On-Call Licensed Vocational Nurse

Description

JOB SUMMARY:

The On-Call Licensed Vocational Nurse (LVN) is a California-licensed vocational nurse responsible for providing after-hours medical management support under the direction of a Registered Nurse, Medical Director, or other authorized clinical leadership. The role supports utilization management (UM), care coordination, discharge processing, and urgent authorization facilitation when the Medical Management office is closed, ensuring continuity of care and compliance with applicable regulatory, accreditation, and health plan requirements.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS:

Education/Training

Minimum: Graduated from an accredited Licensed Vocational Nursing program.

Preferred: Additional training or coursework in utilization management, care coordination, or managed care operations.

Experience 

Minimum: Six months to one year of clinical experience as an LVN

Preferred: Experience in utilization management support, case management assistance, discharge planning, MSO, IPA, or health plan environments.

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 Licensed Vocational Nurse license.

Skills, Knowledge & Abilities

· Understanding of utilization management processes and medical necessity documentation requirements appropriate to LVN scope of practice.

· Familiarity with medical terminology and basic ICD-10, CPT, and HCPCS coding concepts.

· Ability to follow clinical protocols, guidelines, and escalation pathways.

· Strong organizational, time management, and documentation skills.

· Effective verbal and written communication skills.

· Ability to prioritize tasks and respond effectively during on-call hours under supervision.

· Proficiency with electronic medical records, utilization management systems, and Microsoft Office applications.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:

The physical, mental, and environmental demands described below are representative of those required to perform the essential functions of this position, with or without reasonable accommodation. The role involves primarily sedentary work with extended periods of sitting, screen time, typing, and telephone use, along with occasional standing, walking, bending, and lifting of materials up to 20 pounds. The position requires sustained attention to accurately process clinical information and follow established protocols during on-call hours, as well as the ability to work evenings, nights, weekends, and holidays in accordance with assigned on-call schedules.