Licensed Vocational Nurse (LVN) Case Manager - Home Health

About the position

Desire Home Care, Inc is seeking a compassionate, detail-oriented LVN Case Manager to support patient-centered home health services in Riverside and San Bernardino Counties. This primarily office-based role supports RN Case Managers and field clinicians by coordinating care, managing visit frequencies and orders, triaging calls, and ensuring timely, compliant documentation under RN oversight. Occasional field ride-alongs or visits may occur as needed.

Responsibilities

• Coordinate day-to-day patient care from the office, including triaging calls, supporting field staff, and communicating changes to providers and RN Case Managers using SBAR.
• Plan and monitor visit frequencies per the RN plan of care; track utilization, PDGM, and LUPA risk; and recommend adjustments as needed.
• Process, enter, and track provider orders; obtain timely signatures and close the loop within 24 hours.
• Review EMR dashboards for expiring frequencies, unsigned notes/orders, labs/results, ED visits, and hospitalizations; escalate concerns promptly.
• Prepare for and participate in weekly interdisciplinary case conferences; update goals, risks, and action items.
• Support medication reconciliation, refill coordination, patient/caregiver teaching, wound care coordination, and chronic disease education by phone.
• Support intake, transitions, and discharge planning by verifying eligibility, homebound status, payer requirements, authorizations, and pre-visit needs.
• Perform light QA audits for skilled need documentation, teach-back education, timely notes, and staff corrections.
• Maintain compliance with Medicare Conditions of Participation, California LVN scope of practice, HIPAA, infection control, safety standards, and agency policies.
• Provide skilled nursing care, documentation, supervisory visits, and other job-related duties within LVN scope as assigned.

Requirements

• Graduate of an accredited practical/vocational nursing program with an active, unrestricted California LVN/LPN license and current BLS/CPR certification.
• Minimum one year of recent LVN nursing experience.
• Working knowledge of home health requirements, including PDGM, LUPA, homebound/skilled need criteria, OASIS-E terminology, Medicare Conditions of Participation, and LVN scope of practice.
• Proficient with home health EMR systems, computer documentation, phone triage, and SBAR communication.
• Solid wound care knowledge and ability to support chronic disease education, including diabetes/insulin, CHF/COPD, and hypertension.
• Strong written/verbal communication, organization, follow-through, independent work skills, and time management under RN supervision.
• Valid California driver’s license, reliable transportation, required automobile insurance, vehicle in good working order, current physical, and TB clearance.

Nice-to-haves

• Home health, case management, or medical/surgical experience preferred.
• Bilingual English/Spanish

Benefits

• Daily pay: Access your earned wages the same day you work!
• Medical, dental, vision
• 401K with 4% match
• Paid time off
• Paid sick time
• Referral pay
• Paid trainings
• First time home buyer program assistance