Case Manager LVN-LPN

HumanGood; Los Altos (CA); On-site; USD 58,000 - 72,000; Full time

Job summary

The Terraces at Los Altos, a HumanGood community, is seeking a Case Manager – LVN/LPN to coordinate care and discharge planning for skilled nursing and post-acute residents, partnering with residents, families, clinical teams, physicians, payers, and outside providers.

This role requires current LVN/LPN license in California, 2+ years in skilled nursing or post-acute settings, strong communication, and proficiency with electronic health records.

Qualifications

• Current, active LVN or LPN license in California.
• Minimum 2 years of licensed nursing experience in skilled nursing or post-acute care.
• Experience with interdisciplinary care planning, discharge planning, or care transitions.
• Strong communication, organization, and documentation skills.
• CPR/BLS certification as required.

Responsibilities

• Manage a caseload of skilled nursing and post-acute residents from admission through discharge.
• Develop and coordinate discharge plans, identifying goals, caregiver support, barriers, and post-discharge needs.
• Partner with residents, families, nursing, rehabilitation, social services, physicians, payers, and outside providers to coordinate care and transitions.
• Coordinate follow-up services including home health, rehabilitation, medical equipment, medications, transportation, appointments, and resources.
• Educate residents and families on discharge plans, follow-up care, medications, and resources.
• Monitor progress, participate in care planning, and escalate clinical concerns as needed.
• Maintain accurate case-management and discharge documentation.
• Support post-discharge follow-up and payer requirements to reduce readmissions.

Skills

Case management

Discharge planning

Care coordination

Interdisciplinary teamwork

EHR

CPR/BLS

Education

Licensed LVN/LPN (CA)

Graduation from accredited nursing program

Tools

PointClickCare

EHR systems

Job description

The Terraces at Los Altos
The Terraces at Los Altos - a HumanGood community
373 Pine Lane
Los Altos, CA 94022, USA

The Terraces at Los Altos
The Terraces at Los Altos - a HumanGood community
373 Pine Lane
Los Altos, CA 94022, USA

Make an impact beyond the bedside by helping residents successfully transition from skilled nursing to their next level of care. As a Case Manager – LVN/LPN, you’ll coordinate care and discharge planning for skilled nursing and post-acute residents, partnering with residents, families, clinical teams, physicians, payers, and community providers to support safe and timely transitions.

This role is ideal for an LVN/LPN who enjoys care coordination, problem-solving, resident and family communication, and interdisciplinary teamwork.

Schedule: Monday–Friday, 9:00 AM–5:30 PM

Pay Range: $42 - $52 per hour, depending on experience

What You’ll Do

• Manage a caseload of skilled nursing and post-acute residents from admission through discharge.
• Develop and coordinate discharge plans, identifying resident goals, caregiver support, potential barriers, and post-discharge needs.
• Partner with residents, families, nursing, rehabilitation, social services, physicians, payers, and outside providers to coordinate care and transitions.
• Coordinate follow-up services including home health, rehabilitation, medical equipment, medications, transportation, appointments, and community resources.
• Educate residents and families on discharge plans, follow-up care, medications, treatments, and available resources.
• Monitor resident progress, participate in interdisciplinary care planning, and accelerate clinical concerns or changes in condition as appropriate.
• Maintain accurate and timely case-management, care-planning, and discharge documentation.
• Support post-discharge follow-up, payer requirements, quality initiatives, and efforts to reduce avoidable readmissions.

What You Bring

• Current, active LVN or LPN license in the state of employment and graduation from an accredited nursing program.
• At least 2 years of licensed nursing experience in skilled nursing, post-acute care, rehabilitation, discharge planning, case management, or a related clinical setting.
• Experience with interdisciplinary care planning, discharge planning, care transitions, or post-acute service coordination.
• Strong communication, organization, documentation, and problem-solving skills.
• Current CPR/BLS certification and proficiency with electronic health records, as required.

Preferred

• 3+ years of skilled nursing or post-acute nursing experience.
• Experience with Short Stay care coordination, PDPM, Medicare/Medicare Advantage, payer authorizations, or ACOs.
• Experience coordinating home health, DME, rehabilitation, transportation, appointments, and other discharge services.
• Familiarity with PointClickCare , readmission-reduction initiatives, quality improvement, or care-transition programs.

Qualifications

Skills

Behaviors

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Motivations

:

Education

Experience

Licenses & Certifications

Equal Opportunity Employer
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