Case Manager, LVN

Job Number: 3754

Workplace Type: Fully Remote

Position Title: Case Manager, LVN

External Description:

*****MUST BE LICENSED IN CALIFORNIA*****

Position Summary: 

Responsible for health care management and coordination within the scope of licensure for members with short term chronic care needs based on care plan provided by providers implementing, coordinating, monitoring care plans designed to optimize member health care across the care continuum. Coordinates and monitors Alignment Healthcare member’s progress and services to ensure consistent cost effective care that complies with Alignment policy and all state and federal regulations and guidelines. Performs duties mostly telephonically.

 

General Duties/Responsibilities (May include but are not limited to): 

• Ensures member access to services appropriate to their health needs.
• Identifies, assesses and manages members per established criteria.
• Review and implement care plan and provide education materials as necessary with members.
• Interfaces with Primary Care Physicians, Nurse Practitioners, RN case managers and specialists for coordination of care for members.
• Assists in problem solving with providers, RN case managers or service issues.
• Measures the effectiveness of interventions to determine case management referrals and outcomes.
• Participates and provides feedback in the development of utilization/care management policies and procedures.
• Counsels and engages in personal discussions with patients and their families on available care options. Helps them to determine their appropriate and preferred course of action.
• Providing follow up and implement care plan based on Nurse Practitioner

 

 

SUPERVISORY RESPONSIBILITIES:

None

 

Minimum Requirements: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

1. Minimum Experience:
   1. 5 years of clinical case management experience; or any combination of education and experience, which would provide an equivalent background.
2. Education/Licensure:
   1. Current, unrestricted LVN license in the state for which you are applying
   2. Associate degree preferred
3. Other:
   1. N/A

1. Work Environment
1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Essential Physical Functions: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City: Remote - CA

State: California

Location City: Remote - CA

Location State: California

Community / Marketing Title: Case Manager, LVN

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].