Care Management LVN

LSMA Management Inc; San Bernardino (CA); On-site; USD 48,000 - 55,000; Full time

Job summary

LSMA Management Inc. is seeking a Care Management LVN to serve as a clinical resource, guiding review staff on procedures, workflows, and program compliance.

You will oversee daily case review activities, audit processes, and ensure superior customer service while managing a patient caseload and developing care plans for optimal outcomes. Ideal candidates hold a California LVN license with 2+ years in inpatient or care management and preferably a CCM credential.

Qualifications

• Licensed LVN in California with an active, unrestricted license.
• LVN graduate from an accredited program; additional case management coursework preferred.
• Minimum 2+ years in inpatient or care management review in a managed care org or healthcare facility.
• CCM credential preferred.
• Strong knowledge of healthcare delivery, case management principles, and managed care operations.
• Proficient in Microsoft Office.

Responsibilities

• Oversee daily case review workflows and auditing processes.
• Ensure delivery of high-quality customer service aligned with organizational expectations.
• Manage a patient caseload and determine program eligibility.
• Develop care plans to promote optimal clinical outcomes and efficient resource use.

Skills

Communication & customer-service

Time management

Documentation

Collaboration across multidisciplinary

Problem-solving

Education

High School diploma or equivalent

Graduate of an accredited LVN program

Tools

Microsoft Office

Job description

Description

JOB SUMMARY

The Care Management LVN serves as a clinical resource for Care Management review staff, providing guidance on procedures, standards, workflows, and program compliance. This role oversees daily case review workflows, auditing processes, ensures delivery of excellent customer service that aligns with organizational expectations, and manages a patient case load. The Care Management LVN evaluates patient needs, determines program eligibility, and develops care plans that promote optimal clinical outcomes, high-quality care, efficient resource utilization, and patient satisfaction.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS

Education/Training

Minimum: High School diploma or equivalent required. Graduate of an accredited Licensed Vocational Nursing program.

Preferred: Additional coursework in Case Management or Managed Care.

Experience

Minimum: 2+ years of inpatient or care management review experience in a managed care organization or healthcare facility.

Preferred: Experience in ambulatory case management and/or high-risk patient programs.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Certification(s)

Active, unrestricted California LVN License

Certified Case Manager (CCM) credential (preferred).

Skills, Knowledge & Abilities

• Strong knowledge of healthcare delivery, case management principles, and managed care operations.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Access, PowerPoint).
• Ability to type at least 40 WPM with accuracy.
• Excellent communication, interpersonal, and customer-service skills.
• Ability to prioritize, problem-solve, and work independently with minimal supervision.
• Skilled in documentation, time management, and maintaining compliance with regulations.
• Ability to collaborate across multidisciplinary clinical teams.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This role is primarily sedentary, with most time spent seated for computer work, documentation, and phone communication. Limited standing, walking, and occasional driving to clinical sites are required. The position may involve light physical tasks such as lifting up to 20 pounds, occasional bending, reaching, and climbing stairs throughout the day. The work requires strong analytical skills, attention to detail, emotional resilience when managing complex or high-risk cases, and the ability to multitask in a fast-paced environment. Work is performed mainly in a standard office setting with regular use of computers and office equipment, with occasional exposure to clinical environments such as hospitals, clinics, or skilled nursing facilities.

PAY RANGE

$35.00 - $40.00 / hourly