SUMMARY

Support and promote LACHC’s mission to show God’s love by providing quality, comprehensive healthcare to the homeless and underserved in all job duties and responsibilities. The Care Coordinator Supervisor will directly supervise the HIV Case Manager and the MAT(medication-assisted treatment) care coordinator, conducting outreach to patients interested in or participating in LACHC’s MAT program and encourage testing for HIV and Hepatitis C at our clinic and street medicine sites. The care coordinator supervisors will also conduct outreach to MAT, HIV and HCV patients to increase their linkage to further care. In addition, the supervisor will oversee the HIV Case Manager, ensuring testing and linkage for those tested for HIV both in clinic and street medicine settings. The Supervisor will work with MAT patients and HIV and Hepatitis C positive patients to help coordinate the physical health, behavioral health, and community-based long-term services that they need. The Care Coordinator Supervisor is accountable for facilitating access to the above mentioned services and coordinating with entities that authorize services and pharmaceutical therapies as necessary to support the achievement of individualized health action goals. The Supervisor is also responsible for managing all STI and MAT patient registries, reviewing weekly STI testing data, ensuring accuracy of the testing data prepared by other care coordinators and submitting monthly and quarterly reports to fulfill grant requirements. The Supervisor is expected to provide direct patient care coordination services both in street medicine and in-clinic settings.

ESSENTIAL DUTIES and RESPONSIBILITIES include:

Hire, onboard, supervise, and coach other care coordinators
Manage schedules, assign duties, appraise performances, and subsequently provide any needed support to optimize supervisee performances.
Facilitate ongoing trainings to staff, as identified and needed, to ensure evidence-based, comprehensive care of STIs and opioid-use disorders
Ensure staff compliance with departmental and organizational policies, procedures, and expectations.
Monitor compliance for HRSA and other grant requirements, including completion of comprehensive assessment(s) and grant reports.
Establish strategies and monitor care coordination outreach activities, productivity, success, and opportunities.
Ensure care plan documentation and care coordination data accurately recorded in EHR
Provide individual supervision to Care Coordinators to discuss patient concerns and strategies to address needs.
Synthesize complex information from assessments, trainings, and research for direct services staff to provide timely and appropriate care coordination services for those participating in LACHC’s MAT program and patients with HIV and HCV
Participate in departmental operations, improvement strategies, and support overall optimization and patient success strategies.
Assist in the composition and implementation of departmental workflows, policies, and procedures for improved operations.
Create health education tools and courses to bolster training materials for the department, colleagues, and patients.
Assist in management of department budget and funds, along with grant budgets and spending.
Utilize Trauma-Informed Care, Motivational Interviewing, and Harm Reduction strategies, including certification is Narcan administration, to clinic patients.
Provide direct patient care coordination services to patients in clinic and in street medicine settings
Use evidenced-based outreach strategies to locate clients and link patients into care.
Use effective communication skills such as active and reflective listening to build rapport with vulnerable and difficult to engage clients who are homeless or engage in substance use.
Interview and assess patients to identify social, emotional, and economic factors which may interfere with attaining Hep C, HIV or MAT care
Promote self-management skills so the patient is better able to engage with health and service providers and support the achievement of self-directed, individualized health goals to attain recovery, improve functional or health status, or prevent slow declines in functioning.
Ensure that patients are knowledgeable about their conditions with the overall goal of improving the patients’ linkage to care and adherence to treatment by providing culturally appropriate information that meets health literacy standards.
Collaborate with clinical staff and patients to identify barriers to linkage to care, such as substance use disorders, homelessness, and severe mental illness.
Provide health education on topics such as nutrition, food, drug use, harm reduction, etc. Help patients set goals and solve problems for improved self-management.
Monitor medication use and treatment adherence by patients
Coordinate specialty follow-up appointments, diagnostic imaging, lab testing, and follow-up with other needed services and supports
Coordinate with authorizing and prescribing entities, such as Medi-cal, Health Maintenance Organizations (HMOs), and specialty pharmacies to help patients apply and get approved for MAT, Hep C and HIV pharmaceutical treatment
Work with providers to ensure all necessary labs and diagnostic imaging are completed in order to identify potential Hep C patients and submit Prior Authorization applications (for HCV medications) to assigned insurance companies
Monitor completion of standing orders, routine labs, adherence to treatment, and care plan objectives to ensure continuity of care
Document all evaluations, care plans, interventions, encounters, and referrals performed.
Import and review all HCV and HIV tests performed at all clinic sites on a weekly basis in the Access database
Utilize eClinical Works to gather and input required patient data (i.e. mode of transmission, previous test results) into Access for Monthly and Quarterly finance reports
Ensure completion and proper submission of monthly testing estimates and of quarterly Reports
Maintain a HIPAA- compliant registry for all patients testing positive for Hepatitis C and HIV and those participating in LACHC’s MAT program
Send monthly data on MAT patients to CMO and CIO
Coordinate activities and communication among the treatment team and work closely with clinical staff and other community resources, as available, to address all areas of health.
Participate in case conferences in order to ensure that the patients’ care is continuous and integrated among all service providers
Work with other STI Care Coordinators to manage HIV registry and coordinate PrEP, PEP and long-acting HIV treatment injections
Other duties as assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
CPR Certification required.
Bi-lingual Spanish preferred
Experience with data entry preferred

EDUCATION and/or EXPERIENCE

Bachelor’s degree from a four-year college or university required. Prior experience in the health care setting is preferred. Prior experience working with the homeless, substance using, or chronically mentally ill individuals preferred.
COMPUTER KNOWLEDGE
Experience with Microsoft Word, Microsoft Access, Microsoft Excel, and eClinical Works preferred.
LANGUAGE SKILLS
Familiarity with medical terms and operations of clinics useful.
Proficiency in English required, Bi-lingual/ Bi-literal Spanish preferred.
MATHEMATICAL SKILLS
Ability to calculate figures and amounts such as totals, proportions and percentages.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee will be exposed to carriers of contagious diseases. The employee may have to deal with irate and irrational clients who may or may not be under the influence of mind-altering substances such as cocaine, marijuana, alcohol, or suffering from severe mental illness.
The employee will have access to patient charts which contain confidential information about medical conditions and other personal matters. The employee must display a commitment to maintaining patient confidentiality at all times.

WORK STATUS:

The position is regular, full-time, non-exempt. Medical, Dental, Vision and 403B Retirement Plan with employer match. We are an equal opportunity employer.
We will also consider candidates with criminal histories. Annual Salary $50,525 – $75,787. Please submit your resume to Cheryl Barnes (cbarnes@lachc.com)