LVN Utilization Management: Transitional Care

Pomona-Valley-Hospital-Medical-Center; Pomona (CA); On-site; USD 39,000 - 55,000; Full time

Benefits offered by this job

Weekend shift premium

Job summary

Pomona Valley Hospital Medical Center is seeking a Licensed Vocational Nurse to join the Utilization Management team within Case Management. The LVN will collaborate with case managers, staff, payers, and post-discharge vendors to ensure safe, timely transitions of care and appropriate hospital reimbursement.

Strong clinical knowledge, organization, and communication are essential. Responsibilities include coordinating discharge processes, adapting to insurance requirements, and supporting

Qualifications

• California LVN licensure required.
• High school diploma or equivalent.
• Familiar with PVHMC's EMR, interdisciplinary team, and hospital policies.
• Knowledge of unit discharge processes and adaptable to changing insurance requirements.

Responsibilities

• Collaborate with Case Managers and staff to coordinate safe, timely transitions of care.
• Support patient care coordination to optimize outcomes and hospital reimbursement.
• Communicate effectively with payers, vendors, and team members.
• Participate in ongoing process improvements within Utilization Management.

Skills

EMR familiarity

Education

Licensed Vocational Nurse (CA)

Tools

Microsoft Office

Job description

Pomona Valley Hospital Medical Center is seeking a Licensed Vocational Nurse to join the Utilization Management team within Case Management. The LVN will collaborate with case managers, staff, payers, and post-discharge vendors to ensure safe, timely transitions of care and appropriate hospital reimbursement.

Strong clinical knowledge, organization, and communication are essential. Responsibilities include coordinating discharge processes, adapting to insurance requirements, and supporting