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Dignity Health Case Manager LVN in Bakersfield, California

Case Manager LVN

Dignity Health Management Services OrganizationBakersfield, California

Requisition ID 2022-218441 Employment Type Full Time Department Family Practice Clinic Hours/Pay Period 80 Shift Day Weekly Schedule Mon-Fri (8-5 PM) Remote No Category Care Coordination / Case Management / Social Work

Overview

This position will be hybrid in-office and remote/work from home in the Bakersfield, CA region.*

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

What We Offer

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

Position Summary:

The Case Manager, LVN is an integral part of Dignity Health Management Services Utilization Management team. The Utilization Management team improves the quality of clinical outcomes for members with complex care needs by coordinating care within the health care delivery system using a collaborative partnership approach. The Case Manager, LVN coordinates care and collaborates with multiple disciplinary team members across the continuum of care. The Case Manager, LVN implements the care plan collaborating with the RN and SW to identify patient knowledge gaps concerning disease management, and coordinates appropriate resources or services required to meet an individual's health needs.

The Case Manager, LVN promotes quality cost effective outcomes with the goal of improved care coordination and increased involvement of the individual/family/caregiver in the decision making process to reduce hospitalizations, readmissions and ER utilization. Conducts medical necessity, level of care, and benefit reviews rendered in the inpatient and outpatient setting to ensure the member receives the highest level of care. Coordinates with providers, provider staff, hospital staff, patients and patient family members to establish the appropriate level of care.

Qualifications

Minimum Qualifications:

  • Minimum 3-5 years of healthcare experience including discharge planning, case management, and/or utilization management.

  • Graduate of an accredited school of nursing: Licensed Vocational Nursing.

  • Clear and current CA LVN license.

  • Valid State of California driver's license with no restrictions and proof of insurance.

  • Basic knowledge of CPT and ICD9/ICD10 coding. General knowledge of Microsoft Office applications; Excel, Word, Outlook.

Preferred Qualifications:

  • Preferred seven (7) years of acute/sub-acute care experience in combination of utilization management, case management and discharge planning.

  • Understanding of assessment tools such as InterQual, MCG and DRG's.

  • Direct experience working with Managed Care and Medicare/Medicaid Regulations.

  • Direct experience working with physicians.

  • Experience with DHMSO Online, QNXT, desired.

#HelloCareCoordination

Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to

a diverse and inclusive workforce. All qualified applicants will be considered for

employment without regard to race, color, religion, sex, sexual orientation, gender

identity, national origin, age, disability, marital status, parental status,

ancestry, veteran status, genetic information, or any other characteristic protected

by law. For more information about your EEO rights as an applicant,

pleaseclick here. (https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOLawPoster.pdf)

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health™ participates in E-Verify.

Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

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