Lpn Case Manager

Job Summary:

The Licensed Vocational Nurse (LVN/LPN) Case Manager supports the Transitions of Care program focused on reducing 30-day hospital readmission rates. Working under the direction of an RN Care Manager, the LPN assists with care plan implementation through appointment scheduling, biometric monitoring, patient education, home and office visits, and connecting patients with community resources. This role requires strong communication, documentation skills, and the ability to work independently within a multidisciplinary care team managing a caseload of 25 30 patients. Reliable transportation is necessary due to travel requirements. This is a mobile, non-hands-on nursing position primarily serving adult and geriatric populations with complex comorbidities.

• Assist RN Care Manager in implementing individualized care plans for patients.
• Schedule patient appointments and monitor biometric data.
• Provide and reinforce patient education regarding treatment and medication adherence.
• Attend patient visits as needed, including home visits and provider office visits.
• Connect patients with appropriate community resources and services.
• Maintain frequent contact with patients to support care coordination.
• Document patient interactions and care activities accurately in the electronic health record (EHR).
• Participate in multidisciplinary care team rounds to provide patient updates.
• Manage a monthly rolling caseload of approximately 25 30 patients.
• Work collaboratively with social workers, pharmacists, RNs, and other team members.

• Current Licensed Vocational Nurse (LPN) or Licensed Practical Nurse (LPN) license in the state of practice.
• Basic Life Support (BLS) certification.
• Minimum of 1 year of nursing experience, preferably in home health, case management, or related settings.
• Strong communication and documentation skills, including proficiency with electronic health records.
• Ability to work independently and manage multiple tasks effectively.
• Reliable transportation with valid driver's license and insurance for travel to patient homes and other facilities.

• Experience or clinical knowledge of congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and multiple complex comorbidities.
• Familiarity with care coordination and community resource linkage.
• Experience working within multidisciplinary healthcare teams.
• Comfort with telephonic patient follow-up and triage.

• This position is non-hands-on nursing and does not involve direct clinical procedures.
• Mobile role requiring travel to patient homes, hospitals, and provider offices within the service area.
• Must be flexible to accommodate variable patient visit schedules and care team rounds.
• Work is focused on adult and geriatric populations with complex health needs.

• Full-time position with a guaranteed 40 hours per week.
• Standard work schedule Monday through Friday, 8:00 a.m. to 4:30 p.m.
• No weekend or Saturday work required.