Remote Chronic Care Management LVN - California License Required

Remote Full-time
Our client is a venture-backed healthcare organization transforming reactive healthcare into proactive care through technology and continuous engagement. Focused on neurodegenerative diseases, our client partners with neurologists and clinics to deliver personalized, at-home support through Principal Care Management (PCM) and Chronic Care Management (CCM) programs.

Salary

$67,000 - $94,000 per year (negotiable based on experience)

Job Summary

Our client is seeking a compassionate and detail-oriented Licensed Vocational Nurse (LVN) to support patients enrolled in Principal Care Management (PCM) and Chronic Care Management (CCM) programs. The LVN will engage with patients through proactive outreach, telehealth check-ins, and care coordination to ensure continuous, high-quality support between visits. Working closely with Registered Nurses (RNs) and Medical Directors, this position helps deliver a seamless patient experience while ensuring compliance with Medicare care management standards.

Job Responsibilities: Provide ongoing care coordination and follow-up for patients enrolled in PCM/CCM programs. Conduct telehealth or phone-based check-ins with patients and caregivers to monitor progress, promote adherence, and update care plans. Support RNs in documenting and maintaining care plans in compliance with Medicare requirements. Accurately track and record time-based activities for CPT billing compliance. Facilitate communication among neurologists, caregivers, and other healthcare providers to ensure continuity of care. Perform administrative duties, including scheduling, documentation, and data entry. Identify and escalate clinical concerns to supervising RNs or external providers when necessary.

Qualifications: Active, unrestricted LVN license in California (multi-state license a plus). Strong communication, empathy, and interpersonal skills when engaging with patients and caregivers. Proficiency with electronic medical records (EMRs) and digital health platforms. Highly organized, reliable, and proactive in managing multiple patient caseloads. Preferred: Experience with Medicare PCM/CCM or similar chronic care programs. Background in caring for older adults or neurodegenerative disease populations. Familiarity with telehealth or hybrid care delivery. Exposure to quality improvement or care coordination initiatives. ,

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