Case Manager LVN

San Antonio Regional Hospital; Upland (CA); On-site; USD 41,000 - 62,000; Full time

Job summary

San Antonio Community Hospital is seeking a Licensed Vocational Nurse to evaluate patients' clinical status and determine medical necessity for hospitalization and care progression. The role supports discharge planning and smoother transitions to other levels of care, leveraging evidence-based criteria and strong collaboration with the care team.

The ideal candidate has a valid California LVN license, AHA BLS, and prior acute hospital experience; familiarity with EMR systems and Word is

Qualifications

• Current LVN licensure in California.
• AHA BLS certification required.
• Three years acute hospital experience preferred; utilization review and discharge planning experience required.

Responsibilities

• Evaluate the clinical status of patients to determine medical necessity for hospitalization.
• Assist in determining clinical progression and continued acute care needs.
• Support safe transitions to other levels of care within the hospital system.

Skills

Utilization review

Discharge planning

Case management

Prioritization

EMR systems

Education

Vocational Nursing Program

Tools

Microsoft Word

EMR systems

Job description

Overview

JOB SUMMARY

Evaluates the clinical status of patients using evidence based criteria to determine medical necessity for hospitalization, clinical progression and continued acute care needs. Utilizes information about clinical condition, prior level of functioning and anticipated treatment plan to support a safe, smooth transition to other levels of care.

MINIMUM QUALIFICATIONS

Education: Graduate of a Vocational Nursing Program.

Experience: Three years’ acute hospital experience preferred. Experience in utilization review, discharge planning and/or case management is required.

Knowledge and Skills: Knowledge of common disease processes, knowledge of health care delivery systems, demonstrates understanding of common reimbursement methodologies. Able to manage competing priorities and effectively prioritizes work.

License/Certifications: Current LVN licensure in the State of California and acurrent American Heart Association (AHA) BLS card is required.

Equipment: Basic computer skills with working knowledge of Word. Willingness to learn all aspects of the Business Services, Case Management, Emergency Department and hospital wide electronic medical record systems.

PAY RANGE

$29.96 - $44.94

The posted pay range reflects the lowest to highest pay that was available for this position at the time of posting and may be subject to change. Salary offers are determined by candidate’s relevant experience and skills.For per diem positions, a standard rate is used based on market data and not the candidate’s individual experience.