Chronic Care Case Manager

Job Description

Essential Duties and Responsibilities:

Administer comprehensive assessments for patients with chronic conditions.

Establish, implement, monitor, and revise comprehensive care plans that are tailored to each patient and addresses all health issues, including medical and psychosocial issues, with special focus on each patient’s chronic conditions.

Educate patients on lifestyle adjustments and give them the tools they need to monitor and manage their chronic conditions and any medications.

Follow-up with each patient for the duration of their care plan to ensure patients stay on track.

Record patient health and health monitoring information in the electronic medical record.

All other duties as assigned.

Qualifications and/or Experience Requirements:

California Nursing License and CPR Certification;

Completion of an approved Nurse Practitioner’s Program issued by an accredited college or university and possession of a State of California-issued medication furnishing number;

Minimum 5 years of combined community clinic experience and care/case management experience;

Ability to communicate effectively with patients and other providers, and to work effectively as a team unit;

Ability to work with people of diverse cultural, educational, social, and economic backgrounds;

Ability to work independently, under pressure, and a self-starter with minimal supervision;

Excellent oral and written communication skills;

Excellent organizational skills;

Experience utilizing an Electronic Medical Records (EMR) system, preferred; and

Bilingual in Spanish preferred.Company Description

T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.

We are an Equal Opportunity Employer.