Licensed Vocational Nurse (LVN) Case Manager - Home Health

Job Summary: 

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.

Compensation: 

• Hourly / Administrative: $31-$38 

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 

Essential Job Functions/Responsibilities 

1. 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.

2. Plan and monitor visit frequencies per the RN plan of care; track utilization, PDGM, and LUPA risk; and recommend adjustments as needed.

3. Process, enter, and track provider orders; obtain timely signatures and close the loop within 24 hours.

4. Review EMR dashboards for expiring frequencies, unsigned notes/orders, labs/results, ED visits, and hospitalizations; escalate concerns promptly.

5. Prepare for and participate in weekly interdisciplinary case conferences; update goals, risks, and action items.

6. Support medication reconciliation, refill coordination, patient/caregiver teaching, wound care coordination, and chronic disease education by phone.

7. Support intake, transitions, and discharge planning by verifying eligibility, homebound status, payer requirements, authorizations, and pre-visit needs.

8. Perform light QA audits for skilled need documentation, teach-back education, timely notes, and staff corrections.

9. Maintain compliance with Medicare Conditions of Participation, California LVN scope of practice, HIPAA, infection control, safety standards, and agency policies.

10. Provide skilled nursing care, documentation, supervisory visits, and other job-related duties within LVN scope as assigned. 

The above statements summarize major duties and are not intended to list every task that may be assigned 

Position Qualifications 

1. Graduate of an accredited practical/vocational nursing program with an active, unrestricted California LVN/LPN license and current BLS/CPR certification.

2. Minimum one year of recent LVN nursing experience; home health, case management, or medical/surgical experience preferred.

3. 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.

4. Proficient with home health EMR systems, computer documentation, phone triage, and SBAR communication.

5. Solid wound care knowledge and ability to support chronic disease education, including diabetes/insulin, CHF/COPD, and hypertension.

6. Strong written/verbal communication, organization, follow-through, independent work skills, and time management under RN supervision.

7. Valid California driver’s license, reliable transportation, required automobile insurance, vehicle in good working order, current physical, and TB clearance. 

Preferred: Bilingual English/Spanish

Work Environment & Physical Requirements  

• Occasional travel to patient homes within assigned territory

• Ability to stand, walk, bend, lift, and perform patient care tasks  

• Must be able to lift/move up to 25–50 lbs with or without assistance

• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions   

Compliance Statement 

• This position operates under the supervision of a Registered Nurse and complies with the California Nurse Practice Act, Medicare Conditions of Participation (as applicable), and all Desire Home Care policies and procedures. 

EEOC Statement: 

Desire Home Care, Inc. is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.