Ambulatory Case Manager, LVN/RN, Full-Time, Days The Ambulatory Case Manager, LVN is responsible for providing comprehensive care coordination and case management services to members, ensuring seamless transitions of care, promoting health stabilization, and reducing avoidable hospitalizations. The PHP Ambulatory Case Management team handles High‑Risk Case Management, Complex Case Management (CCM), Special Needs Plan Case Management (SNP), and Care Coordination including Transitions of Care (TOC). This role requires strong knowledge of case management programs, health plan benefits, managed care principles, and community resources. The manager will engage with members, families, healthcare providers, and multidisciplinary teams to create and implement individualized care plans and serve as a liaison between key stakeholders including members, providers, and health plans.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network includes PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty physician group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. PIH Health is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting‑edge advancements, and quality of care.
Required Skills Knowledge of case management principles, care coordination, and transition of care processes
Ability to work collaboratively with multidisciplinary teams, patients, and families
Strong communication, organizational, and problem‑solving skills
Computer literate, with ability to navigate multiple computer applications
Required Experience High school diploma or GED
Current California State LVN or RN licensure
Minimum 2 years clinical experience
Preferred Associate degree
Valid California Driver’s License and proof of automobile insurance
Experience in case management
Managed Care experience
Proficiency in Excel and Word
Job Details Address : 6557 Greenleaf Ave.
Salary : $33.35 – $55.00 per hour
Shift : Days
Zip Code : 90601