Job: Bilingual Licensed Vocational Nurse (LVN) - Community Prac Care Mgmt PC

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Job Description

Community Health Innovations

Community Prac Care Mgmt PC

Full Time

Day shift

Monday - Friday, days



Company Vision:

CHI convenes the medical community and articulates a collaborative vision for improving the quality, safety, and efficiency of healthcare in Monterey County through an integrated population management strategy that enhances access to providers, improves caregiver communication and fosters a team approach to care delivery. The patient-centric team approach is supported through in-office and community-based clinical services, and integrative health information technology (HIT).

Integrative HIT facilitates connectivity across the care site continuum and enables the development of evidence-based clinical decision support tools, and performance measurement systems. They also support patient engagement providing information to empower them to be active participants in fostering and maintaining their own health.

In addition, CHI engages payers in designing value-based insurance products that promote evidence-based workplace wellness, primary prevention and disease management to keep our community healthy and reduce the clinical and financial burden of disease.

Purpose of Position:

The Clinical Care Coordinator supports the Care Managers assigned to community practice sites. Supports and coordinates the levels of care transitions, referrals to the community, arranges transportation, outpatient services and physician visits, assists with pharmacy faxing, follow up calls and schedules follow up visits for patients as assigned. Coordinates health plan case management encounters, follow up calls schedule, program/services. The Clinical Care Coordinator will track patient activity for reports. Assist with medication reconciliation for patients, and other duties as assigned.


  1. Work with CHI Care Managers in the ongoing improvement, implementation, and evaluation of the Care Management model.
  2. Prioritize and complete assignments and tasks appropriately as required.
  3. Collaborate with health care team and involved providers to facilitate and coordinate interventions based on physician's orders and patient/family transition care plans.
  4. Coordinate referrals and other community resources as assigned.
  5. Work closely with care team and health plan services to appropriately apply health plan benefits and serves as a resource to the patient and healthcare team.
  6. Adhere to CHI Administrative and assigned practice standards regarding confidentiality.
  7. Maintain required documentation for all care management activities.
  8. Collect required data and develop reports as directed.
  9. Accurately store and retrieve data according to departmental requirements.
  10. Incorporate excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills into care management practice.
  11. Utilize appropriate conflict resolution, assertiveness, negotiation, and collaboration skills in facilitating patient throughout the health care continuum.
  12. Work independently to accomplish assigned responsibilities.
  13. Interact in an effective manner with care managers, practice staff, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals.
  14. Schedule follow up calls according to type of patient and risk score.
  15. Other duties and projects as assigned.

Position Requirements:

  1. LVN licensed in California.
  2. Must be Bilingual in English and Spanish.
  3. High School diploma or equivalent.
  4. Valid CA Drivers License.
  5. Professional demeanor with effective and tactful, written, verbal, and nonverbal communication skills.
  6. Ability to articulate clearly and concisely.
  7. Demonstrate appropriate use of medical language / terminology.
  8. Ability to self-direct in keeping with departmental and organizational priorities.
  9. Ability to work autonomously and be directly accountable for assignments.
  10. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
  11. Demonstrated skills in time management, listening, problem solving and decision-making, priority setting and work organization.
  12. Strong computer skills with strong capabilities in MS Outlook, Word, and Excel.
  13. Ability to balance multi-stakeholder goals and objectives.
  14. Knowledge of general healthcare practices and office workflows.

Equal Opportunity Employer


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