RN Care Manager (MCC) #710226
Apply NowCompany: Los Angeles LGBT Center
Location: Mcdonald, NM 88262
Description:
Position: RN Care Manager (MCC) #710226
Department: Health Services
Program: Nursing - Case Management
Reports to: Manager of Nurse Case Management Services
Compensation: $98,262.00 - $117,914.40 Annually
Status: 100%, Full-time, Exempt, Union
Probation: 90 days
Benefits: Medical, Dental, Vision, 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 LGBTQ 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 Manager of Nurse Case Management Services, the Registered Nurse (RN) Care Manager will provide medical care management and overall support services to patients while ensuring that case management services operate within industry standards and meets all contractual requirements and guidelines. The Care Manager must be a RN and will work in collaboration with staff to implement, monitor and maintain a program under DHSP guidelines. This will include but not be limited to initial nursing assessments, chronic disease management/treatment protocols, referral process, authorization process, linkage to care and facilitation of client access to primary health care.
ESSENTIAL FUNCTIONS:
Serves as part of a multidisciplinary care team to provide a range of patient care services.
Collaborates with healthcare providers, case management staff, Health Services staff, and outside organizations in planning, organizing, and implementing patient care plans for chronic disease management (e.g., HIV, Hepatitis C, Diabetes).
Provides oversight and support to the LVN Nurse Case Managers.
Ability to make independent and substantial decisions.
Provides outreach and ensures that clients are aware of services available.
Works in collaboration with staff members to develop, implement, and maintain an effective and efficient UM Program.
Collaborates with other team members to implement specialty referral guidelines and to determine patient's eligibility for referral authorization, i.e., Medi-Cal/Medicare status.
Collaborates with staff members regarding the coordination of specialty referrals per clinic protocol to all specialty consultants and ancillary health care services.
Make appropriate referrals to ancillary team members, i.e., Housing Case Management Staff, Nutritionist, Pharmacist, etc.
Consult with staff on service coordination and service plans for clients in the MCC program.
Ensures that the nurse case management staff promotes continuity of care and follow-up of clients.
Serves as a liaison between specialist consultants and Health Services.
Develops materials and assists with health care education for client, partner, and family members.
Ensures that there is clear and concise communication, including case presentations, written progress notes, medication lists, summaries, and reports.
Oversees the coordination services of outside agencies such as home health, hospital admissions, and hospice care.
Supports the monitoring of specialist appointments for reconciling the funding, billing, and reporting requirements.
Provides and oversees staff members who provide skilled nursing care to patients, including but not limited to administering medications, treatments, and screening procedures as ordered and within the scope of practice of the license.
Performs and oversees assessments per LA LGBT Center, DHSP, HRSA, and other regulatory agency guidelines.
Assists with staff training, development, and mentoring.
Triage patients as needed.
Maintain complete and accurate files documenting all care and services provided in the client's health record and all other required documentation methods.
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, case conferences, and other meetings as needed.
Comply with requirements of OSHA, HIPAA, and other applicable regulations.
Other duties as assigned.
JOB QUALIFICATIONS AND EXPERIENCE:
Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people;
A passion for the Center's work and its mission to make the world a better place for LGBTQ people;
AIDS Care Registered Nurse (ACRN) Certification Preferred.
Current California Registered Nurse License Required
BSN or MSN a Plus
Current AHA CPR Certification
Minimum of three years of experience in direct patient care; preferably in an ambulatory care setting.
Minimum of two years of experience in Case Management.
Experience in HIV/AIDS, Hepatitis C, and chronic disease care/management preferred.
Basic knowledge of HIV/AIDS, other infectious diseases, and state/federal reporting requirements.
Knowledge of quality assurance/management/improvement as well as DHSP and other regulatory standards including state/federal laws, rules, and regulations.
Understanding of the global effect of HIV/AIDS on the person, their family members, and significant others.
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.
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.
