LVN Case Manager

LVN Case Manager

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 include serving as part of a multidisciplinary care team to provide case management and patient care services, working in collaboration with Providers, MCC team members, and other Health Services staff to develop, implement, and maintain an effective and efficient program, developing guidelines to determine patient eligibility for referral authorization, coordinating referrals per clinic protocol to all specialty consultants and ancillary health care services, reducing gaps in services by promoting continuity of care and follow-up of clients, serving as a liaison between specialty consultants and the Jeffery Goodman Clinic, maintaining clear and concise communication to include case presentations, written progress notes, medication lists, summaries, and reports as required by the MCC contract, maintaining complete and accurate files documenting all care and services provided in the patient's health record, coordinating services of outside agencies such as home health, hospital admissions, and hospice care, assisting with health care education for patient, partner, and family members; providing health promotion and prevention teaching, providing and reinforcing education from Medical Provider pre-approved printed educational materials, increasing the access and utilization of medical services by eliminating barriers and promoting early and on-going interventions and adherence, interacting in a professional manner with health services staff and patients, exercising appropriate judgment and decision-making skills, using standard office machinery including personal computers and printers in performance of duties, assisting in data auditing tasks, preparing reports as required, and submitting in a timely manner, participating in staff meetings, agency meetings, planning meetings, and other meetings as needed, complying with requirements of OSHA, HIPAA, and other applicable regulations, and other duties as assigned.

Job qualifications and experience include three years of experience in direct patient care; preferably in an ambulatory care setting, two years of experience in Case Management, 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, ability 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, and 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 include a current California LVN license and current AHA CPR certification.