LifeLong Medical Care

RN - Case Manager

US-CA-Oakland
1 week ago
ID
2017-1593
# of Openings
1
Category
Healthcare

Overview

LifeLong Medical Care has an exciting part-time opportunity for an RN to join the team at the LifeLong Trust Clinic!! The Nurse Case Manager will work on a team with 2 Community Health Workers to provide  case management services to up to 40  complex patient with multiple chronic medical and behavioral health conditions.  Services provided include comprehensive care management, care coordination, health promotion and disease management, comprehensive transitional care, individual and family support, and referral to community and social support services.  This team is embedded in a multi-disciplinary primary care clinic which serves homeless adults. 

 

About LifeLong Medical Care: LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. 

 

We offer a competitive salary and excellent benefits: medical, dental, vision, Flexible Spending Accounts, dependent and domestic partner coverage, 403(b) retirement savings plan and loan repayment programs. To learn more about our health center, please see our website: www.lifelongmedical.org

 

LifeLong Medical Care is an equal opportunity employer. 

Responsibilities

 

Responsibilities Include:

  • Build and maintain effective relationships with members and designated families or caregivers.
  • Work with members to develop appropriated goals, assessments and care plans.
  • Serve as a clinical resource to health home members and staff, as needed.
  • Develop relationships with appropriate community resources to help support our members.
  • Provide direction to staff members and teams tasked with coordination activities for health homes members. 
  • Collaborate and coordinate medical needs/issues with client and client's treatment team (community health worker, medical and behavioral health providers, support network)Provide hands on nursing care as needed, including but not limited to:
    • Taking vital signs
    • Checking blood glucose by capillary finger stick
    • Administering medications
    • Wound care
    • Catheter and ostomy care
    • Support with and evaluation of ADL needs
  • Assess the medical and mental health needs of patients and advocate for care on their behalf.
  • Create care plans based on appropriate nursing diagnoses in order to recommend care to other medical providers and specialists.
  • Conduct medication review/reconciliation; and provide education on proper usage of medication
  • Develop and implement health promotion activities and groups regarding wellness and chronic disease management
  • Conduct one-on-one and group health education activities to aid in disease self-management. (i.e.  Diabetes, Asthma, Hypertension, Congestive Heart Failure). 
  • Assure access to culturally and linguistically appropriate health education materials.
  • Provide educational materials and review with member
  • Educate member and provide support around disease specific interventions
  • Collaborate on discharge planning with hospital and SNF staff to promote the safe and timely return to the community and adequate medical follow-up
  • Attend medical appointments as necessary for those clients that may need assistance in understanding and complying with provider instructions.
  • Organize and participate in clinical case conferences and meetings in order to support effective care coordination and comprehensive care.
  • Meet with Community Health Workers on a regular basis to coordinate services
  • Document each client contacts in the EHR.

 

Qualifications

To succeed you will need:

  • California licensure as Registered Nurse. 
  • 1+ years clinical experience—home health experience preferred
  • Experience working with complex medical cases
  • Experience working with diverse low income communities and individuals with untreated mental illness and/or substance abuse disorders
  • A current driver’s license, access to a vehicle for transportation and current automobile insurance
  • Able and willing to travel within Alameda County
  • Ability to perform multiple tasks, manage time effectively and have good problem solving skills
  • Strong interpersonal skills and excellent communication skills-oral and written;
  • Strong computer skills; including the Microsoft Office Suite and some experience with Electronic Medical Records
  • Knowledge of community resources

 

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