Case Manager LVN

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

Job summary

San Antonio Regional Hospital seeks a Licensed Vocational Nurse to evaluate patients’ clinical status and determine medical necessity for hospitalization and continued acute care needs. The role supports safe, smooth transitions to other levels of care while collaborating with the care team.

Requirements include graduation from a Vocational Nursing Program, CA LVN licensure, and an AHA BLS card. Three years of acute hospital experience preferred, with experience in utilization review, discharge

Qualifications

• Knowledge of common disease processes.
• Knowledge of health care delivery systems.
• Able to manage competing priorities and effectively prioritizes work.

Responsibilities

• Evaluates the clinical status of patients using evidence based criteria.
• Determines medical necessity for hospitalization and continued acute care needs.
• Supports safe transitions to other levels of care.

Skills

Disease knowledge

Healthcare delivery

Prioritization

Education

Vocational Nursing Program

Job description

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.

Overview

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 a current 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.