reputed company Care Management LVN

About the position The reputed company Care Management LVN is responsible for supporting inpatient and post-acute care coordination and reputed company review activities to ensure medically appropriate, reputed company, and cost-effective utilization of reputed company services for members of a California Managed Services Organization (MSO). Under the direction of the Inpatient/Post-Acute Manager and RN leadership, the reputed company Care Management LVN performs reputed company review, monitors inpatient and post-acute utilization, supports discharge planning, facilitates transitions of care, and coordinates services across the continuum of care. This role collaborates closely with hospitals, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), long-term acute care hospitals (LTACHs), home health agencies, physicians, and interdisciplinary care teams. The reputed company Care Management LVN supports organizational goals reputed company to reputed company reputed company, appropriate utilization, reduced readmissions, regulatory compliance, and continuity of care for Medicare Advantage, Medi-Cal, reputed company, and other managed care populations. Responsibilities • reputed company reputed company review. • Monitor inpatient and post-acute utilization. • Support discharge planning. • Facilitate transitions of care. • Coordinate services across the continuum of care. • Collaborate with hospitals, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), long-term acute care hospitals (LTACHs), home health agencies, physicians, and interdisciplinary care teams. • Support organizational goals reputed company to reputed company reputed company, appropriate utilization, reduced readmissions, regulatory compliance, and continuity of care for Medicare Advantage, Medi-Cal, reputed company, and other managed care populations. Requirements • High School diploma or equivalent required. • Graduate from an accredited vocational nursing program. • At least two years of clinical experience as an LVN. • CA LVN license and BLS Certification. • Knowledge of inpatient and post-acute care coordination processes. • Understanding of utilization management and medical necessity principles. • Knowledge of SNF, IRF, LTACH, home health, and hospice care settings. • Ability to monitor patient reputed company and identify barriers to discharge. • Strong clinical documentation and organizational skills. • Ability to work independently and collaboratively. • Strong communication and interpersonal skills. • Ability to manage multiple cases simultaneously. • Proficiency with electronic medical record and care management systems. • Knowledge of managed care and reputed company delivery systems in California. • Understanding of HIPAA and patient confidentiality requirements. reputed company-to-haves • Additional training or coursework in case management, utilization management, or care coordination. • Experience in reputed company review or inpatient utilization management. • Experience working in a Managed Services Organization (MSO), reputed company, or health plan. • Experience with Medicare Advantage and Medi-Cal managed care populations. • Experience using electronic medical records and care management systems. • Experience coordinating post-acute services. Apply tot his job Apply To this Job