Nurse (Lvn) - Street Medicine (West Hollywood/W La/Marina Del Rey)

At Healthcare in Action, we serve patients experiencing homelessness through an innovative “Street Medicine” approach by contracting with Medicare and Medicaid health plans as well as hospitals and health systems.

Street medicine entails using a medically equipped van to deliver medical care directly to people experiencing homelessness in locations such as parking lots, encampments, and parks.

The LVN will support members who are experiencing or are at risk of experiencing homelessness with managing their own health by providing direct care as a healthcare provider through coordination of care with the Healthcare in Action clinical team on the street. Assist in motivating behavioral changes in patients to improve health outcomes in members through education, peer support, and the relaying of shared experiences.

Care is delivered through a mobile van setting or on the street in and around the West Hollywood/W LA/Marinadel Rey areas.

Responsibilities include:

The LVN Street Nurse will conduct physical exams and assessments including taking medical histories document patient’s health conditions; conduct wellness exams, administer vaccinations and draw blood for lab tests (if necessary). Provide wound care and patient monitoring.

Organize and complete an individualized Care Plan for each patient.

• Develop care plans in collaboration with patients, peer nav, and primary care physicians. Educate and advise on medical issues as needed. Consult with physicians, physician assistants, nurse practitioners and Medical Director as needed. Ensure Primary Care Physicians are aware of patient’s health conditions and progress.
• Provide health education to patients. Work with patients in the prevention of illness, promotion of health, and management of patient's adjustment to chronic health problems.
• Provide referrals both internally and externally to appropriate medical resources.

The Street Nurse will engage with providers and patients to create a trusting environment. Maintain a safe, efficient, and pleasant environment conducive to optimum patient wellbeing, in conformance with recognized standards. Function in a collaborative relationship with physicians and other health care professionals in the clinical management of patients. Maintain a good working relationship with other personnel, medical staff, and administration.

Follow company policies and procedures:

• For the proper handling of lab specimens and biohazardous waste.
• Document patient visit/interaction accurately and timely.
• Report suspicious, unethical, or illegal conduct and cooperate with approved investigations and inspections.

Develop an understanding of Health Plan’s encounter data submission process and CMS requirements. Participate in the grievance, audit and continuing education, quality assurance, and quality improvement programs. Serve as an on-going resource to providers and case management teams. Serve on and participate in appropriate clinical committees, as assigned.

Provide clinical Leadership of teams, consisting of social workers and peer navigators and function as a liaison to the overseeing physician and psychiatrist.

• Monitor, train, and coach patients on how to live with chronic conditions to ensure health goals are met.
• Collaborate with SCAN, Healthcare in Action team, and Quality Improvement team to achieve corporate goals.

Function as part of the care team, with an advanced degree of knowledge, skill and expertise in history taking, physical exam, treatment, and clinical care management of patients.

• Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Contributes to team effort by accomplishing related results as needed.
• Actively support the achievement of HIA's Vision and Goals.

Other duties as assigned.

Qualifications and experience:

• Associate degree in nursing or higher from an accredited School of Nursing or, a 4 Year college degree in Nursing, preferred but not required.
• Current California Licensed Vocational Nurse is required.
• 2+ years of direct patient care experience working in a medical office or hospital setting.

• Understanding of ICD-10 Coding preferred.

• Excellent assessment skills required. Ability to problem-solve and to prioritize changing patient conditions required. Knowledge of efficient interviewing practices and techniques used to gather information.

• Strong interpersonal skills with the ability to build relationships with providers and patients.

• Ability to maintain quality, safety and /or infection control standards.

• Knowledge of and/or ability to learn and use computer-based applications such as MS Office and electronic medical record systems.

• Knowledge of medical records and appropriate documentation requirements.

• Ability to maintain patient confidentiality required. Knowledge of HIPAA requirements.

• Excellent verbal, written communication and listening skills both in-person and on the phone required.

• Ability to remain calm and be resourceful in emergency situations required.

• Ability to maintain a professional demeanor at all times.

• Excellent customer service skills required.

• Ability to be culturally sensitive and work with a diverse, patient population.

• Ability to work on a team and maintain good working relationships with staff and patients required.

Tuberculosis Screening Policy

To ensure the health and safety of our members, if you are selected for this position, your job offer with Homebase Medical will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, Homebase will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.

What's in it for you?

• Base salary range: $30.76 to 49.23 per hour
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference in the lives of people experiencing homelessness every day!

At Healthcare in Action, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

Healthcare in Action is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

#LI-MD1