LVN Care Coordinator | Active California LVN License Required | Remote

Alignment Healthcare USA, LLC in; Orange (CA); Remote; USD 71,000 - 106,000; Full time

Job summary

Alignment Health in California is seeking an experienced care coordinator (LVN license required) to manage and coordinate short-term chronic care needs telephonically, following a provider-developed care plan to optimize member health and costs.

You will work with PCPs, NP, RN case managers, and specialists, assess needs, educate members, and monitor outcomes while ensuring compliance with state and federal guidelines; strong communication and problem-solving are essential.

Qualifications

• 5 years of clinical case management experience or an equivalent background.
• Current, unrestricted LVN license in the state for which you are applying.
• Associate degree preferred.

Responsibilities

• Manage and coordinate care for members with short-term chronic care needs based on a plan provided by providers.
• Coordinate and monitor member progress and services to ensure cost-effective, compliant care.
• Interface with PCPs, Nurse Practitioners, RN case managers and specialists for coordination of care.
• Counsel and engage patients and families on available care options; provide follow-up to implement care plans.

Skills

Clinical case management

Telephonic communication

Education

LVN license (unrestricted)

Associate degree preferred

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Responsible for health care management and coordination within the scope of licensure for members with short term chronic care needs based on care plan provided by providers implementing, coordinating, monitoring care plans designed to optimize member health care across the care continuum. Coordinates and monitors Alignment Healthcare member’s progress and services to ensure consistent cost effective care that complies with Alignment policy and all state and federal regulations and guidelines. Performs duties mostly telephonically.

General Duties/Responsibilities (May include but are not limited to): Ensures member access to services appropriate to their health needs. Identifies, assesses and manages members per established criteria. Review and implement care plan and provide education materials as necessary with members. Interfaces with Primary Care Physicians, Nurse Practitioners, RN case managers and specialists for coordination of care for members. Assists in problem solving with providers, RN case managers or service issues. Measures the effectiveness of interventions to determine case management referrals and outcomes. Participates and provides feedback in the development of utilization/care management policies and procedures. Counsels and engages in personal discussions with patients and their families on available care options. Helps them to determine their appropriate and preferred course of action. Providing follow up and implement care plan based on Nurse Practitioner

SUPERVISORY RESPONSIBILITIES: None

Minimum Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience: 5 years of clinical case management experience; or any combination of education and experience, which would provide an equivalent background.

Education/Licensure: Current, unrestricted LVN license in the state for which you are applying Associate degree preferred

Other: N/A

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and ... Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre‑employment testing or otherwise participating in the employee selection process, please contact [e-mail].

Pay Range: $70,823.00 - $106,234.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.