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VitalHires surfaces verified openings from hospital systems, health networks, and clinical employers across the US. Always confirm compensation and credentialing requirements on the employer's official hiring page before applying.

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HP

LVN Case Manager

Heritage Provider Network·Victorville, California

$28 - $29/hr·Full Time·On Site·0-2 yrs·Posted 12 days ago
Practice for this role

About the role

The role involves performing medical record reviews and data abstraction to close gaps in care for HEDIS measures. It also requires engaging with physicians and preparing progress reports for management and regulatory bodies.

Primary Job

Duties and Responsibilities

  • Engages physicians and office staff to facilitate discussions on HEDIS Part C Part D measures.
  • Performs medical record reviews, abstraction and data-entry for HEDIS as part of HEDIS operations to close GAPs in care.
  • Prepares reports and presentations outlining progress findings, and recommendations for management or regulatory bodies.
  • Conducts monthly reviews in a timely manner and in accordance with established guidelines.
  • Tracks compliance issues, trend data, prepares regular reporting to enhance performance related to HEDIS measures, and distributes to providers and internal teams.
  • Stays informed about the HEDIS/STAR rating requirements and applicable annual updates.
  • Prepares, submits, and bill findings to external stakeholders, ensuring adherence to reporting deadlines.
  • Presents a summary of all tracking reports to identify areas of improvement monthly or upon request.
  • Road travel required - 25% (Victor Valley surrounding cities)
  • Performs other related duties as assigned.

The pay range for this position at commencement of employment is expected to be between $27.66 and $29.07/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this

Qualifications

  • Education: High School graduate
  • Education: Graduate from an accredited school for Vocational Nurses.
  • Licensure: Current California LVN license.
  • Experience: One year experience with HEDIS/STAR, medical records review.
  • Knowledge: Required computer applications Excel, Word, Outlook, Power Point.
  • Able to work in a multi-task, high demand environment.
  • Driving: Driver’s License and proof of Auto Insurance.
  • Position is onsite.

Requirements

Candidates must be a high school graduate and a graduate of an accredited Vocational Nursing school with a current California LVN license. One year of experience with HEDIS/STAR and medical records review is required.

  • high school
  • professional certificate
  • Case Management
  • Reporting
  • Data Entry
  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • Microsoft PowerPoint
  • HEDIS
  • Medical Record Review
  • Compliance Tracking
  • Abstraction
  • STAR Ratings

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Salary
$28 - $29/hr
Location
Victorville, California
Posted
Jul 15, 2026
Application
Employer website
HP

Hiring organization

Heritage Provider Network

Heritage Victor Valley Medical Group is a hospital & health care company based out of United States.

Salary listed on 5 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size201-500 employees
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Market context

California nursing roles remain highly competitive

California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.

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