You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Licensed Vocational Nurse (LVN) to manage and coordinate healthcare for members with complex or chronic care needs within a health plan setting. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating patient care plans. The ideal candidate will be responsible for outbound calls, screening members for medical, behavioral health, or insurance needs, and performing appropriate delegation for referrals. The position focuses on supporting short-term chronic needs for HMO/PPO plans, coordinating patient care, reviewing care plans, discussing referrals with patients, and providing essential member education.

Responsibilities / Job Duties

• Responsible for health care management and coordination within scope of licensure for members with complex/chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans.
• On the phones calling a caseload of members; screen for medical, behavioral health (BH), or insurance needs.
• Perform appropriate delegation with referrals to SW or Care Coordinators for appointments.
• Focus on short-term chronic needs (transferred or closed out after 60 days to complex CM).
• Support HMO/PPO plans (non-SNP).
• Coordinate/monitor patient care, review and implement care plans, talk to patients about referrals, and provide member education.
• Counsel and engage in personal discussions with patients/families on available care options.
• Do not interface with physicians (Care Coordinator handles this).

Minimum Education and Experience Qualification Requirements

Education

• Bachelors Degree in Nursing (Preferred).

Qualifications

• Fully bilingual in Spanish/English.
• LVN License - compact state license required.
• CA State LVN License (Preferred).

Experience

• At least one year of clinical experience as an LVN.
• At least one year of Case Management or Care Coordination experience.

Skills

• Proficiency in Spanish and English (fully bilingual).

Additional Requirements

• Position is fully remote, but requires availability to work from 8am-5pm daily.
• Must have a professional, secure, work-from-home setting.

Schedule / Shift

8am-5pm PST Monday through Friday, with a morning, afternoon, and lunch break.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.