Case Manager (LVN/RN)

Astrana Health Tustin, CA 92780, US

$34.40 - $48.40 / hour

Case Manager (LVN/RN)

Department: 6570-Sub-Acute Pediatric

Employment Type: Full Time

Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL")

Reporting To: Magdalena Vargas

Compensation: $34.40 - $48.40 / hour

Description

We are currently seeking a highly motivated Case Manager. This role will report to the Supervisor – Inpatient Case Management and enable us to continue to scale in the healthcare industry. This is an on-site role where the expectation is to work at Foothill Regional Medical Center.
Our Values:

Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team

What You'll Do

Comply with Case Management Department’s policies and procedures
95 - 100% compliance with Utilization Management health plan delegation standards for Case Management
Utilize Milliman Care Guidelines, CMS, Title 22 guidelines and criteria for appropriateness of transition of care for members in SNF, SA, ARU, LTAC setting
Collaborating with Hospitalists, case managers, and discharge planners to establish discharge plans at time of admission
Responsible for coordinating the required initial and concurrent reviews based on the review of medical records received and accurate reporting of all admissions to Medical Director and Manager and/ or Supervisor of Case Management Department
Review of medical records and/or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate Guidelines
Assess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission
Attends/coordinates Case Management meetings on and off-site as necessary
Interacts with the providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements
Attend to provider and interdepartmental calls in accordance with exceptional customer service
Maintain good relationships with health plans, facilities and medical directors. Resolve problems that arise with any IPA medical directors
Report to Manager and/or Supervisor of Case Management on activities and/or problems occurring throughout the day

Qualifications

Bachelors’ degree in Nursing, or LVN
Active Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license in California
Ability to commute to our Monterey Park, CA office
Experience using Microsoft applications such as Word, Excel and Outlook
At least Two (2) years of clinical knowledge and experience as an LVN
Skilled Nursing Facility experience a plus

You're great for this role if:

Excellent analytical critical reasoning
Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines
Ability to educate and train staff members and other departments as needed
Experience using EZCAP
Strong communication and customer service skills
Punctual, Creative, self-motivated
Professional appearance and conduct
Conceptual and “big picture” understanding
Able to function independently under time constraints
Willing to learn and develop new responsibilities and skills
Good organization, critical thinking and problem solving skills
Must be detail-oriented and able to work autonomously but also as a team member
Have experience in SNF case management

Environmental Job Requirements and Working Conditions

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Share this job

Related Jobs

LVN Intake Coordinator, Hospice

AccentCare, Inc. Ontario, CA

$28 - $30 / hour

Overview LVN Admissions Coordinator Location: Ontario / Rancho Cucamonga, CA Position: LVN Admissions Coordinator Job ID: 75804 Remote/Virtual Position: No Coverage Area: In Office Find Your Passion and Purpose as a Full-Time Admissions Coordinator Salary: $28 - $30 / hour Schedule: M-F / 8:00 AM - 5:00 PM What You Need to Know Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Admissons Coordinator You Can Be If you meet these qualifications, we would love to meet you: Licensed LVN or BSW 1+ year Hospice experience Excellent written and verbal communication skills Strong organizational skills Excellent customer service background Demonstrated familiarity with policies of the organization and state(s) and federal regulations pertaining to hospice services Ability to work closely with a wide variety of stakeholders Effective use of problem-solving skills Responsibilities As an Admissons Coordinator, you will: Receive professional referrals and obtain the critical referral information in the form easiest for the referral source (electronic, fax notification, phone, Hospice Care Consultant (HCC) notification, etc.) to ensure timely response and data entry in the electronic medical record (EMR) system. Receive potential patient and family inquiries regarding Hospice services. Obtain and input referrals into EMR, the basic information regarding the patient status in order to describe how Seasons may assist, with a goal of scheduling a visit to initiate the relationship Coordinate and schedule visits to ensure the appropriate staff makes initial contact, based on patient condition and family situation, to meet the professional referral source Communicate with referral sources, attending physicians, Seasons staff members, and other agencies as needed, to coordinate initiation of hospice services Maintain regular communication with all involved in sign-on, consent and admission assessment phases to ensure seamless coordination of information and services Maintain accurate EMR documentation and referral statistics Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

