LVN Case Manager

Los Angeles LGBT Center; Los Angeles, California (CA, MO); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Long-term disability

403(b) plan

Job summary

The Los Angeles LGBT Center seeks an LVN Case Manager to work under the Supervisor of Nurse Case Management Services. The role focuses on outreach to clients living with HIV/AIDS and coordinating with RN MCC and the DHSP-adherent team to implement and monitor care plans.

Responsibilities include referral and authorization processes, billing, contract requirements, maintaining complete health records, and promoting continuity of care.

Qualifications

• Three years of direct patient care experience.
• Two years of case management experience preferred.
• Experience with HIV/AIDS and chronic disease care a plus.
• Knowledge of quality assurance/ regulatory standards including DHSP.
• Excellent verbal and written communication skills.
• Proficiency with EHR systems and Microsoft Office.

Responsibilities

• Provide case management and patient care as part of a multidisciplinary team.
• Collaborate with Providers, MCC team, and Health Services staff to implement care plans.
• Determine patient eligibility for referral/authorization (Medi-Cal/Medi-Care).
• Coordinate referrals to specialty consultants and ancillary services.
• Maintain complete and accurate patient health records.

Skills

Direct patient care

Case management

Bilingual English/Spanish

Communication skills

HIPAA knowledge

Education

California LVN license

CPR certification

Tools

Electronic Health Records (EHR)

Microsoft Office

Job description

Position: #710291

Program: Case Management

Department: Health Services

Reports To: Supervisor of Nurse Case Management Services

Shift Differential Premium: $1.75 per hour for hours worked between 6pm-6am

Schedule: Monday-Friday 8:00am-5:00pm

Status: 100%, Full-Time, Non-Exempt, Union

Probation: 90 days

Benefits: Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan

Center’s Mission

Building a world where LGBT people thrive as healthy, equal, and complete members of society.

DEPARTMENT SUMMARY:

As the nation’s largest and most experienced provider of LGBT medical and mental health services, we help LGBTQ people lead healthier, happier lives, by keeping their minds and body well. All services are free or low cost. We’re also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community.

JOB SUMMARY:

Under the supervision of the Supervisor of Nurse Case Management Services, the LVN Case Manager will collaborate with other healthcare providers in developing and implementing care plans. The LVN Case Manager will outreach and ensure that clients living with HIV/AIDS are aware of services available. The LVN Case Manager will work in collaboration with RN Care Managers and Medical Care Coordination (MCC) team with assessments to implement, monitor, and maintain a program under DHSP guidelines. This will include, but not be limited to referral process, authorization process, billing, and contract requirements.

Essential Functions

• Serve as part of a multidisciplinary care team to provide case management and patient care services.
• Work in collaboration with Providers, MCC team members, and other Health Services staff to develop, implement, and maintain an effective and efficient Program.
• Develop guidelines to determine patient eligibility for referral authorization, i.e., Medi-Cal/Medi-Care status.
• Coordinate referrals per clinic protocol to all specialty consultants and ancillary health care services.
• Reduce gaps in services by promoting continuity of care and follow-up of clients.
• Serve as a liaison between specialty consultants and the Jeffery Goodman Clinic, and work in partnership to provide consistent quality care to patients.
• Maintain clear and concise communication to include case presentations, written progress notes, medication lists, summaries, and reports as required by the MCC contract.
• Maintain complete and accurate files documenting all care and services provided in the patient’s health record.
• Coordinate services of outside agencies such as home health, hospital admissions, and hospice care.
• Assist with health care education for patient, partner, and family members; provide health promotion and prevention teaching.
• Provide and reinforce education from Medical Provider pre-approved printed educational materials.
• Increase the access and utilization of medical services by eliminating barriers and promoting early and on-going interventions and adherence.
• Interact in a professional manner with health services staff and patients.
• Exercise appropriate judgment and decision-making skills.
• Use standard office machinery including personal computers and printers in performance of duties.
• Assist in data auditing tasks, prepare reports as required, and submit in a timely manner.
• Participate in staff meetings, agency meetings, planning meetings, and other meetings as needed.
• Comply with requirements of OSHA, HIPAA, and other applicable regulations.
• Other duties as assigned.

Job Qualifications And Experience

• Prefer three years of experience in direct patient care; preferably in an ambulatory care setting.
• Prefer two years of experience in Case Management.
• Prefer experience in HIV/AIDS, other infectious diseases, and chronic disease care/management.
• Knowledge of quality assurance/management/improvement as well as DHSP and other regulatory standards including state/federal laws, rules, and regulations.
• Excellent verbal and written communication skills, including strong organizational, detail, and interpersonal skills.
• Excellent computer skills and knowledge of Microsoft Office, word processing, Electronic Health Records, and other software systems.
• Ability to be self-motivated and dedicated to initiating and completing complex tasks.
• Ability to handle multiple tasks, be detailed oriented, and maintain strict confidentiality of medical information.
• Able to work well independently with minimum supervision.
• Bilingual (English/Spanish) skills a plus.
• Knowledge of or experience working with the LGBTQ community and familiarity with issues of relevance to LGBTQ people.
• A passion for the Center’s work and its mission to make the world a better place for LGBTQ people.
• Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment.

Training, Education And Licensure

• Current California LVN license
• Current AHA CPR certification

The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, ancestry, religious creed, national origin, sex, sexual orientation, gender identity, gender expression, medical/physical/mental condition, pregnancy/childbirth and related medical condition, age, marital status, or veteran status.

The Center requires that all staff working in Health Services clinical site locations receive the most up-to-date Influenza vaccinations and strongly recommends that staff also receive the latest COVID-19 vaccine. Staff not working at any of the Center’s clinical sites are encouraged to receive the latest COVID-19 and Influenza vaccines but are not required to do so. For more information, please contact [e-mail] .