Care Manager, LVN

Care Manager, LVN

Overview
We invite compassionate healthcare professionals to join a mission-driven team committed to healing and inspiring the human spirit. The Care Manager, LVN partners with providers, hospitals, medical groups, community agencies, caregivers, and Members to support coordinated care, collaborating closely with RN Care Managers and the interdisciplinary care team (ICT). This role helps advance organizational quality program goals, including HEDIS, CAHPS, and NCQA standards.

Key Responsibilities

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Act as a resource for Members and Providers on care management and coordination.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Screen Members for care management needs using approved tools (for example, Health Risk Assessment) and escalate findings to the RN Care Manager.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Contribute to development, review, and modification of Individualized Care Plans (ICPs); discuss ICP recommendations with RN Care Managers and ICT.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Provide Member education using approved care plans and materials; document education and readiness for change.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Communicate unexpected clinical results or social determinants concerns to RN Care Managers and ICT promptly.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Advocate for Members and serve as liaison between Members, caregivers, and the interdisciplinary team.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Facilitate and coordinate referrals and support services (examples: CCS, multi-organ transplant programs, LTSS, Independent Living and Disability Services, Behavioral Health, community resources).
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Assist Members with urgent access, referrals, and authorization issues as needed.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Use evidence-based communication techniques (e.g., Motivational Interviewing) during Member interactions and team coordination.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Build and maintain strong working relationships with Providers through in-person contact, telephone, secure messaging, and fax as required.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Support quality improvement initiatives and HEDIS gap-closure efforts.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Coordinate medical and behavioral health access with PCPs, specialists, and ancillary services.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Perform other duties as assigned under the supervision of RN Care Managers or leadership.

Qualifications

Education & Experience

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Minimum 3 years of care management experience in a healthcare delivery setting; internal candidates with 2+ years in Care Management and strong performance may substitute.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Experience in HMO or managed care preferred.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  At least 1 year of clinical experience in acute care, SNF, home health, or clinic setting preferred.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  High school diploma or GED required.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Active, unrestricted LVN license issued by the relevant state Board of Vocational Nursing & Psychiatric Technicians.

Required Skills & Abilities

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Valid driver's license and reliable transportation as required by the role.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Clinical assessment skills and basic knowledge of care planning and chronic disease management.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Strong verbal and written communication skills; ability to educate Members and engage caregivers.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Proficiency with electronic health records, telephonic outreach, and standard documentation practices.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Ability to lift/move up to 25 lbs and perform physical tasks such as standing, walking, bending, and stair climbing when required.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Ability to meet vision and hearing requirements essential for safe patient care and documentation.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Must meet telecommute expectations and attend on-site meetings as required by the employer.

Working Conditions & Telecommuting

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  This is a remote role with required occasional on-site attendance for meetings or business needs.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Schedule may include evenings or weekends on an as-needed basis for urgent Member needs or events.

Perks & Benefits (example)

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Retirement plan and supplemental retirement options with employer match.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Generous paid time off (vacation, holiday, sick).
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Medical, dental, and vision insurance; employer-paid life insurance and optional plans.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Short-term and long-term disability, pet insurance, Flexible Spending Accounts.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  On-site or subsidized fitness options, wellness programs, career development opportunities, competitive salary with annual merit increases, and potential team bonus opportunities.

Physical & Visual Requirements

• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Occasional lifting up to 25 lbs; standing/walking/sitting; reaching, bending, crawling, stair climbing.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Vision: close, distance, color, peripheral, depth perception, and focus adjustment.
• p]:pt-0 [&> p]:mb-2 [&> p]:my-0\" style=\"\">
  Hearing and speaking adequate for telephonic and in-person Member interactions.