LVN Intake Coordinator, Hospice

AccentCare, Inc. Ontario, CA

Overview LVN Admissions Coordinator Location: Ontario / Rancho Cucamonga, CA Position: LVN Admissions Coordinator Job ID: 75804 Remote/Virtual Position: NO Coverage Area: In Office Find Your Passion and Purpose as a Full-Time Admissions Coordinator Salary: $28 - $30 / hour Schedule: M-F / 8:00 AM - 5:00 PM What You Need to Know Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Admissons Coordinator You Can Be If you meet these qualifications, we would love to meet you: Licensed LVN or BSW 1+ year Hospice experience Excellent written and verbal communication skills Strong organizational skills Excellent customer service background Demonstrated familiarity with policies of the organization and state(s) and federal regulations pertaining to hospice services Ability to work closely with a wide variety of stakeholders Effective use of problem-solving skills Responsibilities As an Admissons Coordinator, you will: Receive professional referrals and obtain the critical referral information in the form easiest for the referral source (electronic, fax notification, phone, Hospice Care Consultant (HCC) notification, etc.) to ensure timely response and data entry in the electronic medical record (EMR) system. Receive potential patient and family inquiries regarding Hospice services. Obtain and input referrals into EMR, the basic information regarding the patient status in order to describe how Seasons may assist, with a goal of scheduling a visit to initiate the relationship Coordinate and schedule visits to ensure the appropriate staff makes initial contact, based on patient condition and family situation, to meet the professional referral source Communicate with referral sources, attending physicians, Seasons staff members, and other agencies as needed, to coordinate initiation of hospice services Maintain regular communication with all involved in sign-on, consent and admission assessment phases to ensure seamless coordination of information and services Maintain accurate EMR documentation and referral statistics Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Licensed Vocational Nurse - Home Health - Full Time - Ontario

Bridge Home Health & Hospice Ontario, CA

$25 - $30 / hour

Req #656 Job Description Summary The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of a registered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. Essential Job Functions/Responsibilities: Provides direct patient care as defined in the state Nurse Practice Act. Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education regarding self-care techniques and information pertinent to diagnosis and plan of care. Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST, Dietician) to the registered nurse and/or Clinical Manager. Uses and/or prepares equipment and supplies effectively and efficiently adhering to aseptic technique. Participates in personal and professional growth and development. Performs other duties as assigned by the registered nurse. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Job Qualifications: Graduate of an accredited practical nurse or vocational nursing program. Has three (3) years nursing experience. Community/home health or medical/surgical experience is preferred. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state. Possess and maintain valid CPR certification. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must possess a valid California Driver’s License with automobile that is in good working order and insured in accordance with the organization requirements. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours. The ability to pull greater than 50 pounds occasionally for 1-3 hours.

Licensed Vocational Nurse - Home Health - PRN - Ontario

Bridge Home Health & Hospice Ontario, CA

$25 - $30 / hour

Req #657 Job Description Summary The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of a registered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. Essential Job Functions/Responsibilities: Provides direct patient care as defined in the state Nurse Practice Act. Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education regarding self-care techniques and information pertinent to diagnosis and plan of care. Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST, Dietician) to the registered nurse and/or Clinical Manager. Uses and/or prepares equipment and supplies effectively and efficiently adhering to aseptic technique. Participates in personal and professional growth and development. Performs other duties as assigned by the registered nurse. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Job Qualifications: Graduate of an accredited practical nurse or vocational nursing program. Has three (3) years nursing experience. Community/home health or medical/surgical experience is preferred. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state. Possess and maintain valid CPR certification. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must possess a valid California Driver’s License with automobile that is in good working order and insured in accordance with the organization requirements. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours. The ability to pull greater than 50 pounds occasionally for 1-3 hours.

