Case Manager LVN

Villa Las Palmas Healthcare; El Cajon (CA); Presencial; USD 85.000 - 100.000; Jornada completa

Descripción de la vacante

Villa Las Palmas Healthcare in El Cajon, CA, seeks a skilled nurse/case manager to lead clinical assessments, care planning, and coordination of medical services for residents. You will work with families, physicians, and payers to ensure high-quality, cost-conscious care.

The ideal candidate holds a Bachelor's in Nursing or Social Work, with RN preferred and LVN/LPN acceptable. Two years of nursing experience, Medicare know-how, and PCC familiarity are valued.

Formación

• Bachelor's Degree in Nursing or Social Work is required/preferred.
• RN license preferred; LVN/LPN acceptable.
• Minimum two years clinical nursing experience.
• Knowledge of Medicare, Medi-Cal, and Medicaid benefits.
• PCC knowledge preferred.
• CCM certification a plus.
• Maintain continuing education/licensing.

Responsabilidades

• Utilize clinical expertise and critical thinking to develop and implement a patient care plan with residents and families.
• Communicate regularly with residents and families about care plans and treatment protocols.
• Participate in morning stand-ups and team communications.
• Answer questions about care, illness progression, and treatment plans to ensure safety.
• Monitor and adjust resident statuses based on changing needs.
• Organize daily work and prioritize resident needs.
• Complete required documentation.
• Perform utilization review for cost-effective care.
• Coordinate care with residents, providers, facilities, and third-party payers.
• Oversee admissions and discharge activities.
• Coordinate referrals to/from the facility.
• Maintain professional, respectful interactions with residents, families, staff, and partners.
• Ensure timely charting and paperwork.

Conocimientos

Communication

Time management

Team collaboration

Clinical judgment

Educación

Bachelor's in Nursing or Social Work

RN license preferred

LVN/LPN acceptable

2 years nursing experience

Medicare/Medi-Cal knowledge

PCC knowledge preferred

CCM certification a plus

Continuing education compliance

Herramientas

PCC Knowledge

Descripción del empleo

• Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.
• Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.
• Attends and participates in morning meetings/stand up to facilitate communications with the team.
• Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.
• Monitor and adjust residents' statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current and discharging residents' needs in the area(s) of responsibility.
• Complete documentation as required.
• Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
• Coordinate care with resident, care providers, facilities financial services, and third-party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from our facility.
• Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals
• colleagues.
• Accurate charting and ability to complete necessary paperwork in a timely manner.
• Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
• Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
• Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners.
• Perform clinical assessments, care planning, and direct coordination of medical services when required by the role

Must have an LVN License

Rate ranges 85K to 100K

General Purpose

• Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Essential Responsibilities

• Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.
• Attends and participates in morning meetings/stand up to facilitate communications with the team.
• Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.
• Monitor and adjust residents' statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current and discharging residents' needs in the area(s) of responsibility.
• Complete documentation as required.
• Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
• Coordinate care with resident, care providers, facilities financial services, and third-party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from our facility.
• Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals
• colleagues.
• Accurate charting and ability to complete necessary paperwork in a timely manner.
• Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
• Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
• Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners.
• Perform clinical assessments, care planning, and direct coordination of medical services when required by the role

Supervisory Requirements

This position has no supervisory responsibilities.

Education And/or Experience

• Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable.
• Two (2) years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.
• PCC Knowledge preferred.
• Certificate as a certified Case Manager (CCM) a plus.
• Must maintain all required continuing education/licensing.
• Must remain in good standing with the Department of Public Health, License and Certification Division at all times.

Physical Demands

• Primarily sedentary with frequent sitting, computer use, and documentation.
• Regular walking throughout the facility to meet with residents, families, and staff.
• Occasional standing during meetings and care conferences.
• Ability to lift and carry up to 20 pounds (files, binders, supplies).
• Clear verbal communication and vision required for chart review and resident interaction.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.