Recruiting on behalf of a leading healthcare organization in Southern California

About the Opportunity
Vivo HealthStaff is proud to partner with our client, a fast-growing provider organization offering a fast-paced, exciting, and supportive work environment. Our client is seeking an experienced Outpatient Case Manager (RN/LVN) to deliver exceptional care management services for identified High-Risk members. In this role, you will assess member needs, develop and implement individualized care plans, and work collaboratively with physicians, family members, and the interdisciplinary team to ensure seamless care across the continuum.

Key Responsibilities

• Comprehensive Case Management:

  • Conduct clinical assessments and determine acuity scores using established methodologies.
  • Develop and implement outcome-based care plans in collaboration with physicians, members, and other healthcare practitioners.
  • Monitor, evaluate, and document member progress using FOCUS Charting, nursing standards, and company policies.

• Care Coordination & Transition Management:

  • Act as a liaison between administration, members, physicians, and other healthcare providers to facilitate efficient care coordination.
  • Coordinate community visits (hospital, home, clinic) to assess patient progress and support the care plan.
  • Manage transitions of care between settings, ensuring the continuity and modification of the care plan as member needs evolve.

• Communication & Collaboration:

  • Maintain timely and effective communication with members, family members, and healthcare teams.
  • Coordinate clinic appointments, medication reconciliation, and physician visits.
  • Facilitate member and family conferences and interdisciplinary case rounds as required.

• Resource & Referral Management:

  • Identify and address psychosocial, pharmacological, and environmental needs by engaging appropriate consultations (Social Work, Pharmacy, etc.).
  • Educate members and caregivers on care transitions to reduce unplanned hospital admissions and readmissions.
  • Identify members appropriate for hospice conversion or palliative care.

• Other Duties:

  • Provide ongoing support and follow-up, ensuring critical information is shared promptly.
  • Perform additional duties as assigned by management.

Required Qualifications

• Education & Licensure:

  • Graduate from an accredited Registered Nursing or Vocational Nursing Program.
  • Possess a current CA RN license or CA LVN license along with current CPR certification.

• Experience:

  • A minimum of 3 years of acute care or case management experience is preferred.
  • 2-3 years of utilization review or HMO experience is preferred.

• Technical & Communication Skills:

  • Proficiency in Microsoft Office (Word, Excel, Outlook, Access, PowerPoint).
  • Excellent interpersonal, verbal, and written communication skills.
  • Ability to work collaboratively and coordinate with an interdisciplinary team.

Compensation & Benefits

• Hourly Base Pay:

  • LVN: $37.50 - $40.00
  • RN: $45.00 - $50.00
    (Final offer may vary based on market location, licensure, skills, and experience.)

• Additional Compensation:

  • Eligible for sign-on bonuses and discretionary awards.

• Comprehensive Benefits Package Includes:

  • Employer-paid medical, pharmacy, dental, and vision insurance with zero co-pay for in-house physician visits
  • Flexible Spending Account (FSA) and Employer-Paid Life Insurance
  • Employee Assistance Program (EAP) and Behavioral Health Services
  • 401k Retirement Savings Plan and Income Protection Insurance
  • Generous vacation time, sick days, paid holidays, and mileage reimbursement
  • Additional perks: employee referral bonus, tuition reimbursement, and License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment

Why This Role?
If you are passionate about delivering quality outpatient care, enjoy working in a collaborative environment, and have a commitment to managing complex care needs, this is an ideal opportunity to grow your career with a client who values innovation and excellence.