LVN

Full-time

2 weeks ago

LVN Staff Nurse (Licensed Vocational Nurse)

Alta Vista Healthcare & Wellness Centre Riverside, CA

A licensed professional nurse under the supervision of a Registered Nurse who provides nursing care and services to residents in a long-term care setting. Qualifications: • Graduate of an accredited school of nursing or an approved LVN program • Current nursing licensure in good standing with the State licensing board • Strong communication and organizational skills • Ability to provide quality patient care in accordance with applicable standards, policies, and procedures • Ability to identify and report problems, use initiative and good judgment to reach quality decisions • Comprehensive knowledge of applicable nursing principles and practices to ensure the quality of care standards for residents are • Possess the willingness to work with professional and non-professional personnel. Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty • Valid CPR certification General Duties and Responsibilities: GENERAL • Provides nursing care as prescribed by physician/health care professional in accordance with the legal scope of practice, any Board of Licensing restrictions, and within established standards of care, policies, and procedures • Administers professional services and provides care consistent with allowing residents to attain or maintain his or her highest practicable physical, mental, and emotional well-being. Provides clinical data and observations to contribute to the nursing plan of care CLINICAL • Admits, transfers, and discharges residents in accordance with policy and procedure • Orients new residents/families as necessary • Gives/receives nursing reports upon beginning and ending of assigned shift. Reviews daily patient report and assignments with Nursing Assistants upon the beginning of assigned shift • Assures that the unit area is maintained in a clean and safe manner for resident comfort and convenience. • Conducts daily resident rounds to observe the resident’s physical and emotional status • Collects clinical data and reports significant clinical findings according to policy • Performs manual and technical skills according to the scope of practice under the direction of a Registered Nurse • Records care information accurately, timely and concisely. Completes all required documentation including resident observations, interventions, and patient response(s) in the medical record in accordance with policy • Assists in developing, reviewing, revising, and updating resident Plans of Care as indicated. Contributes to the evaluation of the patient’s progress towards specific goals and the adjustment of the nursing plan of care as necessary • Receives and transcribes orders accurately from attending/alternate physician. • Assists in making rounds with the attending physician, as necessary. • Prepares/administers medications as ordered by the physician and within the legal scope of practice. • Completes medical treatments as indicated and ordered by the physician. • Evaluates response and report adverse reactions to medication or treatments in accordance with the policy. • Assures that narcotic and controlled drugs are secure, inventory counts are accurate and narcotic register documentation is timely and accurate • Orders prescribed medications, supplies and equipment as established by the facility’s policies and procedures. • Requisitions and arranges for diagnostic and therapeutic services as ordered by the physician. • Notifies the attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within established policies. • Notifies the attending/alternate physician of resident incidents/unusual occurrences. Completes Accident/Incident Report forms as indicated and documents relevant information in the resident’s medical record as outlined in established policies and procedures. Initiate investigation of accidents and unusual occurrences • Informs RN Supervisor or RN in charge of the facility of significant changes in resident condition, unusual occurrences, incidents, or accidents as indicated and per facility policy and procedure • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required. • Reports allegations of abuse or unusual occurrence per State and Federal Regulations and facility policy. Assists with a gathering of information relative to the event. • Initiates emergency procedures (including basic CPR) and provide emergency patient treatments • Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff. • Participates in procedures for reporting hazardous conditions or equipment. • Assists in orientation of newly assigned personnel as requested. • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assigned. • Supervise CNAs SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying, and making corrections as necessary • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care • Assist the Charge Nurse in revision and distribution of nursing assignments as needed • Assist in the supervision and direction of nursing personnel • Participate in disciplinary action and evaluation of nursing personnel CONSUMER SERVICE • Presents a professional image to consumers through dress, behavior, and speech. • Treats residents/family members with dignity and respect • Responds to Resident and family concern(s) and assists in resolving grievances. Records grievances per facility policy ADDITIONAL DUTIES • Participate in the facility's Quality Assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. Actively participates in Quality Assurance Performance Improvement teams and activities • Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA) • Participates in the facility’s Infection Control Program for monitoring communicable and/or infectious disease among residents and staff • Participate in procedures for reporting hazardous conditions or equipment. • Orient new staff members upon request • Participate in the facility's quality assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required • Attends in-services and educational classes to maintain nursing skills competency, and current knowledge for the standard of care and effective practices • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assign