Case Manager- LVN

Vasona Creek Healthcare Center in; Los Gatos (CA); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off

Paid holidays

Career growth opportunities

Job summary

Vasona Creek Healthcare Center is seeking a licensed vocational nurse (LVN) to join as a Case Manager in California. You will coordinate patient care, manage utilization reviews, and oversee discharge planning to ensure quality outcomes.

As the primary liaison among patients, families, providers, and insurers, you will document activity in the EHR and ensure compliance with state and federal regulations. This is a full-time role with competitive pay and benefits.

Qualifications

• Active LVN license in California.
• 1-2 years case management or utilization review experience preferred.
• Experience in skilled nursing or long-term care settings highly desired.
• Strong knowledge of Medicare, Medi-Cal, and managed care insurance processes.
• Excellent communication, organization, and multitasking skills.
• Proficiency with EHR systems.

Responsibilities

• Coordinate patient admissions, transfers, and discharge planning.
• Conduct utilization reviews to ensure appropriate level of care and insurance reimbursement.
• Collaborate with physicians, therapists, and nursing staff to develop individualized care plans.
• Communicate with insurance providers to obtain authorizations and manage concurrent reviews.
• Serve as an advocate for patients and families, guiding them through the healthcare continuum.
• Maintain accurate documentation in accordance with state, federal, and facility regulations.

Skills

Medicare/Medi-Cal knowledge

EHR proficiency

Communication skills

Organizational skills

Education

California LVN license

Job description

Facility: Vasona Creek Healthcare Center
Salary: $90,000 - $100,000 / year (Depending on experience)
Job Type: Full-time

Job Summary

Vasona Creek Healthcare Center is seeking a dedicated and organized Licensed Vocational Nurse (LVN) to join our team as a Case Manager. In this role, you will coordinate patient care, manage utilization reviews, and oversee discharge planning to ensure high-quality outcomes. You will act as the primary liaison between patients, families, healthcare providers, and insurance companies.

Key Responsibilities

• Coordinate patient admissions, transfers, and discharge planning.
• Conduct utilization reviews to ensure appropriate level of care and insurance reimbursement.
• Collaborate with physicians, therapists, and nursing staff to develop individualized care plans.
• Communicate with insurance providers to obtain authorizations and manage concurrent reviews.
• Serve as an advocate for patients and families, guiding them through the healthcare continuum.
• Maintain accurate documentation in accordance with state, federal, and facility regulations.

Qualifications

• Active LVN license in the State of California.
• Minimum 1-2 years of case management or utilization review experience (preferred).
• Experience in skilled nursing (SNF) or long-term care settings highly desired.
• Strong knowledge of Medicare, Medi-Cal, and managed care insurance processes.
• Excellent communication, organization, and multitasking skills.
• Proficiency with electronic health record (EHR) systems.
• Competitive annual salary ($90K-$100K).
• Comprehensive medical, dental, and vision insurance.
• 401(k) retirement plan with company match.
• Paid time off (PTO) and paid holidays.
• Opportunities for professional growth and continuing education.

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.