Lvn Case Manager

Company Mission Statement:

The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles Area through the direct provision or coordination of health care, health education, services, and research. The mission is being accomplished through a variety of programs and activities, such as: medical outreach and referrals for medical care, HIV services and drug treatment; health education; psychosocial assessment and intervention; primary medical care; family planning services; and research.

Position Purpose:

As an LVN Case Manager in our Enhanced Care Management (ECM) department, you will provide case management and healthcare services to diverse clients, including high service utilizers, individuals and families experiencing homelessness, adults with serious mental illness or substance use disorders, and those transitioning from incarceration. Your primary responsibilities will include conducting assessments, developing care plans, and coordinating medical services for individuals experiencing homelessness. You will collaborate closely with interdisciplinary teams, including social workers, counselors, and outreach workers, to address the complex needs of our clients. Additionally, you will facilitate access to medical resources, provide health education, and advocate for the wellbeing of our clients within the community. Your compassion, clinical expertise, and commitment to serving vulnerable populations will be essential in helping individuals experiencing homelessness access quality healthcare and work towards achieving stability and improved health outcomes.

Principal Responsibilities:

1. Collaborates with ECM Staff, Providers, Managed Care Plans, Housing Navigation Team, and community homeless service providers to offer enhanced care coordination for eligible patients and/or entities, ensuring a seamless experience for the patient and avoiding duplication of services.
2. Conducts case management services, including intake and assessment (functional, psychosocial, housing, mental health, and substance use). Develops a comprehensive care plan based on the assessment with measurable goals, interventions, and objectives to effectively implement the care plan. Includes subspecialty referrals, regular monitoring of the care plan, and necessary follow-ups.
3. Connects Members to other social services/support services and provides appropriate referrals for subspecialty care (e.g., ophthalmology, behavioral health, podiatry, nutrition), transportation, food, and housing. Accompanies Members to office visits, as needed.
4. Provides health education as needed based on the patient's requirements and follows up on compliance issues, especially with medication management, blood sugar, blood pressure, etc.
5. Advocates on behalf of Members with healthcare professionals.
6. Utilizes motivational interviewing, trauma-informed care, and harm-reduction approaches.
7. Coordinates with hospital staff on discharge plans.
8. Monitors treatment adherence, including medication.
9. Provides health promotion and self-management training.
10. Collects and enters necessary data for reporting purposes. Completes and submits monthly project activity and other reports as assigned for submission to the funding source.
11. Participates in agency and community meetings related to the needs of patients and issues related to Case Management diseases.
12. Attends weekly case conferences with PCP’s clinical supervisor and peers to assist in problem-solving related to clients and ensure the provision of professional guidance and high-quality case management services.
13. Performs other duties as assigned.

Requirements:

1. LVN with at least 2 years of experience in case management and a current California license.
2. Experience working with individuals who have multiple chronic conditions, frequent ER visits or in-patient admissions, mental illness, substance use disorders, or are experiencing homelessness.
3. Electronic Health Record experience and data entry skills required. Next Gen experience preferred.
4. Proficient in utilizing Microsoft Word, Excel, and PowerPoint. Demonstrates excellent communication and customer service skills.
5. Strong desire to work as part of a multi-disciplinary team with care coordinators, RNs, LCSWs, MSWs, PCPs, and MAs.
6. Bilingual ability (English/Spanish) strongly preferred.
7. Reliable transportation, a valid CA Driver’s License, and proof of insurance.
8. BLS/First Aid training required.
9. Ability to adapt to a dynamic and fast-paced healthcare environment.

*All JWCH, Wesley Health Centers workforce members are recommended to be fully vaccinated against COVID-19.

Employee Benefits

At JWCH Institute, Inc., we're committed to ensuring our team members are well taken care of. In addition to competitive salaries, employees working 30 hours per week or more receive a monthly allowance that applies towards medical, dental, and vision premiums. But wait, there's more! Our benefits package includes sick leave, vacation time, 13 paid holidays, a 401(k) Safe Harbor Profit Sharing plan, mileage reimbursement, short-term and long-term disability plans, life insurance policies, employee parking, and so much more! Join us and discover the wealth of perks waiting for you!

Wesley Health Centers JWCH Institute is an Equal Opportunity Employer!