Apply on Employer Site

Libertana · 1 day ago

RN Clinical Care Coordinator

Irvine, CA

Full-time

Hybrid

Entry, Mid Level

$90K/yr - $105K/yr

2+ years exp

Libertana is seeking an RN Clinical Care Coordinator responsible for the clinical care coordination of ALWP clients. The role involves identifying, organizing, coordinating, and monitoring services needed by clients, while also acting as a clinical resource for the CCT Program.

Elder CareFranchiseHealth Care

Responsibilities

Responsible for the proper completion of all clinical documents required for the State Waiver Program Application as per ALWP and Agency policy

Conducts assessments using the ALW Assessment Tool, determining each client’s level of care (i.e. tier)

Develops Individualized Service Plans (ISPs) using the ALW ISP Form and modifies the ISP as needed

Monitors service delivery, adhering to the prescribed schedule of client contact. Conducts face-to-face visits or telehealth visits(with approval from supervisor in advance) with clients monthly, and as needed

Maintains proper charting, progress notes and case records for each enrolled client

Manages complaints from clients, families or friends

Reports all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in an RCFE) or DHCS and APS (if abuse or neglect occurs in PH)

Responsible for attending Case Conferences with RCFE’s monthly, or as needed. These meetings are held at the Residential Care Facility

Evaluates ISP effectiveness through observation of Client’s physical condition and behavior, signs and symptoms of illness, reactions to treatment, and through communication with the Client and health team members

Reviews Significant Incident Reports (SIRs) with the client and RCFE staff, as necessary

Serves as the clinical support for the CCA Office Coordinators

Participates in Education, Training and Quality Improvement Activities for the ALWP. Assists the Agency in maintaining compliance with Federal, State, Local and HIPAA Regulations or Joint Commission Standards

Establishes and maintains good relationships with RCFE, SNFs and other vendors

Regularly self-assesses nursing skills and educational needs to meet the nursing care requirements of patients assigned for care

Driving may be required to geographical areas that are covered by the company

Maintains a comfortable work environment for all employees

Maintains proper timekeeping

Follows policies and procedures as per Employee Handbook

Maintains all required credentials up-to-date

Reports fraud and abuse

Knowledge of mandated reporting

Conducts timely recording and/or documentation of all client contact

Attends department meetings (in person, by phone or by web)

Attends all state mandated in-service trainings

Possesses familiarity with Title 22

Performs other duties as assigned

Qualification

Registered Nurse LicenseNursing Practice ActCPR CertificationHome Health ExperienceClinical Care CoordinationAnalytical SkillsJudgmentWritten CommunicationVerbal CommunicationDocumentation Skills

Required

Must have a current, unsuspended, un-revoked license to practice as a Registered Nurse in California

Knowledge of The State of California Assisted Living Waiver Care Coordination Agency Provider Handbook and RCFE Provider Handbook and the clinical requirement of the CCT and ALWP transition process

Knowledge of current Nursing Practice Act

Possesses current CPR certification

Proficient in the use of computers

Minimum two (2) years' experience in a home health organization, primary care clinic, or a health facility

Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures

Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills

Possesses good written and verbal communication skills. Fluent in English

Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements