Program: Nursing Case Management
Department: Health Services
Reports to: Associate Director, Clinical Nursing
Status: Exempt
Probation: 180 Days
Benefits: Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan
JOB SUMMARY: Under the supervision of the Director, Nursing & Case Management Services, the Manager, Nursing Case Management (RN) provides direct supervision and oversight of the RN Care Managers, the Manager, Nursing Case Management (LVN), and the Audre Lorde Health Program (ALHP) RN Manager. The Manager, Nursing Case Management (RN) ensures that Case Management Services operates with-in industry standards and meets all contractual requirements and guidelines.
ESSENTIAL FUNCTIONSProgram Planning & Management • Provide overall direction and guidance for Nursing Case Management Services.
• Provide direct supervision and guidance to RN Care Managers, Assistant Manager of Nurse Case Management Services, and Audre Lorde Health Program (ALHP) RN Manager.
• Provide indirect supervision and guidance to the LVN Case Managers.
• Provide direct supervision for Nursing in Medical Care Coordination (MCC), Primary Care Nursing Case Management, and other medical case management programs.
• Work closely with Director of Nursing & Case Management Services, Associate Director of Case Management Services, MCC Teams, Medical Providers, HS Managers, and staff to ensure that Case Management services meet patient care and regulatory requirements.
Quality Management • Provide Quality Management direction, support, and oversight for Case Management activities in all HS divisions and other LA LGBT Center areas as appropriate.
• Actively participate in Quality Management (QM) Committee and ensures that regular monitors are conducted and reported on.
• Lead and/or participate in various special projects teams to address areas of concern.
Clinical Compliance • Develop and maintain current Policy & Procedure (P&P) for Case Management services and ensure that they comply with all regulatory and contract requirements.
• Actively participate in the Nursing Unit Level P&P Committee
• Conduct regular meetings with staff to ensure full understanding and compliance for all P&P, QM plans and risk management activities.
• Participate as needed in all programs, licensure, and other external audits and in the preparation of Plans of Corrective Action.
Other Duties• Participate in LA LGBT Center and HS meetings as required.
• Attend outside meetings and represents the organization as needed.
• Other duties as assigned.
Management Responsibilities (Budgetary & Direct Supervisory)• Maintain appropriate documentation and ensure compliance with all Center policies and requirements.
• Ensure that staffing levels and coverage are adequate to meet patient care and regulatory requirements.
• Maintain systems to provide regular feedback and evaluation for employees.
• Work closely with management to maintain a positive patient care atmosphere in the clinic and throughout the organization.
• Develop and implement staff training and develop programs to meet continuing education and contractual requirements to further increase knowledge in the provision of case management services, specialty care, and nursing/medical care.
• Develop and maintain a supervisory system that includes preparing monthly work schedules, staff call-in log, regular staff meetings, regular one-on-one meetings, a training program, performance documentation, and personnel files for residential programs.
• Recruit, hire, train, schedule, and supervise staff, and plan staff training in coordination with operations team.
• Work closely with the Youth Services Data and Evaluation Manager to ensure all staff are fully trained on operational databases (HMIS, Sharepoint, Clarity, Civi, MS TEAMS).
QUALIFICATIONS- Minimum of two years experience in direct patient care, preferably in an ambulatory care setting
- Minimum of two years experience in Case Management preferred
- Minimum of two years nursing management experience in out-patient setting
- Experience in HIV/AIDS, other infectious diseases, and chronic disease care/management
- Basic knowledge of state/federal reporting requirements pertaining to infectious diseases
- Knowledge of budget processes, quality assurance/improvement, distribution reports, DHSP, HRSA, FQHC, PCMH standards, and other regulatory standards including state/federal laws, rules, and regulations
- Strong communication, organizational, and interpersonal skills with a high level of attention to detail
- Proficiency with Microsoft Office, 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
- Knowledge of or experience working with the LGBTQ community and familiarity with issues of relevance to LGBTQ people
- A passion for the Center's work and its mission to make the world a better place for LGBTQ people
- 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.
TRAINING, EDUCATION AND LICENSURE- Current California RN license
- Current AHA CPR certification
- BSN or MSN Preferred
- Current and Active ACRN Certification preferred
