LVN Case Manager

We're seeking an exceptional LVN Case Manager to join our Enhanced Care Management team. Under the direction of the ECM Clinical Manager, the LVN Case Manager (internally titled Clinical Lead Care Manager) serves as the client's primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client's needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client's caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit. This is a hybrid position that requires traveling throughout the Humboldt County area up to 5 days per week. Candidates wishing to be considered must reside within 20-miles of the assigned territory due to frequency of travel. This is a critical role that we're looking to fill as soon as possible.

Responsibilities

Serve as the client's primary point of contact and coordinate with doctors, specialists, pharmacists, social services providers, and others; Manage client cases, coordinate health care benefits, and provide education; Facilitate member access to care in a timely and cost-effective manner; Collaborate with caregivers, family support persons, providers, and the Care Team to promote wellness, recovery, independence, resilience, and member empowerment; Assess member needs across physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, and housing; Oversee development of client care plans and goal setting; Offer services in office-based, telehealth, or field-based settings; Connect clients to social services and supports; Advocate on behalf of clients with health care professionals; Utilize evidence-based practices such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care; Conduct outreach and engagement to facilitate linkage to the ECM program and log activity in the CRM system; Evaluate client progress and update SMART goals; Provide mental health promotion; Arrange transportation (e.g., ACCESS); Complete documentation, including outcome measures, within established timeframes; Maintain up-to-date patient health records in the EMR system and other business systems; Complete monthly reporting to ensure program compliance; Attend training as assigned; Travel throughout the Humboldt County area up to 5 days per week

Requirements

Active, unrestricted California Licensed Vocational Nurse (LVN) license; Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely; 2+ years of experience as a care manager, care navigator, or community health worker supporting vulnerable populations; Working knowledge of government and community resources related to social determinants of health; Excellent oral and written communication skills; Positive interpersonal skills; Clean driving record, valid driver's license, and reliable transportation; General computer skills and a working knowledge of Google Workspace, MS Office, and the internet; Candidates must reside within 20 miles of the assigned territory

Nice to have

Bilingual (English/Spanish); Working knowledge of government and community resources related to social determinants of health