LVN Clinical Liaison

Clinical Liaison Coordinator / LVNPosition Type: Full-TimeSchedule: Monday – Friday, 9:00 AM – 5:30 PM PST (flexibility required)Work Model: Hybrid (Remote + Field- as determined)Pay rate: $30/hrPosition OverviewThe Clinical Liaison Coordinator (LVN) serves as a critical bridge between hospitals, skilled nursing facilities (SNFs), health plans (MCPs), and community-based settings. This role is responsible for clinical review, referral coordination, and the safe placement of members into Assisted Living Waiver (ALW) and CalAIM programs.This is not a passive desk role — it is a high-accountability, fast-paced, clinical, and relationship-driven position requiring strong judgment, urgency, and the ability to move referrals from intake to placement quickly while ensuring regulatory compliance and member safety.Job PurposeTo clinically evaluate, coordinate, and expedite placement of Medi-Cal members into appropriate ALW and CalAIM services, while maintaining strong partnerships with Managed Care Plans (MCPs), hospitals, SNFs, RCFE/ALF, and community providers.Core Responsibilities1. Clinical Referral Review & IntakeReview incoming referrals for ALW and CalAIM eligibilityAssess: Level of care (NFLOC vs community appropriateness)ADLs, cognitive status, behavioral health risksMedical complexity and medication needsIdentify red flags (unsafe discharge, behavioral risks, unmet care needs)Ensure all required documentation is complete: 602 Physician ReportMedication listClinical notes/discharge summaryFace sheetEscalate inappropriate or high-risk placements immediately2. Placement Coordination (ALW Focus)Match members to appropriate RCFE/ALF placements based on: Clinical needsBehavioral considerationsFacility capability and staffingCoordinate with: Facilities (administrators, wellness directors)Discharge plannersFamilies and caregiversEnsure safe and timely transitions from: HospitalsSNFs (including 60+ day ALW/MCP eligibility cases)Track placement status daily until completion3. CalAIM & MCP CoordinationServe as clinical liaison with Managed Care PlansSupport ECM and Community Supports referralsEnsure timely communication and documentation submission to MCPs4. Field Liaison & Relationship ManagementConduct on-site visits to: HospitalsSNFsAssisted Living FacilitiesBuild and maintain referral pipelines with: Case managersSocial workersDischarge plannersEducation on ALW and CalAIM programs to referral partnersPosition Star Nursing as the preferred placement and care coordination provider5. Documentation & ComplianceMaintain accurate and real-time documentation in Sprite Care Management systemsEnsure compliance with: California Department of Health Care ServicesALW program requirementsCalAIM guidelinesMCP contractual obligationsTrack: Referral timelinesPlacement outcomesBarriers to care6. Risk Management & Member SafetyIdentify unsafe discharge plans or inappropriate placementsAdvocate for higher level of care when neededEscalate: Behavioral health concernsAbuse/neglect risksHousing instabilityCollaborate with ECM teams to ensure whole-person care planningRequired QualificationsActive, unrestricted LVN license (California)Minimum 2–3 years clinical experience (SNF, hospital, RCFE, ALF, case management, or home health)Experience with: Medi-Cal populationDischarge planning or care coordinationStrong understanding of: ALF/RCFE level of careADLs and functional assessmentsPreferred QualificationsDirect experience with: Assisted Living Waiver (ALW)California Advancing and Innovating Medi-Cal (CalAIM)Enhanced Care Management (ECM)Community Supports (CS)Existing relationships with hospitals or SNFsBilingual (preferred)Core Competencies (Non-Negotiable)Clinical judgment under pressureHigh-volume workflow managementRelationship-building and influenceProblem-solving and escalation awarenessStrong communication (clinical + non-clinical audiences)Time-sensitive decision-makingPerformance Expectations (KPIs)Referral response time: < 24 hoursPlacement turnaround time: within 30 to 60 daysReferral-to-placement conversion rateMCP/DHCS satisfaction and responsivenessAccuracy and completeness of documentationGrowth in referral networkWork Environment Reality CheckThis role requires someone who can:Handle constant inbound referrals and competing prioritiesNavigate gray areas in placement decisionsPush back on unsafe discharges (this is critical)Move quickly without compromising clinical judgmentWhy This Role MattersThis position directly impacts:Whether members avoid unnecessary SNF placementWhether discharges are safe vs risky