LSMA Management Inc
Location
San Bernardino, California
Salary
$35 - $40 / HOUR
The Concurrent Care Management LVN supports inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate and cost-effective utilization of healthcare services for members of a California MSO. This role involves monitoring utilization, supporting discharge planning, facilitating transitions of care, and coordinating services across the continuum in collaboration with various healthcare providers.
Minimum requirements include a High School diploma or equivalent and graduation from an accredited vocational nursing program, along with at least two years of clinical experience as an LVN. Candidates must possess a California LVN license and BLS Certification.
Description JOB SUMMARY The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and cost-effective utilization of healthcare services for members of a California Managed Services Organization (MSO). Under the direction of the Inpatient/Post-Acute Manager and RN leadership, the Concurrent Care Management LVN performs concurrent 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 Concurrent Care Management LVN supports organizational goals related to quality outcomes, appropriate utilization, reduced readmissions, regulatory compliance, and continuity of care for Medicare Advantage, Medi-Cal, Commercial, and other managed care populations.
Requirements: Minimum & preferred qualifications
High School diploma or equivalent. Graduation from an accredited vocational nursing program.
Experience in concurrent review or inpatient utilization management. Experience working in a Managed Services Organization (MSO), IPA, 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. Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position. Certification(s) CA LVN license and BLS Certification
PAY RANGE $35.00 - $40.00 / hourly
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