Ambulatory Care Management LVN at LSMA Management Inc – san bernardino, California

JOB SUMMARY

The Ambulatory Care Management LVN serves as the primary resource for care management review staff, providing guidance on procedures, training, compliance, and workflow. The role includes oversight of daily case reviews, auditing, staff support, customer service standards, and a small patient caseload to ensure optimal clinical outcomes, resource utilization, and patient satisfaction.

MINIMUM & PREFERRED QUALIFICATIONS

Education/Training

Minimum: Graduate of an accredited Licensed Vocational Nursing program.

Preferred: Additional coursework in Case Management or Managed Care.

Experience

Minimum: 2+ years of inpatient review experience with a managed care organization or healthcare facility.

Preferred: Experience in high-risk case management programs. Prior leadership or lead-level clinical coordination experience.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Certification(s)

Current State LVN License

Current BLS Certificate

Certified Case Manager (CCM) credential (preferred).

Skills, Knowledge & Abilities

· Strong clinical assessment and case management skills.

· Knowledge of managed care, healthcare regulations, and care coordination workflows.

· Effective verbal and written communication.

· Ability to maintain professionalism, confidentiality, and HIPAA compliance.

· Strong organizational, analytical, and multi-tasking abilities.

· Proficiency in Microsoft Office applications and electronic medical record systems.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This role is primarily sedentary, with most time spent seated for computer work, documentation, and phone communication. Limited standing, walking, and occasional driving to clinical sites are required. The position may involve light physical tasks such as lifting up to 20 pounds, occasional bending, reaching, and climbing stairs throughout the day. The work requires strong analytical skills, attention to detail, emotional resilience when managing complex or high-risk cases, and the ability to multitask in a fast-paced environment. Work is performed mainly in a standard office setting with regular use of computers and office equipment, with occasional exposure to clinical environments such as hospitals, clinics, or skilled nursing facilities.