Clinical Liaison Coordinator / LVN
Schedule & Work Format
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/hr
Position 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 Responsibilities
1. Clinical Referral Review & Intake
Review 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 immediately
2. 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:
Hospitals
SNFs (including 60+ day ALW/MCP eligibility cases)
Track placement status daily until completion
3. CalAIM & MCP Coordination
Serve as clinical liaison with Managed Care Plans
Support ECM and Community Supports referrals
Ensure timely communication and documentation submission to MCPs
4. Field Liaison & Relationship Management
Conduct on-site visits to:
Hospitals
SNFs
Assisted 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 provider
5. Documentation & Compliance
Maintain accurate and real-time documentation in Sprite Care Management systems
Ensure compliance with:
California Department of Health Care Services
ALW program requirements
CalAIM guidelines
MCP contractual obligations
Track:
Referral timelines
Placement outcomes
Barriers to care
6. Risk Management & Member Safety
Identify unsafe discharge plans or inappropriate placements
Advocate for higher level of care when needed
Escalate:
Behavioral health concerns
Abuse/neglect risks
Housing instability
Collaborate with ECM teams to ensure whole-person care planning
Required Qualifications
Active, unrestricted LVN license (California)
Minimum 2–3 years clinical experience (SNF, hospital, RCFE, ALF, case management, or home health)
Experience with:
Medi-Cal population
Discharge planning or care coordination
Strong understanding of:
ALF/RCFE level of care
ADLs and functional assessments
Preferred Qualifications
Direct experience with:
Assisted Living Waiver (ALW)
California Advancing and Innovating Medi-Cal (CalAIM)
Enhanced Care Management (ECM)
Community Supports (CS)
Existing relationships with hospitals or SNFs
Bilingual (preferred)
Core Competencies (Non-Negotiable)
Clinical judgment under pressure
High-volume workflow management
Relationship-building and influence
Problem-solving and escalation awareness
Strong communication (clinical + non-clinical audiences)
Time-sensitive decision-making
Performance Expectations (KPIs)
Referral response time: < 24 hours
Placement turnaround time: within 30 to 60 days
Referral-to-placement conversion rate
MCP/DHCS satisfaction and responsiveness
Accuracy and completeness of documentation
Growth in referral network
Work Environment Reality Check
This role requires someone who can:
Handle constant inbound referrals and competing priorities
Navigate gray areas in placement decisions
Push back on unsafe discharges (this is critical)
Move quickly without compromising clinical judgment
Why This Role Matters
This position directly impacts:
Whether members avoid unnecessary SNF placement
Whether discharges are safe vs risky