LVN Case Manager

Internal Title: Clinical Lead Care Manager

Location: Riverside County, CA

We're seeking an exceptional Clinical Lead Care Manager (CLCM) to join our Enhanced Care Management (ECM) team in Riverside County, CA. Under the direction of the ECM Clinical Manager, the CLCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client’s caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.

This is a hybrid position that requires traveling throughout the Riverside County area up to 5 days per week. Candidates wishing to be considered must reside within 25-miles of the assigned territory due to frequency of travel.

This is a critical role that we're looking to fill as soon as possible.

Hybrid (in-person and remote) care management duties as described below:

Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports

Oversees the development of the client care plans and goal settings

Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services

Connect clients to other social services and supports that are needed

Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)