Licensed Vocational Nurse (LVN), Managed Care Liaison, Home Health
Location: Whittier, California
Internal Number: 17479
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County, and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services, and hospice care, as well as heart, cancer, women’s health, urgent care, and emergency services. The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and the College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care, and healthcare technology. PIH Health is certified as a Great Place to Work TM.
The licensed vocational nurse (LVN) Managed Care Liaison (MCL) possesses those abilities that combine clinical expertise in community health with an understanding of the financial aspects of home care and aptitude for negotiation with third-party payor sources. The MCL's overall responsibility is to negotiate service authorizations and fees with the payor sources’ designated case managers and to interpret/report the patient's needs and progress to that case manager.
Understanding of the cost of providing home health service/hospice and the scope of the department's services.
Familiarity with prevailing prices/practices of the area.
Strong verbal skills.
Basic computer knowledge and abilities and calculator abilities.
Ability to organize and prioritize.
Broad knowledge of Medicare and Medi-Cal coverage.
Understanding of clinical range of home care.
Ability to negotiate. Understands and is focused on good customer service.
Current California license as a Licensed Vocational Nurse.
Minimum of one-year experience in community health nursing, current acute care knowledge, and skills.
Knowledge of Title 22 and Medicare Coverage Guidelines.
Able to demonstrate a broad knowledge of third party insurance, Managed Care, Medicare, Medi-Cal, Medicare Advantage, HMO, and PPO regulations governing home health and hospice.
Current California driver's license and valid auto insurance.
PIH Health is the Communities’ Health and Wellness Partner
Our network of highly trained and compassionate physicians, nurses, clinicians, staff and volunteers work tirelessly and collaboratively every day to maintain and enhance the health and wellbeing of every member of our service areas. And when needed, we are here to coordinate care, manage chronic disease, and treat health conditions for the best possible outcomes.
We’re a nonprofit, regional healthcare network with three hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.
We serve more than 3.7 million residents in the Los Angeles County, Orange County and San Gabriel Valley region.
Why PIH Health?
Our culture is built around our core values, which are the guiding principles for everything we do. For over 60 years, PIH Health has maintained a sense of community and a family-like cultur...e where patients are the top priority, and employees and volunteers are proud to be affiliated with such an outstanding organization.
PIH Health Hospital - Whittier
Our Whittier campus delivers outstanding and compassionate care to patients, every day. Among other awards, PIH Health Hospital - Whittier has been named one of the nation’s 100 Top Hospitals® for the third consecutive year by Truven Health Analytics. PIH Health Hospital in Whittier, CA is located 30 minutes east of Los Angeles, close to the Los Angeles and Orange County border. There are many great communities in which to live that surround the hospital. This means easy access to work, great dining, shopping, entertainment and spectacular beaches. Whatever your passion, you’ll find the right place for it here.
PIH Health Hospital - Downey is a nonprofit hospital with a rich, nearly 100-year history of meeting the healthcare needs of its community. The Downey campus is part of the PIH Health comprehensive health network consisting of two hospitals, 18 medical office locations and a host of specialty services. According to US News & World Report, the hospital scores highly in patient safety and orthopedics. With 955 employees, the hospital is the 5th largest employer in the city of Downey.