Astrana Health
Case Manager - LVN (Enhanced Care Management)
Astrana Health, Monterey Park, California, us, 91756
Case Manager - LVN (Enhanced Care Management)
Case Manager - LVN (Enhanced Care Management)
2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation:
$28.00 - $38.00 / hour
Department:
HS - ECM Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation:
$28.00 - $38.00 / hour
Description
We are currently seeking a highly motivated LVN Lead Care Manager for our Enhanced Care Management (ECM) team. ECM is a Medi-Cal benefit that links high risk members to various resources in the community. You will be responsible for doing assessments and creating care plans based on those assessments for your caseload, as well as following up with members throughout their time in the ECM program.
We are ideally seeking candidates who have prior experience with care management, complex case management, home health, dialysis, D-SNP case management, or managed care.
Our Values:
Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
What You'll Do
Comply with organizational policies, department procedures, and Model of Care standards to ensure timely delivery of services to eligible members. Manage a caseload of 50–100 Medi-Cal members with complex medical, behavioral, and social needs. Conduct comprehensive assessments, develop individualized care plans, and coordinate care across all transitions (e.g., hospital to PCP) in accordance with DHCS Enhanced Care Management (ECM) requirements. Collaborate with Community Health Workers and interdisciplinary teams (IDTs/ICTs/MDTs) to address medical and social needs. Review claims, authorizations, and medication lists to inform care planning and reconciliation. Verify member eligibility monthly and document all encounters per HIPAA and organizational standards. Identify barriers to care, educate members and caregivers using evidence-based guidelines, and adjust care plans according to readiness to changes. Close care gaps and improve health outcomes by supporting HEDIS measure compliance and chronic condition management. Connect members to social supports such as housing navigation, transportation, and nutrition services. Facilitate communication with PCPs, specialists, and community partners to ensure coordinated, patient-centered care.Complete administrative duties, including tracking correspondence, sending care plans and program letters, and maintaining accurate records. Participate in team meetings, trainings, and quality improvement initiatives. Other duties as assigned.
Qualifications
Current and active LVN CA license Experience with clinical issues and guidelines Excellent analytical, critical reasoning, organizational and interpersonal communication skills Strong written and oral communication skills Ability to multi-task, work autonomously, and think outside the box Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information is required. Proficient with Microsoft Office (Word, Excel, Power Point) You're great for this role if you have:
Knowledge of enhanced case management, SNP case management, complex case management Experience in managed care environment – health plans, IPA, or MSO 1+ years of Case Manager experience Basic knowledge of DHCS, DMHC, NCQA, ICE, and CMS standards Bachelor's degree
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. This is a full-time position. Hours are M-F 830 AM - 5 PM. The total compensation target pay range for this role is between $28 - $38 per hour, depending on credentials and experience. The salary range represents our national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Astrana Health by 2x Get notified about new Case Manager jobs in
Monterey Park, CA . University Park, CA $10,000.00-$52,919.00 8 months ago University Park, CA $47,098.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles Metropolitan Area $10,000.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Monterey Park, CA $25.00-$38.95 1 month ago Los Angeles Metropolitan Area $10,000.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles County, CA $23.24-$28.28 1 month ago Surveillance Case Manager - Private Investigator
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Case Manager - LVN (Enhanced Care Management)
2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation:
$28.00 - $38.00 / hour
Department:
HS - ECM Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation:
$28.00 - $38.00 / hour
Description
We are currently seeking a highly motivated LVN Lead Care Manager for our Enhanced Care Management (ECM) team. ECM is a Medi-Cal benefit that links high risk members to various resources in the community. You will be responsible for doing assessments and creating care plans based on those assessments for your caseload, as well as following up with members throughout their time in the ECM program.
We are ideally seeking candidates who have prior experience with care management, complex case management, home health, dialysis, D-SNP case management, or managed care.
Our Values:
Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
What You'll Do
Comply with organizational policies, department procedures, and Model of Care standards to ensure timely delivery of services to eligible members. Manage a caseload of 50–100 Medi-Cal members with complex medical, behavioral, and social needs. Conduct comprehensive assessments, develop individualized care plans, and coordinate care across all transitions (e.g., hospital to PCP) in accordance with DHCS Enhanced Care Management (ECM) requirements. Collaborate with Community Health Workers and interdisciplinary teams (IDTs/ICTs/MDTs) to address medical and social needs. Review claims, authorizations, and medication lists to inform care planning and reconciliation. Verify member eligibility monthly and document all encounters per HIPAA and organizational standards. Identify barriers to care, educate members and caregivers using evidence-based guidelines, and adjust care plans according to readiness to changes. Close care gaps and improve health outcomes by supporting HEDIS measure compliance and chronic condition management. Connect members to social supports such as housing navigation, transportation, and nutrition services. Facilitate communication with PCPs, specialists, and community partners to ensure coordinated, patient-centered care.Complete administrative duties, including tracking correspondence, sending care plans and program letters, and maintaining accurate records. Participate in team meetings, trainings, and quality improvement initiatives. Other duties as assigned.
Qualifications
Current and active LVN CA license Experience with clinical issues and guidelines Excellent analytical, critical reasoning, organizational and interpersonal communication skills Strong written and oral communication skills Ability to multi-task, work autonomously, and think outside the box Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information is required. Proficient with Microsoft Office (Word, Excel, Power Point) You're great for this role if you have:
Knowledge of enhanced case management, SNP case management, complex case management Experience in managed care environment – health plans, IPA, or MSO 1+ years of Case Manager experience Basic knowledge of DHCS, DMHC, NCQA, ICE, and CMS standards Bachelor's degree
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. This is a full-time position. Hours are M-F 830 AM - 5 PM. The total compensation target pay range for this role is between $28 - $38 per hour, depending on credentials and experience. The salary range represents our national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Astrana Health by 2x Get notified about new Case Manager jobs in
Monterey Park, CA . University Park, CA $10,000.00-$52,919.00 8 months ago University Park, CA $47,098.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles Metropolitan Area $10,000.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Monterey Park, CA $25.00-$38.95 1 month ago Los Angeles Metropolitan Area $10,000.00-$52,919.00 1 year ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles County, CA $23.24-$28.28 1 month ago Los Angeles County, CA $23.24-$28.28 1 month ago Surveillance Case Manager - Private Investigator
Los Angeles, CA $68,000.00-$68,500.00 1 month ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr