LVN Case Manager

2 days ago


La Habra, California, United States Alta Hospitals Full time
Job Summary

We are seeking a skilled LVN Case Manager to join our team at Alta Hospitals. As a key member of our healthcare team, you will be responsible for prioritizing patient needs and collaborating with discharge coordinators to ensure a safe discharge plan.

Key Responsibilities
  • Prioritize patient needs and collaborate with discharge coordinators to ensure a safe discharge plan
  • Collaborate with the interdisciplinary healthcare team to promote and coordinate the delivery of safe and cost-effective patient care, transition of care and discharge planning
  • Advocate for patient self-determination and choice, promoting patient-centered care
  • Monitor and coordinate resource utilization throughout the continuum of care and evaluate timeliness of services
  • Perform utilization review, utilizing medical staff-approved decision support criteria
  • Ensure case management documentation in the medical record is clear and complete
Requirements
  • Current licensure as a Vocational Nurse in the State of California
  • Knowledge of CMS, Medicare, Medi-Cal and Managed Care reimbursement
  • Familiarity of Joint Commission, CMS, CDPH requirements
  • Excellent written and verbal communication skills in English
  • Ability to establish and maintain effective working relationships across the organization
  • Ability to facilitate and lead interdisciplinary rounds
  • Two years of acute hospital case management experience OR completion of Internal Case Management training program
  • Computer/EMR Proficiency and Literacy
Preferred Qualifications
  • Bilingual skills to communicate effectively with patients and families
  • Familiarity with AllScripts Care Management
  • Proficiency with Milliman Care Guidelines or Interqual

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