CASE Manager; Lpn​/Lvn

Summary

Identifies, plans, and coordinates high‑risk patient care (frail, chronic disease, catastrophic injury) in an ambulatory setting. Reviews referrals and applies the UM standards for patient care. Ensures continuity of care across the continuum. Promotes and evaluates quality and cost‑effective outcomes.

Monday‑Friday 8:30AM – 5:30PM

• EDUCATION and/or
  
  EXPERIENCE:
  
  High School Diploma or GED required. Graduate of an accredited LVN Program. A.A., Diploma preferred. One to two years related experience and/or training; or equivalent combination of education and experience.
• CERTIFICATES, LICENSES, AND REGISTRATIONS:
  Current California LVN license.

• Assess available information to determine patient needs. Develop and initiate comprehensive, multidisciplinary treatment plans.
• Consult and coordinate treatment plans with providers.
• Establish and implement with patient and health care team measurable goals within the proposed treatment plan.
• Verify patient and medical group eligibility and benefits. Monitor utilization of resources and readjust treatment plans when appropriate.
• Monitor patient responses to treatment plans.
• Monitor patient outcomes to determine patient satisfaction as well as the effectiveness and efficiency of the treatment plans.
• Orient providers to managed care and RMC goals and philosophies.
• Initiate required QRM reports per company policy.
• Utilize established criteria for authorization guidelines.
• Communicate problems with patients and physicians to resolve issues in a timely manner.

• Challenging and rewarding work environment
• Growth and Development Opportunities within UHS and its Subsidiaries
• Competitive Compensation

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.