Nurse Case Manager Work From Home Jobs in Riverside, CA

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Internal Title: Clinical Lead Care Manager (CLCM)

Location: Orange County, CA

We're seeking an exceptional LVN Case Manager/Clinical Lead Care Manager (CLCM) to join our Enhanced Care Management team in Orange County, CA. Under the direction of the ECM Clinical Manager, the CLCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client’s caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.

This is a hybrid position that requires traveling throughout Orange County up to 5 days per week. Candidates wishing to be considered must reside within 20-miles of the assigned territory due to frequency of travel.

This is a critical role and we're looking to fill it as soon as possible.

Hybrid (in-person and remote) care management duties as described below:

• Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports

• Oversees the development of the client care plans and goal settings

• Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services

• Connect clients to other social services and supports that are needed

• Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)

• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles

• Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system

• Evaluate client’s progress and update SMART goals

• Provide mental health promotion

• Arrange transportation (e.g., ACCESS)

• Complete all documentation, including outcome measures within the timeframes established by the individual care plans

• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems

• Complete monthly reporting to ensure program compliance

• Attend training as assigned

• Active, unrestricted LVN license in California required

• 2+ years of experience as a care manager, care navigator, community health worker, or home health nurse supporting vulnerable populations

• Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely, with flexibility for potential evenings and weekends.

• Working knowledge of government and community resources related to social determinants of health

• Excellent oral and written communication skills

• Positive interpersonal skills required

• Valid driver's license and reliable transportation

• Must have general computer skills and a working knowledge of Google Workspace, MS Office, and the internet

• Bilingual (English/Spanish) highly preferred

Keywords: Care Manager, Case Manager, Social Work, Community Health Worker, Behavioral Health, Housing Navigator, Care Navigator, Care Coordinator, Healthcare

• The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.

• Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.

• Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.

• Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.

• Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.

• Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.