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 has implemented a policy requiring all staff to be fully vaccinated against COVID-19 as a condition of employment, subject to applicable federal, state and local laws. For more information, please contact [redacted]
Department: Health Services
Program: Nursing - Case Management
Reports to: Manager of Nurse Case Management Services
Compensation: $98,262.00 - $117,914.40 Annually
Status: 100%, Full-time, Exempt, Union
Probation: 90 days
Benefits: Medical, Dental, Vision, 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 LGBTQ 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 Manager of Nurse Case Management Services, the Registered Nurse (RN) Care Manager will provide medical care management and overall support services to patients while ensuring that case management services operate within industry standards and meets all contractual requirements and guidelines. The Care Manager must be a RN and will work in collaboration with staff to implement, monitor and maintain a program under DHSP guidelines. This will include but not be limited to initial nursing assessments, chronic disease management/treatment protocols, referral process, authorization process, linkage to care and facilitation of client access to primary health care.
ESSENTIAL FUNCTIONS:
Serves as part of a multidisciplinary care team to provide a range of patient care services.
Collaborates with healthcare providers, case management staff, Health Services staff, and outside organizations in planning, organizing, and implementing patient care plans for chronic disease management (e.g., HIV, Hepatitis C, Diabetes).
Provides oversight and support to the LVN Nurse Case Managers.
Ability to make independent and substantial decisions.
Provides outreach and ensures that clients are aware of services available.
Works in collaboration with staff members to develop, implement, and maintain an effective and efficient UM Program.
Collaborates with other team members to implement specialty referral guidelines and to determine patient's eligibility for referral authorization, i.e., Medi-Cal/Medicare status.
Collaborates with staff members regarding the coordination of specialty referrals per clinic protocol to all specialty consultants and ancillary health care services.
Make appropriate referrals to ancillary team members, i.e., Housing Case Management Staff, Nutritionist, Pharmacist, etc.
Consult with staff on service coordination and service plans for clients in the MCC program.
Ensures that the nurse case management staff promotes continuity of care and follow-up of clients.
Serves as a liaison between specialist consultants and Health Services.
Develops materials and assists with health care education for client, partner, and family members.
Ensures that there is clear and concise communication, including case presentations, written progress notes, medication lists, summaries, and reports.
Oversees the coordination services of outside agencies such as home health, hospital admissions, and hospice care.
Supports the monitoring of specialist appointments for reconciling the funding, billing, and reporting requirements.
Provides and oversees staff members who provide skilled nursing care to patients, including but not limited to administering medications, treatments, and screening procedures as ordered and within the scope of practice of the license.
Performs and oversees assessments per LA LGBT Center, DHSP, HRSA, and other regulatory agency guidelines.
Assists with staff training, development, and mentoring.
Triage patients as needed.
Maintain complete and accurate files documenting all care and services provided in the client's health record and all other required documentation methods.
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, case conferences, and other meetings as needed.
Comply with requirements of OSHA, HIPAA, and other applicable regulations.
Other duties as assigned.
JOB QUALIFICATIONS AND EXPERIENCE:
Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people;
A passion for the Center's work and its mission to make the world a better place for LGBTQ people;
AIDS Care Registered Nurse (ACRN) Certification Preferred.
Current California Registered Nurse License Required
BSN or MSN a Plus
Current AHA CPR Certification
Minimum of three years of experience in direct patient care; preferably in an ambulatory care setting.
Minimum of two years of experience in Case Management.
Experience in HIV/AIDS, Hepatitis C, and chronic disease care/management preferred.
Basic knowledge of HIV/AIDS, other infectious diseases, and state/federal reporting requirements.
Knowledge of quality assurance/management/improvement as well as DHSP and other regulatory standards including state/federal laws, rules, and regulations.
Understanding of the global effect of HIV/AIDS on the person, their family members, and significant others.
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.
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.
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 has implemented a policy requiring all staff to be fully vaccinated against COVID-19 as a condition of employment, subject to applicable federal, state and local laws. For more information, please contact [redacted]