Remote LVN Care Manager & Care Coordinator

Astrana Health, Inc.; Northern (KY); Hybrid; USD 41,000 - 47,000; Full time

Job summary

Astrana Health, Inc. is seeking a Care Manager I - LPN to support patients in the Maryland area. The role focuses on developing individualized care plans, coordinating community resources, and ensuring high-quality care across the provider network.

The successful candidate will possess LPN/LVN credentials with experience in utilization management and case management, and will work remotely to connect patients with needed services and coverage. Knowledge of Medicare/Medicaid is a plus.

Qualifications

• Two years’ utilization management experience applying evidence-based clinical criteria and benefit plans.
• Three years’ clinical experience, preferably in case management or a related area.
• LVN/LPN required; CCM certification preferred.

Responsibilities

• Develop and initiate client-centered, comprehensive Individual Care Plans aligned with guidelines.
• Identify and coordinate community services, leveraging Medicare/Medicaid knowledge.
• Coordinate care through assessment, planning, implementation and follow-up with the care team.
• Manage discharge plans and collaborate with providers and families to ensure quality care.
• Advocate for insurance coverage and financial assistance for patients.
• Maintain precise clinical records with detailed documentation.
• Coordinate an interdisciplinary approach to ensure timely access to care and efficient use of resources.
• Assist UM Manager and participate in internal/external audits.
• Serve as liaison with contracted health plans for case management activities.

Skills

Utilization management

Care coordination

Clinical documentation

HIPAA compliance

Team communication

Education

LPN/LVN

Bachelor’s degree in nursing or related health services

Certified Case Manager (CCM)

Tools

EMR/EHR systems

Job description

Astrana Health, Inc. is seeking a Care Manager I - LPN to support patients in the Maryland area. The role focuses on developing individualized care plans, coordinating community resources, and ensuring high-quality care across the provider network.

The successful candidate will possess LPN/LVN credentials with experience in utilization management and case management, and will work remotely to connect patients with needed services and coverage. Knowledge of Medicare/Medicaid is a plus.