LPN Care Manager

North Okaloosa Medical Center; Crestview (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401(k)

Flexible scheduling

Tuition reimbursement

Student loan repayment

Job summary

North Okaloosa Medical Center is seeking an experienced full-time LPN Care Manager with weekend rotation to oversee utilization management and discharge planning, under the direction of a RN or physician.

The role involves reviewing medical records for appropriateness, collaborating with interdisciplinary teams, and ensuring safe, timely transitions of care in compliance with standards. Strong documentation and communication are essential.

Qualifications

• 1-2 years of clinical acute care nursing experience required.
• Experience in utilization review, case management, or discharge planning preferred.

Responsibilities

• Conduct daily reviews of medical records to assess appropriateness and utilization.
• Identify and document avoidable hospital days; communicate findings to UM committee.
• Coordinate discharge planning activities with patients, families, and physicians.
• Maintain relationships with community agencies to assist referrals and transitions of care.
• Assist in interdisciplinary meetings and care planning.

Skills

Nursing practice

Utilization management

Discharge planning

Interdisciplinary collaboration

EMR documentation

Communication skills

Education

LPN License

LVN License

BLS Certification

Tools

EMR Systems

Job description

Experienced full time LPN Care Manager with weekend rotation As a Licensed Practical Nurse at North Okaloosa Medical Center, you'll play a vital role in doing what you do best - providing quality care to our patients.

Our nurses enjoy a robust benefits package including health insurance, 401(k), flexible scheduling, 100% licensure/certification reimbursement, Tuition Reimbursement, and up to $20K for student loan payments.

Job Summary

The Care Manager LVN/ LPN supports effective utilization management and discharge planning by coordinating patient care activities under the direction of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and medical necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards.

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
• Identifies and documents avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
• Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
• Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
• Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
• Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
• Directs others to comply with the federal mandate for first person reporting. This requirement cannot be delegated to another licensed staff member.
• Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 1-2 years of clinical acute care nursing experience required
• Experience in utilization review, case management, or discharge planning preferred

Knowledge, Skills and Abilities

• Strong understanding of nursing practice, utilization management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and accreditation standards related to case management and patient care.
• Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
• Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
• Proficiency in electronic medical records (EMR) systems and documentation processes.
• Ability to assess complex situations, identify solutions, and implement effective care plans.

Licenses and Certifications

• LPN - Licensed Practical Nurse - State Licensure Licensure in state of employment required or
• LVN - Licensed Vocational Nurse Licensure in state of employment required
• BLS - Basic Life Support preferred

At North Okaloosa Medical Center, we believe in providing convenient care in a comfortable setting. With the help of more than 600 employees, 150 physicians on staff and more than $12 million of recent capital upgrades and renovations, we have created a caring place where clinical expertise and advanced technology blend seamlessly with sincerity and compassion. We pride ourselves on our unique dedication to the community hospital experience. While we believe it's vital to stay up to date with technology, we will never lose sight of what's truly important - the human interaction that is crucial to providing quality care. Our goal is to anticipate the needs and exceed the expectations of our patients and their families, ALWAYS. North Okaloosa Medical Center stands ready to meet the healthcare needs of the region. We are very proud of the services we provide and it is our goal to make you proud to choose North Okaloosa Medical Center.