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 dedicated Licensed Vocational Nurses (LVNs) to join their Transition of Care (ToC) team. In this telephonic, hybrid role, you will play a critical part in helping recently discharged health plan members navigate their care, prevent hospital readmissions, and achieve optimal post-discharge outcomes.
Responsibilities / Job Duties
- Manage Case Referrals: Monitor incoming Transition of Care (ToC) referrals and initiate outreach for newly transitioned members.
- Coordination & Outreach: Contact discharge facilities and care settings to obtain comprehensive discharge instructions and medical records.
- Medication Reconciliation & Care Planning: Perform initial telephonic medication reviews, assess post-discharge needs, and coordinate essential follow-up care.
- Care Handoffs: Serve as the initial point of contact (PoC) for members, deliver actionable clinical recommendations, and facilitate warm handoffs to long-term care management teams.
- Outcome Closure: Conduct end-of-interval follow-ups to close the loop on the 30-day post-discharge care episode.
- Member Advocacy: Support members across multiple partner health plans to ensure smooth transitions and reduce 30-day hospital readmission rates.
Minimum Education and Experience Qualification Requirements
Education
- Active, unencumbered Licensed Vocational Nurse (LVN) state license.
Qualifications
- Background in care coordination, discharge planning, utilization management, or managed care settings.
- Prior experience with Transition of Care (ToC) or Complex Care Management workflows.
- Familiarity with regional Medi-Cal or Managed Care Organization (MCO) health plans.
- Experience working in a pilot project or newly transitioning clinical program.
Skills
- High degree of proficiency conducting telephonic member outreach and clinical assessments.
- Strong communication skills with the ability to coordinate effectively between members, facilities, and multidisciplinary care teams.
Additional Requirements
- Ability to travel to visit members in the designated service area, typically within hospitals or PCP offices.
- Must have active driver's license and auto insurance.
- Ability to communicate in Spanish.
Schedule / Shift
8:30-5p Mon-Fri with a 30 minute 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.
