LPN Care Manager

Community Health Systems•Crestview, FL

13d•Onsite

About The Position

As a Licensed Practical Nurse at North Okaloosa Medical Center, you’ll play a vital role in doing what you do best - providing quality care to our patients. Our nurses enjoy a robust benefits package including health insurance, 401(k), flexible scheduling, 100% licensure/certification reimbursement, Tuition Reimbursement, and up to $20K for student loan payments. Job Summary The Care Manager LVN/ LPN supports effective utilization management and discharge planning by coordinating patient care activities under the direction of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and medical necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards.

Requirements

1-2 years of clinical acute care nursing experience required
LPN - Licensed Practical Nurse - State Licensure Licensure in state of employment required or LVN - Licensed Vocational Nurse Licensure in state of employment required

Nice To Haves

Experience in utilization review, case management, or discharge planning preferred
BLS - Basic Life Support preferred

Responsibilities

Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
Identifies and documents avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
Directs others to comply with the federal mandate for first person reporting. This requirement cannot be delegated to another licensed staff member.
Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.