Job Description
The LVN case transition coordinator provides discharge planning by collaboratively determining the level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. The LVN case transition coordinator performs utilization review by using criteria that demonstrate medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources.
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 is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization 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, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills

• Excellent written and verbal communication skills
• Able to prioritize and delegate work appropriately
• Ability to follow chain of command
• Knowledge of medical terminology and current third party payor reimbursement methodologies
• Self-motivated and results-oriented.
• Must be able to demonstrate sound decision-making and prioritization of skills.
• Utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant others when administering or explaining care.

Required Experience
Required:

• Maintain an active California LVN license
• Minimum of 2 years acute hospital experience.
• Proficiency with main-frame and personal computers.

Preferred:

• Previous case management experience preferred.