COORDINATOR, UM (LVN)

Pomona Valley Hospital Medical Center; Pomona (CA); Sur place; USD 50 000 - 70 000; Plein temps

Résumé du poste

Pomona Valley Hospital Medical Center is seeking a Licensed Vocational Nurse for the Utilization Management team to support safe, timely transitions of care and appropriate hospital reimbursement.

The role requires a California LVN license and at least one year of Utilization Review or discharge planning experience, with knowledge of Milliman Care Guidelines and hospital EMR systems. Salary is hourly and may include a weekend rate for qualifying shifts.

Qualifications

• Valid California LVN license is required.
• One year experience in Utilization Review or Case Management discharge planning.
• Familiarity with Milliman Care Guidelines and admission criteria tools.
• Knowledge of common disease processes and health care delivery systems.
• Strong communication, time management, problem-solving, and initiative.

Responsabilités

• Collaborate with Case Managers, staff, payers, and post-discharge vendors to coordinate transitions of care.
• Support safe, timely, and efficient hospital discharges and optimize reimbursement.

Connaissances

Communication

Time management

Problem-solving

Initiative

Adaptability

Formation

California LVN license

High school diploma

Outils

EMR systems

Description du poste

Position Summary:The Licensed Vocational Nurse plays a vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers, support staff, insurance payers, and post-discharge vendors to ensure safe, timely, and efficient transitions of care. This coordination not only supports optimal patient outcomes but also helps ensure appropriate hospital reimbursement for services rendered. Success in this role requires a strong balance of clinical knowledge, organizational skills, and effective communication. May perform other duties as assigned.

Required Qualifications:Valid license as a Licensed Vocational Nurse issued by the State of California. High school diploma or equivalent education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current knowledge/use of evidence-based admission criteria tools like Milliman Care Guidelines, knowledge of common disease processes, health care delivery systems, and insurance, management of competing priorities, effective communication, time management and problem-solving, taking initiative, adaptability, flexibility, use of hospital-wide electronic medical record systems, and basic computer skills.

Preferred Qualifications:Microsoft computer applications; Acute care experience as an LVN.

Salary range: $35.95 - $50.59 hourly.Salary will be commensurate with experience.

As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.