Position Description
The ECM Care Manager–Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care Physician and Registered Nurse, the LVN coordinates care for patients needing support by collaborating with the patient, family, physician, nurses, and other members of the ECM healthcare team to identify needs and expedite valuable, appropriate, and cost‑effective care.
The LVN will support an individualized care plan focused on disease management and prevention, and or development of improved strategies to benefit patients at risk. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices, adopt life‑long healthy behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions.
FLSA Status: Exempt. Salary Range: $75,000K - 93,000K. Reports To: Director Of Medical Management. Direct Reports: N/A. Location: Riverside, CA. Travel: Up to 75%. Work Type: Regular. Schedule: Full Time.
Duties include, but are not limited to:
Implement and support individualized patient care plans
Address patient risk factors and/or obstacles to care, including hospital/ER utilization
Facilitate engagement between the PCP and patient
Demonstrated ability to influence others while motivating them to change
Participation in required care coordination conferences
Maintain a predetermined patient caseload
Exercise sound clinical judgment, seek advice, and sign off from a Registered Nurse as appropriate
Take initiative in finding solutions to difficult and/or sensitive problems
Participate in quality gap closures
Work as a patient advocate
Perform miscellaneous job‑related duties as assigned
Knowledge and Skills / Expected Competencies
Willingness & ability to interact with healthcare personnel within a variety of clinical settings
Understanding of HIPAA, Confidentiality Obligations, and nursing best practice
Demonstrated ability to work as part of a team
Excellent interpersonal and organizational skills
Candidate must be able to execute workflows and work together with RNs and other members of the multi‑disciplinary care team
Knowledge of Payor programs and Quality Metrics
Ability to review clinical data to address care opportunities and healthcare utilization trends
Critical thinking skills & ability to adapt to a fast, complex working environment
Strong autonomous problem‑solving ability
Excellent time management skills
Multitasking and prioritization, working in a high‑volume environment with minimal supervision
Ability to undertake a variety of diverse care tasks and work in a multidisciplinary team
Compassionate and able to handle stress
Documentation accuracy in medical records
Adaptable to new technologies and software
Physical / Mental Demands and Work Environment
The physical demands described are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to walk, bend, sit, talk, lift, or hear; stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer); may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required include close vision and the ability to adjust focus. The employee may need to travel to healthcare practices. The noise level in the work environment is usually low to moderate.
Qualifications
Current Vocational Nurse License
Two (2)+ years of experience in one or more of the following settings: Ambulatory Care Management
Must have a valid driver’s license and be able to travel
Benefits
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness‑related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions
COPE Health Solutions is a national tech‑enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de‑risks the roadmap to advanced value‑based payment and improves quality and financial performance for providers, health plans and self‑insured employers. For more information, visit https://copehealthsolutions.com/.
To Apply
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.