LVN / LPN – Mobile Case Manager

US: Tryfacta•Rochester, NY

About The Position

Tryfacta is seeking an LVN / LPN – Mobile Case Manager for a 13-week contract assignment in Rochester, New York. The role supports RN Care Managers in implementing and monitoring patient care plans. The schedule is five 8-hour day shifts, 08:00–16:30. The listed pay rate is $38 per hour for local candidates and $45 to $48 per hour otherwise. The Mobile Case Manager conducts telephone follow-ups, patient screenings, and post-discharge outreach to help reduce 30-day hospital readmissions. The role coordinates follow-up appointments, addresses barriers to accessing care, reinforces patient education, monitors biometric data, and maintains accurate EHR documentation. Home, hospital, and provider-office visits may be needed. The position also connects patients with community resources, participates in multidisciplinary care team rounds, provides patient updates, and manages a rotating caseload of approximately 25–40 patients per month.

Requirements

  • Active LPN license.
  • Current BLS certification.
  • At least 1 year of relevant clinical experience.
  • Strong communication, documentation, and organizational skills.
  • Ability to work independently and collaborate with an interdisciplinary team.
  • Reliable transportation for work-related travel; patient transportation is not required.

Nice To Haves

  • Experience in home health, case management, care coordination, or transitions of care.
  • Experience with adult/geriatric care and chronic conditions such as CHF, COPD, and multiple comorbidities.
  • Experience with patient education, medication adherence, and community resource coordination.

Responsibilities

  • Support RN Care Managers in implementing and monitoring patient care plans.
  • Conduct telephone follow-ups, patient screenings, and post-discharge outreach to help reduce 30-day hospital readmissions.
  • Coordinate follow-up appointments and address barriers to accessing care.
  • Provide and reinforce education on medications, diagnoses, and treatment plans.
  • Monitor biometric data and maintain accurate EHR documentation.
  • Conduct home, hospital, and provider-office visits as needed.
  • Connect patients with community resources and support services.
  • Participate in multidisciplinary care team rounds and provide patient updates.
  • Manage a rotating caseload of approximately 25–40 patients per month.
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