LVN Care Manager

Location: Los Angeles, CA
Date Posted: 09-07-2018
CareNational
Case Management LVN - Managed Care
Los Angeles, CA (Eastern Suburb, near Monterey Park)
 
**Full-Time, Benefits Available CONTRACT opportunity, expected to last around 3-4 months! **
 
Care Manager Job Summary:
  • The LVN will provide daily care coordination with concurrent review for patients in the hospital or Skilled Nursing Facilities (SNF), either in-person or telephonically.
  • Responsible for daily discharge planning, concurrent reviews, retrospective reviews, pre-certification/prior authorization request review, and ensures patients meet appropriate level of care based on Interqual guidelines for evidence-based criteria.
  • This position will also provide case management to patients who are admitted to the hospital or SNF and those patients who may need to be enrolled in ambulatory case management.
  • Develops working relationships with hospital case managers, health plan, clinics, hospitalists and governing entities.
  • Works with hospital discharge planners and assists in the coordination of support services.
  • Responsible for identifying Children Services cases, handling transfers, and utilization review of the case.
  • Works as part of an interdisciplinary care team coordinating care and collaborating with hospital and health plan staff.

Care Manager Background: 
  • Valid, unrestricted state Licensed Vocational Nurse (L.V.N.) license.
  • Around 3 years of acute care, public health, or home health nursing experience, preferably working with Geriatric patients.
  • Requires minimum 2 years of case management or utilization management experience at a Managed Care Organization (Health Plan/HMO/MSO/TPA/IPA/etc).
  • Experience in and willingness to be part of multi-disciplinary team.
  • Ability to interact within all levels of the organization as well as with external contacts.
  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
  • Bilingual in English and Spanish preferred.
 
  #Clinical
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