LVN Clinical Liaison

Clinical Liaison Coordinator / LVN

Schedule & Work Format

Position Type: Full-Time

Schedule: Monday Friday, 9:00 AM 5:30 PM PST (flexibility required)

Work Model: Hybrid (Remote + Field- as determined)

Pay rate: $30/hr

Position Overview

The 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 Purpose

To 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 Responsibilities

1. Clinical Referral Review & Intake

Review incoming referrals for ALW and CalAIM eligibility

Assess:

Level of care (NFLOC vs community appropriateness)

ADLs, cognitive status, behavioral health risks

Medical complexity and medication needs

Identify red flags (unsafe discharge, behavioral risks, unmet care needs)

Ensure all required documentation is complete:

602 Physician Report

Medication list

Clinical notes/discharge summary

Face sheet

Escalate inappropriate or high-risk placements immediately

2. Placement Coordination (ALW Focus)

Match members to appropriate RCFE/ALF placements based on:

Clinical needs

Behavioral considerations

Facility capability and staffing

Coordinate with:

Facilities (administrators, wellness directors)

Discharge planners

Families and caregivers

Ensure safe and timely transitions from:

Hospitals

SNFs (including 60+ day ALW/MCP eligibility cases)

Track placement status daily until completion

3. CalAIM & MCP Coordination

Serve as clinical liaison with Managed Care Plans

Support ECM and Community Supports referrals

Ensure timely communication and documentation submission to MCPs

4. Field Liaison & Relationship Management

Conduct on-site visits to:

Hospitals

SNFs

Assisted Living Facilities

Build and maintain referral pipelines with:

Case managers

Social workers

Discharge planners

Education on ALW and CalAIM programs to referral partners

Position Star Nursing as the preferred placement and care coordination provider

5. Documentation & Compliance

Maintain accurate and real-time documentation in Sprite Care Management systems

Ensure compliance with:

California Department of Health Care Services

ALW program requirements

CalAIM guidelines

MCP contractual obligations

Track:

Referral timelines

Placement outcomes

Barriers to care

6. Risk Management & Member Safety

Identify unsafe discharge plans or inappropriate placements

Advocate for higher level of care when needed

Escalate:

Behavioral health concerns

Abuse/neglect risks

Housing instability

Collaborate with ECM teams to ensure whole-person care planning

Required Qualifications

Active, unrestricted LVN license (California)

Minimum 23 years clinical experience (SNF, hospital, RCFE, ALF, case management, or home health)

Experience with:

Medi-Cal population

Discharge planning or care coordination

Strong understanding of:

ALF/RCFE level of care

ADLs and functional assessments

Preferred Qualifications

Direct 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 SNFs

Bilingual (preferred)

Core Competencies (Non-Negotiable)

Clinical judgment under pressure

High-volume workflow management

Relationship-building and influence

Problem-solving and escalation awareness

Strong communication (clinical + non-clinical audiences)

Time-sensitive decision-making

Performance Expectations (KPIs)

Referral response time: < 24 hours

Placement turnaround time: within 30 to 60 days

Referral-to-placement conversion rate

MCP/DHCS satisfaction and responsiveness

Accuracy and completeness of documentation

Growth in referral network

Work Environment Reality Check

This role requires someone who can:

Handle constant inbound referrals and competing priorities

Navigate gray areas in placement decisions

Push back on unsafe discharges (this is critical)

Move quickly without compromising clinical judgment

Why This Role Matters

This position directly impacts:

Whether members avoid unnecessary SNF placement

Whether discharges are safe vs risky