ECM Case Manager – LVN

Astrana Health

. Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts .

Posted 11/9/2026full-timeMonterey Park • California • United StatesJuniorMid-Level💰 $32 - $37 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex member caseloads, developing member-centered care plans, and conducting comprehensive assessments while ensuring compliance with health plan standards. Proficient in utilizing case management software and maintaining accurate documentation to support effective care coordination.

Highest-signal resume keywords

Licensed Vocational Nurse (LVN)Clinical Experience in Case ManagementCare Plan DevelopmentBilingual in SpanishUtilization Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCare Plan Goal SettingMedication ReconciliationData AccuracyHealth Assessments

Soft Skills

Interpersonal CommunicationOrganizational SkillsAnalytical SkillsCritical ReasoningConfidentiality

Tools & Technologies

Case Management SoftwareExcel TrackersMonday.comHealth Plan Portals

Certifications & Qualifications

Licensed Vocational Nurse (LVN)

Industry Keywords

Managed Care EnvironmentDHCS StandardsDMHC StandardsNCQA StandardsCMS Standards

About the role

Key responsibilities & impact

Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts
Conduct member outreach to support ECM program engagement
Meet members in homes, provider offices, and community-based settings to build trust, complete assessments, review care plans, and support engagement
Conduct outreach and complete comprehensive assessments, care plans, and interdisciplinary team conferences within specified timeframes
Develop and regularly update member-centered care plans with measurable goals
Support RN Care Manager clinical assessments, including health assessments, medication reconciliation, post-hospital discharge assessments, and standardized screening tools
Maintain accurate and timely documentation in case management software, Excel trackers, Monday.com boards, and health plan portals
Coordinate post-hospital and skilled nursing facility transitions of care
Communicate with PCPs, specialists, behavioral health providers, hospitals, and community-based organizations to close referral loops and prevent care gaps
Review claims and authorizations and perform medication reconciliation
Connect members to social services, transportation, housing, food, and other community resources
Apply motivational interviewing, trauma-informed care, and harm-reduction approaches
Identify treatment-adherence barriers and adjust care plans
Educate members and caregivers on disease management and healthcare navigation
Monitor member progress and caseload activity weekly to ensure deliverables and outcomes are met
Participate in audits, quality reviews, and team meetings
Maintain accurate and honest timekeeping
Share best practices with fellow care managers and perform other duties as assigned

Requirements

What you’ll need

Associate’s or Bachelor’s degree in a health or human services–related field preferred; equivalent combination of education and progressively responsible clinical experience will be considered
At least 2 years of clinical experience, such as skilled nursing facility, home health, hospice, case management, or care coordination
Current, active, and unrestricted Licensed Vocational Nurse (LVN) license in the State of California is required
Familiarity with care plan goal setting, including development of problem statements, interventions, and goals
Ability to learn and navigate multiple case management software platforms and health plan portals while maintaining data accuracy
Strong analytical, critical reasoning, organizational, and interpersonal communication skills
Strong written and verbal communication skills
Ability to multi-task, work autonomously, and exercise sound clinical judgment
Ability to maintain confidentiality and discretion when handling sensitive member, provider, and business information
Bilingual in Spanish
Experience in a managed care environment (health plan, IPA, or MSO)
Utilization Management or Hospice Case Management experience
Working knowledge of DHCS, DMHC, NCQA, and CMS standards

Benefits

Comp & perks

Hybrid work structure with work both in office and at home on a weekly basis
Monday through Friday working hours, 8:30 AM–5:00 PM
Occasional travel and weekly field visits to homes and community-based settings
Equal Employment Opportunity and Affirmative Action employer
Reasonable application accommodations for individuals with disabilities