead Care Manager training courses, webinars, and meetings; provide feedback to improve the ECM Program.
• Call members to facilitate visits with the ECM Lead Care Manager.
• Complete at least 30 schedules per day.

Benefits

• Medical, dental, and vision coverage available after successful completion of the 90-day probationary period.
• Free $100,000 life insurance.
• 401(k) eligibility after 1,000 hours of service.
• Monthly mileage reimbursement per applicable state and federal laws.

What This Job Offers

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