Bilingual LVN Care Coordinator

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost. Join us in our mission! SUMMARY The LVN Care Coordinator is an essential part of the ECM team. Enhanced Care management (ECM) is funded through California Advancing and Innovating Medi- Cal (CalAIM) and are programs that coordinate care by utilizing a person-centered approach to maximizing individual’s health and life trajectory. ECM services are medically appropriate and cost-effective alternatives to services covered under the state plan. All potential ECM members must be enrolled in Inland Empire Health Plan (IEHP). Titanium will begin outreach and engagement to promote the services, enroll the members in the ECM program, and provide services intended to improve social and physical determinants of health. Members remain in the ECM programs until they no longer need or want the services. ECM services consist of a care team providing in-person care management and care coordination that aims to ensure services are available from managed care providers for members who are frequent utilizers of health services and individuals experiencing homelessness. The program is designed to leverage existing community care management, sustainability, housing transition, navigation, infrastructure, and experience. WHERE YOU’LL WORK This is a hybrid field-based position. You will spend approximately 80% of your time providing in-person services to members in the community and approximately 20% of your time performing administrative, documentation, and other job-related duties remotely. This position requires regular in-person engagement with members and the ability to travel within the assigned service area. You will have full control over your schedule when meeting members. You are eligible for mileage reimbursement for the use of your vehicle for business-related travel. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm. WHAT YOU’LL DO Facilitate access to primary care and behavioral health providers, as needed Responsible for working effectively with and as part of Titanium’s interdisciplinary team to provide high quality, effective care management to ECM members Engage members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope Coordinate care including resource linkages, working with other professionals and organizations in the community to ensure quality of care for members Seamless transition of care that meets IEHP’s requirements for post ER visits and hospitalizations Complete regularly scheduled follow-up visits Provide care coordination through phone calls, emails, messages, updating calendars, scheduling appointments, data entry, and attending meetings Support BH Care Manager, Community Health Worker, and Care Coordinator with delegated tasks Collaborate on member care issues with other ECM care team members Participate in systematic case reviews as needed Consult with the ECM Operations Leader & Assigned POD RN before taking any clinical action Strategize to engage members in care and conduct motivational interviewing Provide health education to members within scope of practice Initiate a care plan and complete all necessary assessments per healthcare plan guidelines Understand and abide by all departmental and companywide policies and procedures Perform other duties as assigned or required per departmental policy WHO YOU ARE Sensory Requirements Fluent in English (written and verbal), Bilingual in Spanish Ability to communicate clearly in-person, by phone, and electronically Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation Ability to identify problems and use logic and related information to develop and implement solutions Excellent organizational skills and attention to detail Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice Physical Activity Ability to lift, carry, push, or pull up to 20–25 pounds (e.g., laptop bag, forms, mobile equipment) Ability to climb stairs or navigate uneven terrain in community and home environments Ability to bend, reach, and conduct in-person visits in non-traditional environments Must be able to remain in a stationary position Must be able to move around the office and/or travel throughout community Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested Environmental Conditions Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions Ability to maintain professionalism and safety in diverse environments Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures Technology Use Frequent use of computers, keyboard, and handheld/mobile devices Ability to type for extended periods Competent with computers, email, virtual platforms, and Microsoft Office based programs WHAT YOU’LL NEED Diploma/GED required A valid, unrestricted state LVN license Minimum 2+ years of experience as an LVN working in a healthcare setting, such as a medical clinic or acute care hospital Prior experience using EHR/EPM Current and valid Driver’s License with a clean driving record Reliable transportation and proof of auto insurance Distraction-free home workspace with a secure internet connection NICE TO HAVES Associate degree eClinical Works (ECW) experience Experience working in an internal medicine clinic Care management experience Valid BLS certification from the American Heart Association Valid CPR Certification WHAT YOU’LL ENJOY Make an impact: an organization who cares about its employees, communities, and the future of healthcare Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself Growth: opportunities to develop and grow your career with us Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time off for sick, jury duty, bereavement, reproductive loss, and therapy Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare Flexible Spending, Health Savings & Dependent Care Accounts Life/AD&D insurance funded 100% by Titanium Healthcare Supplemental Disability Plans Employee Assistance Programs Protect your pet(s) with Pet Insurance Employee Referral Program: earn up to $1000 for each referral 401(k) plan and Roth IRA options EEO Statement At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce. Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.