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WH
Whittier Hills Healthcare Center
Case Manager - LVN
Career Insights for Clinical Auditor / Utilization Reviewer
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Based on California data
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What they do
A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
$118,997 / year median in California
-4% projected decline
Job Description
Job Overview We are seeking a dedicated and compassionate Case Manager - LVN (Licensed Vocational Nurse) to join our dynamic healthcare team. In this vital role, you will coordinate patient care plans, facilitate communication among multidisciplinary teams, and ensure seamless transitions across various levels of care. Your expertise in patient assessment, discharge planning, and medical records management will be instrumental in delivering exceptional patient-centered services. This position offers an exciting opportunity to make a meaningful impact on patient outcomes while working in a fast-paced, collaborative environment committed to excellence. We require the ability to obtain and submit authorizations in a timely manner. Responsibilities Conduct comprehensive patient assessments, including vital signs and physiological evaluations, to determine care needs across inpatient and outpatient settings. Develop and implement individualized care plans in collaboration with physicians, specialists, and other healthcare professionals. Coordinate discharge planning by arranging post-acute care services, outpatient follow-ups, and ensuring proper documentation in medical records. Manage utilization review processes by evaluating diagnostic evaluations and supporting appropriate resource allocation within managed care frameworks. Facilitate communication with patients and families to provide education on treatment plans, medication management, and health maintenance strategies. Maintain compliance with HIPAA regulations and ensure confidentiality of all medical records and patient information. Participate in case management activities related to ICU, trauma centers, emergency medicine, geriatrics, behavioral health, pediatrics, and other specialized units requiring acute or post-acute care expertise. Requirements Valid LVN license with current state certification required; additional certifications in critical care or trauma nursing preferred. Proven experience in hospital medicine, emergency room settings, or intensive care units such as ICU or PICU (Pediatric Intensive Care Unit). Strong knowledge of medical terminology, physiology, and diagnostic evaluation techniques essential for accurate patient assessment. Experience working within Level I or Level II trauma centers or similar high-acuity environments is highly desirable. Familiarity with hospital experience including medical-surgical units, post-acute care facilities, outpatient clinics, and managed care operations. Excellent communication skills to effectively coordinate multidisciplinary teams and engage with patients from diverse backgrounds. Ability to handle sensitive information with discretion while adhering to HIPAA guidelines. Strong organizational skills for managing medical records, discharge planning documentation, and intake processes across inpatient and outpatient settings. Join us to be part of a passionate team dedicated to delivering comprehensive case management services that improve patient outcomes through expert coordination and compassionate care!