Job Title
LPN / LVN – Case Manager (Transitions of Care)
Location
Rochester, NY | Home Health / Mobile Case Management
Schedule / Job Type
Contract | Full-Time | Days | Monday–Friday, 8:00 a.m.–4:30 p.m. (5x8-hour shifts) | Mobile/Remote with required travel
Key Responsibilities
Support the Transitions of Care program focused on reducing 30-day readmission rates, working under the direction of an RN Care Manager to assist with implementing the care plan
Perform appointment scheduling, biometric data monitoring, patient education and reinforcement, and frequent patient contact via phone and in-person visits
Conduct home visits, hospital visits, and patient office visits as needed; connect patients with appropriate community resources
Participate in virtual multidisciplinary care team rounds, providing patient updates alongside RNs, Social Workers, Pharmacists, and other professionals
Document all patient interactions and care activities accurately in the EHR; EPIC experience is required
Manage a monthly rolling caseload of approximately 25–40 patients, reassessing goals and transitioning patients to long-term management programs as appropriate
Required Qualifications
Active LPN / LVN license in the state of New York — must be in hand at time of submission
BLS certification required
EPIC EHR experience is a hard requirement
Minimum 1 year of LPN / LVN experience
Access to reliable personal transportation for travel during the workday (LPNs will not transport patients)
Candidates must reside more than 75 miles from the facility to be eligible
Preferred Experience / Skills
Clinical knowledge or experience with CHF, COPD, and patients with multiple complex comorbidities
Experience in care coordination or case management, particularly in a community or home health setting
Familiarity with community resources and resource navigation for patients
Ability to work independently, prioritize tasks, and remain flexible throughout the workday
Why Join Us
Join a collaborative, multidisciplinary care team in a meaningful role focused on improving patient outcomes and reducing hospital readmissions
Expected 40 hours per week on a consistent Monday–Friday daytime schedule with no weekend requirements
Benefits
• Day 1 health benefits (medical/dental/vision)
• Weekly pay
• Direct deposit
• $1,500 referral bonus program
About Us
All Medical Personnel is a leading national temporary employment agency for healthcare workforce solutions in the United States. Established in 1990, our staffing business lines place locum tenens, travel nursing, allied health, and clinical laboratory professionals on temporary and temp to hire assignments from coast to coast. Explore our current opportunities and sign up for job alerts:
All Medical Personnel is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable law.
Florida Background Screening Requirement:
Certain Florida assignments require a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse before placement. Learn more about the screening process and requirements at:
