LVN Care Manager

Company Information:

Calibrated Healthcare is a Business Process Outsourcing (BPO) company providing healthcare administration and administrative support for medical management for its clients in the Healthcare industry. Headquartered in Ontario, California, we currently have offices in India and the Philippines providing various administrative services to our clients.

Position Overview:

An ECM Care Team is a multidisciplinary, integrated team comprised of four primary roles: LVN Care Manager (LVN CM), Behavioral Health Care Manager (BH CM), Care Coordinator (CC), and Community Health Worker (CHW). This job description is for the LVN Care Manager (LVN CM) position.

Responsibilities:

· The LVN CM supports ECM Members with complex medical conditions and completes medication reconciliation in collaboration with pharmacy as available for all ECM-enrolled Members;

· Responsible for primarily working with a caseload of Members with complex medical needs (primarily Tiers 1and 2 as defined in Risk Grouping section on page 11);

· Engages Members and supports/encourages Member activation towards achievement of health goals;

· Responsible for promoting a collaborative and effective working environment within the ECM by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions;

· Tracks medical and behavioral health outcome measures in the web-based care management platform or equivalent platform

· Provides Member and family education about chronic medical and behavioral health conditions to improve health literacy;

· Gathers input from other ECM Care Team members to prioritize Member cases for systematic population/caseload review;

· Facilitates and ensures recommendations are communicated across the health care team;

· Works with Members to identify health/wellness goals, and incorporates these goals into Health Action Plans/Shared Care Plan that facilitate communication among Members and Provider

· Champions healthy lifestyle changes;

· Coordinates physical care management and care coordination relationships with external healthcare Providers;

· Receives, identifies and follows-up treatment and medication alerts;

· Consults with the ECM Care Team members about clinical concerns or questions, and provides educational training on chronic disease states, prevention, treatment, medications and healthy living;

· Ensures smooth transitions of care, coordination with hospitals for M1 or with IEHP transitions of care team forM2, regarding Member admission/ discharges;

· Conducts medication reconciliations with input from the Member’s PCP;

· Tracks and assures required assessments and screenings are performed, including Comprehensive Health Assessment and Shared Care Plan; and

· Reviews CHAs (splits role with BHCM) upon completion by other care team members

Educational Requirement:

· Bachelor's degree in healthcare administration, public health, nursing, or related field.

Skills & Experience Requirements/Preference:

· Current and unrestricted California Licensed Practical Nurse license.

· Minimum two years of direct patient care experience in health care or a related field.

· Experience in managerial role/Clinical Operations/Front & Back Office.

· Driver’s license.

· Excellent communication skills in verbal, written, and interpersonal communication.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Ontario, CA 91764