LPN/LVN Clinical Case Manager: Care Transitions & Outcomes

Millennium Physician Group; Wesley Chapel (FL); On-site; USD 33,000 - 50,000; Full time

Job summary

Millennium Physician Group is seeking a Clinical Case Manager (LPN/LVN) to coordinate care for patients with complex or chronic conditions. You will conduct clinical assessments, develop individualized care plans, and support transitions of care under established protocols.

Under supervision by senior staff, you will escalate any issues outside defined parameters and ensure documentation is precise in the EHR.

Qualifications

• Licensure as LPN/LVN required.
• Experience with chronic conditions preferred.
• Ability to develop individualized care plans.

Responsibilities

• Conduct telephonic or in-person assessments of patients with complex or chronic conditions to identify clinical, psychosocial, and resource needs.
• Develop and implement individualized care plans in collaboration with patients, caregivers, and multidisciplinary care teams, following established clinical protocols.
• Facilitate transitions of care, including hospital discharge planning, post-acute coordination, and community referrals, to reduce gaps and prevent readmissions.
• Monitor patient progress against care plan goals, adjusting interventions within LPN/LVN scope and escalating complex clinical issues to RN case managers or physicians.
• Coordinate with payers to ensure care plan activities meet authorization requirements and support documentation for value-based care performance.

Skills

LPN/LVN

Clinical assessments

Care planning

Education

LPN/LVN licensure

Job description

Millennium Physician Group is seeking a Clinical Case Manager (LPN/LVN) to coordinate care for patients with complex or chronic conditions. You will conduct clinical assessments, develop individualized care plans, and support transitions of care under established protocols.

Under supervision by senior staff, you will escalate any issues outside defined parameters and ensure documentation is precise in the EHR.