Licensed Vocational Nurse (LVN) – ECM

Heritage Health Network; Riverside (OH); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Heritage Health Network seeks a Licensed Vocational Nurse (LVN) to join the Enhanced Care Management team supporting members within the IEHP Pod. The LVN will collaborate with RNs, Lead Care Managers, and others to deliver coordinated, whole-person care in a member-facing role.

You'll conduct community or home visits, participate in care plans, perform risk assessments, and ensure accurate documentation in ECW while supporting transitions and discharge planning.

Qualifications

• Active California LVN license in good standing.
• Completion of an accredited LVN program.
• 2 years nursing experience, preferably in care management, ambulatory care, ECM, managed care, or related.
• Strong clinical assessment, care planning, and care coordination within LVN scope.
• Knowledge of Medi-Cal, managed care, or care management practices.
• Clear communication and collaboration skills.
• Ability to work within a multidisciplinary care team.
• Ability to travel locally for member visits.
• Bilingual English/Spanish is a plus.
• Experience with CalAIM, ECM, or managed care programs preferred.

Responsibilities

• Provide clinical support and care coordination for an assigned caseload of ECM members within the IEHP Pod.
• Support individualized, person-centered care plans and address barriers to care.
• Conduct member visits in the community or home and accompany to appointments as needed.
• Complete risk assessments and collaborate with RNs and Lead Care Managers to update care plans.
• Use motivational interviewing to engage members and support behavior change.
• Coordinate with hospitals and providers on discharge planning and transitional care.
• Review documentation and care plan notes for accuracy and completeness.
• Participate in daily pod huddles, case conferences, and multidisciplinary reviews.
• Help members access healthcare services, resources, and community supports.
• Maintain accurate, timely, compliant documentation in ECW.

Skills

Clinical assessment

Care coordination

Multidisciplinary teamwork

Travel to member visits

Bilingual English/Spanish

Education

Accredited LVN program

Tools

ECW EHR

Job description

Heritage Health Network (HHN) is seeking a Licensed Vocational Nurse (LVN) to join our Enhanced Care Management (ECM) team supporting members within the IEHP Pod . The LVN will work closely with RNs, Lead Care Managers, Community Health Workers, Behavioral Health Care Managers, and the Director of Clinical Operations to provide coordinated, whole-person care.

This is a member-facing role that combines clinical support, care coordination, community-based member engagement, and clinical documentation.

What You’ll Do

• Provide clinical support and care coordination for an assigned caseload of ECM members within the IEHP Pod.
• Support individualized, person-centered care plans and address barriers to care, including avoidable ER and hospital utilization.
• Conduct member visits in the community or home and accompany members to medical appointments as needed.
• Complete risk assessments and collaborate with RNs and Lead Care Managers to develop and update care plans.
• Use motivational interviewing to engage members, encourage adherence, and support behavior change.
• Coordinate with hospitals and other providers on discharge planning and transitional care.
• Review clinical documentation and care plan notes for accuracy and completeness.
• Participate in daily pod huddles, case conferences, and multidisciplinary care reviews.
• Help members access appropriate healthcare services, resources, and community support.
• Maintain accurate, timely, and compliant documentation in ECW.
• Ensure documentation supports health plan, regulatory, billing, and payment requirements.
• Escalate cases outside the LVN scope of practice to the RN or Director of Clinical Operations.

Requirements

What We’re Looking For

• Active California LVN license in good standing.
• Completion of an accredited LVN program.
• 2 years of nursing experience , preferably in care management, ambulatory care, ECM, managed care, or a related setting.
• Strong clinical assessment, care planning, and care coordination skills within LVN scope of practice.
• Knowledge of Medi-Cal, managed care, or care management practices.
• Strong communication and collaboration skills.
• Ability to work effectively within a multidisciplinary care team.
• Ability to conduct regular local travel for member visits.
• Bilingual English/Spanish is a plus.
• Experience with CalAIM, ECM, or managed care programs is preferred.

Schedule & Location

Schedule: Monday-Friday, business hours

Location: Riverside, CA / Hybrid

Travel: Regular local travel for member visits within the IEHP service area

Benefits

Why Join HHN?

At Heritage Health Network, you’ll be part of a collaborative care team focused on improving outcomes for Medi-Cal members through Enhanced Care Management, whole-person care, and community-based support .