<h3>Job Description</h3>
Position: Care Manager #710225
Program: Nursing - Case Management
Department: Health Services
Reports to: Manager of Nurse Case Management
Compensation: $95,400-$128,790 Annually
Status: 100%, Full-Time, 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: The Los Angeles LGBT Center’s Department of Health Services is one of the nation’s largest and most experienced providers of LGBTQ-specialized primary care and related services, Our mission to help LGBTQ people lead healthier, happier lives is supported by our comprehensive array of client-centered services including primary care, mental health, psychiatry, sexual health, pharmacy, case management, nutrition, clinical research, housing services and a food pantry. The Center is one of a handful of Federally Qualified Health Centers in the nation specializing in serving LGBTQ people.
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 Utilization Management 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 the Health Services department.
• 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 Los Angeles LGBT Center, DHSP, Health Resources and Services Administration (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.
• Holds current California Registered Nurse License.
• BSN or MSN, a plus.
• Holds current AHA CPR Certification.
• AIDS Care Registered Nurse (ACRN) Certification Preferred.
• Minimum of 3 years of experience in direct patient care; preferably in an ambulatory care setting.
• Minimum of 2 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, 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 detail-oriented and maintain strict confidentiality of medical information.
• Able to work well independently with minimum supervision.
• Bilingual skills, a plus (English/Spanish fluency preferred).
• 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, national origin, sexual orientation, gender identity and expression, sex, pregnancy, childbirth and related medical conditions, religion, disability, age, military or veteran status, including status as a victim of domestic violence, assault or stalking, genetic information (including family medical history), political affiliation or activities, medical or health conditions, and marital status.
The Center has implemented a policy requiring all staff to be up-to-date with COVID-19 vaccinations as a condition of employment, subject to applicable federal, state and local laws. For more information, please contact <a href="mailto:jobs@lalgbtcenter.org" target="_blank">jobs@lalgbtcenter.org</a>

Care Manager #710225

<h3>Job Description</h3>
Salary: $22-26
POSITION:                            Compliance &amp; QA Specialist

LOCATION:                          BHS Corporate. - Gardena, CA.
DUTIES:         Perform routine and assigned audits, monitoring reviews and data collection using approved audit and monitoring instruments.  Conduct demographic data entry (CalOMS Admission and Discharge) and/or corrections across behavioral health sites. Assist in the collection of charts and/or data for quarterly Drug Medi-Cal Utilization Review and other Utilization Review meetings and participates in meetings as assigned. Conduct behavioral Health Quality assurance chart audits. Perform behavioral health billing reconciliation tasks. Perform routine compliance activities, such as SBAT monitoring, exclusions screening, etc. in support of department goals. Maintain organized physical and electronic files and documentation of activities. Attend Committee Meetings and prepare meeting summaries as assigned. Other duties as may be assigned.
QUALIFICATIONS:              Following are the qualifications required to perform the essential functions of this position.  Qualifications may be subject to modification based on the Americans with Disabilities Act. 
Strong attention to detail. Reliability in attendance and assignments. Adherence to tight deadlines and ability to multi-task. Ability to critically think through problems and tasks, and conduct research to identify solutions and/or support decisions. Ability to learn computer software programs (e.g. electronic health record systems, external portals, etc.) in order to perform job duties within 3 months of hire. Strong display of agency values:  Compassion; Dedication; Integrity; Diversity. Basic knowledge of health care and social service systems.  Knowledge of behavioral health documentation. Self-motivated; ability to work independently and with a team. Compliance with applicable federal, state, contract and agency regulations, policies and procedures regarding the privacy, confidentiality and release of patient and business information. Adherence to professional and ethical standards of conduct, and health and safety standards. Ability to display respect for cultural and lifestyle diversities of clients and staff.
Education and Experience: 
<ul>
<li> Minimum 5 years’ experience in behavioral health care field, preferably substance abuse.</li>
<li> Bachelor’s Degree in a health or human/social service or related field, or equivalent combination of education and experience. </li>
<li> Experience and proficiency with MS Office Suite, especially WORD and Excel</li>
</ul>
                                                Must have valid California driver’s license and liability insurance if driving personal vehicle on BHS business. Ability to stand, bend, stoop, squat and reach for purpose of performing duties such as handling materials stocked on shelves, filing and handling and sorting mail.  Routinely lift and move items weighing up to ten pounds; is expected to ask for assistance and use dolly or cart and any heavy items.  Vision, hearing, manual dexterity and eye-hand coordination adequate to answer telephones, use keyboard, write messages.  Able to move about the facility and in other off-site locations. 
Recovering individuals must have a minimum two years clean, sober and abstinent to be considered for employment.


Behavioral Health Services (BHS) is a non-for-profit, community-based health care organization, whose mission is to transform lives by providing substance abuse, mental health, drug-free transitional living, family preservation, prevention and Family Health Center and other related health services to the residents of Southern California. If you are interested in being a part of this dynamic organization, please apply.

BENEFITS: BHS offers a full complement of benefits for eligible employees: Medical, Dental, Vision, 401K, Long &amp; Short Term Disability and Life Insurance. 
APPLICATIONS: Applicants may email resume to <a href="mailto:jobs@bhs-inc.org" target="_blank">jobs@bhs-inc.org</a> or fax to (310) 679-4621, or apply in person at 15519 Crenshaw Blvd., Gardena, CA 90249. NO PHONE CALLS PLEASE.
BHS IS AN EQUAL OPPORTUNITY EMPLOYER
BHS will consider applicants with criminal history as required.

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