Inpatient LVN Case Manager - Utilization & Discharge

Medica Talent Group; Montebello (CA); On-site; USD 45,000 - 63,000; Full time

Job summary

Medica Talent Group is seeking an experienced Licensed Vocational Nurse (LVN) Case Manager to support the Utilization Management department of a healthcare organization in Montebello, CA. The LVN Case Manager will provide care coordination, concurrent reviews, and case management services for patients admitted to hospitals and skilled nursing facilities (SNFs).

This position works closely with interdisciplinary healthcare teams to ensure appropriate levels of care, facilitate discharge planning,

Qualifications

• Graduate of an accredited LVN program.
• Active, unrestricted California LVN license.
• Minimum of 3 years of experience in public health nursing, acute care, case management, and/or home healthcare.
• Minimum of 2 years of managed care case management experience, with a focus on inpatient and/or outpatient ambulatory care.
• Current Basic Life Support (BLS) certification.
• Knowledge of utilization management, clinical review processes, and discharge planning.
• Strong communication, critical thinking, organizational, and documentation skills.

Responsibilities

• Conduct daily concurrent and retrospective reviews for hospitalized patients and those in SNFs.
• Review prior authorization and pre-certification requests using established clinical criteria.
• Coordinate discharge planning and transitions of care to ensure appropriate patient services.
• Collaborate with hospitalists, physicians, social workers, and interdisciplinary care teams.
• Identify and coordinate cases requiring additional services, referrals, or ambulatory case management.
• Review and process referral authorizations within established turnaround times.
• Assist with patient outreach, follow-up appointments, home health services, and DME coordination.
• Maintain accurate case management documentation and ensure compliance with health plan requirements.
• Support efforts to reduce hospital readmissions and improve continuity of care.

Skills

Public health nursing

Discharge planning

Care coordination

Communication

Bilingual (English/Spanish)

Education

LVN program graduate

Tools

InterQual criteria

Job description

Medica Talent Group is seeking an experienced Licensed Vocational Nurse (LVN) Case Manager to support the Utilization Management department of a healthcare organization in Montebello, CA. The LVN Case Manager will provide care coordination, concurrent reviews, and case management services for patients admitted to hospitals and skilled nursing facilities (SNFs).

This position works closely with interdisciplinary healthcare teams to ensure appropriate levels of care, facilitate discharge planning,