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Lsma Management

20 jobs near Columbus, OH

LSMA Management Inc

RN Care Manager

San Bernardino, CA · On-site

$110K - $120K/yr

Bachelor of Science in Nursing (BSN) Experience Minimum: 3+ years of care management experience in a healthcare setting Preferred: Experience in managed care or health plan environment. At least 1 ...

LSMA Management Inc

RN Care Manager

San Bernardino, CA · On-site

$110K - $120K/yr

Bachelor of Science in Nursing (BSN) Experience Minimum: 3+ years of care management experience in a healthcare setting Preferred: Experience in managed care or health plan environment. At least 1 ...

LSMA Management Inc

RN Care Manager

San Bernardino, CA

$110K - $120K/yr

Bachelor of Science in Nursing (BSN) Experience Minimum: 3+ years of care management experience in a healthcare setting Preferred: Experience in managed care or health plan environment. At least 1 ...

LSMA Management Inc

Accounting Clerk

Redlands, CA · On-site

$27 - $30/hr

This role acts as a central hub for accounting operations by managing transaction data, reconciling accounts, cash deposits, supporting accounts payable and accounts receivable, maintaining records ...

Concurrent Case Management LVN

LSMA Management Inc

San Bernardino, CA

$35 - $40/hr

Other

Re-posted 3 days ago

Job description

Description

JOB SUMMARY

The Concurrent Case 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 Case 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 Case 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


Education/Training

Minimum: High School diploma or equivalent required. Graduate from an accredited vocational nursing program.

Preferred: Additional training or coursework in case management, utilization management, or care coordination.


Experience 

Minimum: At least two years of clinical experience as an LVN.

Preferred: 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)

Current California Licensed Vocational Nurse (LVN) license.

Basic Life Support (BLS) certification. 


Skills, Knowledge & Abilities

   Knowledge of inpatient and post-acute care coordination processes
   Understanding of utilization management and medical necessity principles
   Knowledge of SNF, IRF, LTACH, home health, and hospice care settings
   Ability to monitor patient progress and identify barriers to discharge
   Strong clinical documentation and organizational skills
   Ability to work independently and collaboratively
   Strong communication and interpersonal skills
   Ability to manage multiple cases simultaneously
   Proficiency with electronic medical record and care management systems
   Knowledge of managed care and healthcare delivery systems in California
   Understanding of HIPAA and patient confidentiality requirements

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office, hospital, and/or community-based setting; may require standing/walking for extended periods during onsite rounds or facility visits. Frequent use of computer, phone, and video conferencing; prolonged sitting when performing documentation and reporting. Ability to travel locally to hospitals and post-acute facilities; occasional regional travel may be required. Ability to lift/move items up to approximately 20 pounds (e.g., laptop, files, work materials). Visual and auditory acuity required to review clinical documentation and communicate effectively with patients, families, and care teams.


PAY RANGE

$35.00 - $40.00 / hourly

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