Clinical Liaison Coordinator / LVN
Position Type: Full-Time
Schedule: Monday Friday, 9:00 AM 5:30 PM PST (flexibility required)
Work Model: Hybrid (Remote + Field- as determined)
Pay rate: $30/hrPosition Overview
The Clinical Liaison Coordinator (LVN) serves as a critical bridge between hospitals, skilled nursing facilities (SNFs), health plans (MCPs), and community-based settings. This role is responsible for clinical review, referral coordination, and the safe placement of members into Assisted Living Waiver (ALW) and CalAIM programs. This is not a passive desk role it is a high-accountability, fast-paced, clinical, and relationship-driven position requiring strong judgment, urgency, and the ability to move referrals from intake to placement quickly while ensuring regulatory compliance and member safety.
Job Purpose:
To clinically evaluate, coordinate, and expedite placement of Medi-Cal members into appropriate ALW and CalAIM services, while maintaining strong partnerships with Managed Care Plans (MCPs), hospitals, SNFs, RCFE/ALF, and community providers.
Core Responsibilities1. Clinical Referral Review & IntakeReview incoming referrals for ALW and CalAIM eligibility
Assess:
- Level of care (NFLOC vs community appropriateness)ADLs, cognitive status, behavioral health risks
- Medical complexity and medication needs
- Identify red flags (unsafe discharge, behavioral risks, unmet care needs)
- Ensure all required documentation is complete:602 Physician Report
- Medication list
- Clinical notes/discharge summary
- Face sheet
- Escalate inappropriate or high-risk placements immediately2. Placement Coordination (ALW Focus)
- Match members to appropriate RCFE/ALF placements based on:
- Clinical needs
- Behavioral considerations
- Facility capability and staffing
- Coordinate with:
- Facilities (administrators, wellness directors)
- Discharge planners
- Families and caregivers
- Ensure safe and timely transitions from:
- HospitalsSNFs (including 60+ day ALW/MCP eligibility cases)
- Track placement status daily until completion3. CalAIM & MCP Coordination
- Serve as clinical liaison with Managed Care Plans
- Support ECM and Community Supports referrals
- Ensure timely communication and documentation submission to MCPs4. Field Liaison & Relationship Management
- Conduct on-site visits to:
- HospitalsSNFsAssisted Living Facilities
- Build and maintain referral pipelines with:
- Case managers
- Social workers
- Discharge planners
- Education on ALW and CalAIM programs to referral partners
- Position Star Nursing as the preferred placement and care coordination provider5. Documentation & Compliance
- Maintain accurate and real-time documentation in Sprite Care Management systems
- Ensure compliance with:
- California Department of Health Care ServicesALW program requirements
- CalAIM guidelinesMCP contractual obligations
- Track:
- Referral timelines
- Placement outcomes
- Barriers to care
