Care Coordinator Case Manager

The Care Coordinator (Case Manager) collaborates closely with patients to develop and implement the care plan and links them to the services to meet their service delivery objectives. The Care Coordinator (Case Manager) is 
expected to perform under the three (3) core Care Coordination functions that providers should perform to ensure successful treatment outcomes and recovery: Connection, Coordination, and Communication. The Care 
Coordinator (Case Manager) focus on connecting patients with resources, facilitating communication, and ensuring quality care within the context of substance abuse prevention, clinic, and treatment programs. 

DUTIES/RESPONSIBILITIES:
• Greet and welcome patients, clients, and visitors in a professional, welcoming, and courteous manner making them feel welcome when entering any BIENESTAR facility. 
• Act as a liaison between patients/participants, healthcare providers, mental health care, substance abuse care, Medication Assisted Treatment (MAT), social services (e.g., housing navigation, legal services, employment services, shelter, etc.) and other relevant programs across the agency to promote effective communication. 
• Manage patient enrollment, communication, schedule appointments, provide referrals across BIENESTAR’s programs and services, obtain necessary authorizations, and patient information to provide and achieve successful treatment goals and care for the patients. 
• Connect patients to multiple BIENESTAR’s resources and programs, including treatment programs, healthcare programs, support groups, and community services to address patient needs and achieve treatment goals.
• Expected to be knowledgeable about the organization’s programs, services, and resources to be able to link, refer, in order to provide successful treatment and care for the patients. 
• Provide health insurance enrollment assistance: including, but not limited to completing coverage applications, gathering required documentation, supporting the enrollment process, provide structured patient education on health coverage, ADAP, engage in follow-up and renewal assistance for enrolled 
individuals. 
• Assist individuals and/or families with health insurance program enrollments (for uninsured individuals and/or families to access subsidized, low-cost, and/or free health insurance programs through the health insurance marketplace, Medi-Cal, among other programs) to provide ongoing support and increase to linkage/referral of patients to access BIENESTAR’s healthcare treatment program and services. 
• Assist the patients with practical arrangements such as: foodbank, transportation, translation & interpretation needs, and assistance with tests, referrals, and appointments. 
• Attend and successfully complete all required training agency programs, meetings, and other professional development opportunities. 
• Adhere compliance to all federal, state, local, community partners, outside providers, organization, and patient confidentiality privacy regulations (including but not limited to: HIPAA, 42 CFR Part 2, and all other policies and agreements regarding confidentiality, privacy, safety, and security). 
• Provide support services to patients to increase self-efficacy, self-advocacy, basic life skills, coping strategies, self-management of biopsychosocial needs, benefits and resources, and reintegration into the community.
• Administer and conduct HIV/STI testing, pre and post-test counseling, and Post Exposure Prophylactics (PrEP) and/or Medication Assisted Treatment (MAT) education, while also facilitating access to medical care and other support services for individuals newly diagnosed or at risk of HIV/STI.
• Conduct comprehensive assessments on clients’ needs for primary care treatment and/or supportive services, early interventions such as PrEP/PEP, peer-based counseling, and health education in alignment with client’s health literacy levels and language of preference. 
• Maintain inventory of program supplies and educational materials, while loading/unloading of packages and containers, build-up/break-down, and sort program supplies, as applicable.
• Conduct initial patient assessment and deliver brief interventions using motivational interviewing techniques to communicate with participants in a respectful, culturally appropriate, and non-judgmental manner. 
• Maintain relationships with local healthcare providers, treatment centers, social service organizations, and advocate on the participant’s behalf when needed and/or required.
• Expected to address the principles of “person-first” language, non-stigmatizing language, and empower the underserved populations & all communities.
• Adhere compliance to all federal, state, local, community partners, outside providers, organization, and patient confidentiality privacy regulations (including but not limited to: HIPAA, 42 CFR Part 2, and all other policies and agreements regarding confidentiality, privacy, safety, and security). 
• Develop, discover, participate, engage, and attend community events (mandatory evenings and weekends) to promote and build awareness of coverage options, missions, services, and programs across the organization (e.g., outreach). 
• Attend and successfully complete all required training agency programs, meetings, and other professional development opportunities. 
• Ensures that results of tests and referrals are given to appropriate team members and are recorded in the patient’s chart. 
• Keep track of the patient’s attendance at appointments, identifies the reason for a missed appointment, and assists the patient with making a new appointment. 
• Maintain accurate and up-to-date patient records to level of requirements mandated in agency policy and complete all documentation in a timely manner. 
• Educate patients and their families about treatment and health care options, conditions, medications, recovery process, and other available resources. 
• Coordinate patient care plans, ensure continuity of care, and provide referrals to new care providers. 
• Collaborate with other departments across the agency to provide successful treatment and care for the patients.
• Assist in the implementation and development of Substance Abuse Prevention and Control (SAPC) programs and initiatives.
• Assists in the general implementation of HIV medical care and coordination into the behavioral health programs. 
• Provide training to new or other staff members if necessary.
• Identify and address patient needs and challenges. 
• Complete all necessary documentation in a timely manner, including, written communications with external agencies with approved consent for shared data.
• Facilitate and lead support groups and interventions. 
• Perform all other program and organization duties as assigned. 

EXPERIENCE AND SKILLS:
• Bachelor’s degree in Public Health or Social Services is preferred or minimum of 2 years of relevant work experience. 
• California HIV Test Counselor Certification preferred and required within six (6) months of starting the position. 
• Community Enrollment Partners Certification preferred. 
• Certified Medi-Cal Peer Support Specialist Certification required. 
• Proficiency in using electronic health records (EHR) systems and other computer applications. 
• Ability to provide excellent customer service to patients and their families. 
• Experience and interpersonal skills working with culturally and socially diverse underserved community groups including drug/alcohol, HIV/STI, and hepatitis C impacted and affected individuals and groups. 
• Knowledgeable of the substance use community, with primary focus in the Latino community. 
• Familiarity with various substance abuse disorders, treatment modalities, methodologies, and recovery processes are preferred. 
• Previous experience with FQHC patient care coordination services. 
• Able to work independently and collaboratively with staff and leadership.
• Ability to provide education and information regarding HIV, substance abuse, and mental health services to clients, community members, and other organization members. 
• Knowledge and demonstrated experience working with the LGBTQ+ community and familiarity with issues of relevance to the LGBTQ+ community. 
• Bilingual in English and Spanish with excellent verbal and written communication skills. 
• Experience and interpersonal skills working with culturally and socially diverse community groups who are underserved; including and not limited to the LGBTQ+ community. 
• Must have a reliable form of transportation as travel to different sites within LA county may be required. 

HOURS: 40 Hours - Some Weekends & Evenings required. 
EXEMPT/NON-EXEMPT: Non-Exempt
SALARY: TBD - Commensurate with education and experience. 
BENEFITS: 
• Medical, dental, vision, & life insurance – Fully paid by the organization after 90 days of employment.
• 403B retirement package with matching contribution
• 14 paid holidays.
LOCATION(s): South Los Angeles, East Los Angeles, and/or Panorama City
• Must be willing to travel between BIENESTAR centers and within the county and/or surrounding areas. 
• Must be willing to work evening hours and weekends when and if necessary.