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LSMA Management, Inc. is seeking a Care Management LVN to serve as a clinical resource for review staff, guiding procedures, standards, workflows and program compliance.
The role oversees daily case review workflows, audits, and ensures high-quality customer service while managing a patient caseload for optimal outcomes. The LVN will evaluate patient needs, determine program eligibility, and develop care plans that promote efficient resource use and patient satisfaction within a managed care
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.
Minimum: High School diploma or equivalent required. Graduate of an accredited Licensed Vocational Nursing program.
Preferred: Additional coursework in Case Management or Managed Care.
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.
Active, unrestricted California LVN License
Certified Case Manager (CCM) credential (preferred).
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.
$35.00 - $40.00 / hourly