See our job postings on Indeed.
PLEASE SCROLL DOWN TO VIEW ALL AVAILABLE POSITIONS:
Population Health Registered Nurse
The Population Health Nurse has the responsibility to provide care coordination through telephonic population and other methods along with disease management. The Population Health Nurse will identify, plan, coordinate, implement, monitor and evaluate appropriate cost-effective health care and utilization of services for patients within community clinic setting with the goals of optimal patient function and well being. This position will be part of the Quality Improvement team serving patients through collaboration with the client, the family, the physician, health plans and other members of the healthcare team.
Education and Requirements:
- Current California RN licensure.
- Bi-lingual with conversational and written fluency in Spanish and English
- Basic computer skills are required –Microsoft Office including Word and Excel
- Experience working with chronic medical conditions such as diabetes, HTN, CAD etc.
- Experience documenting in EMR
- Experience working as a member of a multi-disciplinary team.
- Knowledge of PCMH, Meaningful Use, UDS, and HEDIS is a plus
- Experience in case management is a plus
- Motivational interviewing skills is a plus
- Experience in Behavioral Health is a plus
- Must have a working knowledge of current treatments with focus on chronic disease management
- Knowledge of the influence of cultural and spiritual values on health care.
- Basic knowledge of available health care and community resources appropriate for populations served.
- Strong clinical assessment and critical thinking skills necessary to serve patient population with complex medical, emotional and social needs.
- Ability to work independently with minimum of direction, to anticipate and organize work flow, to prioritize and follow through on responsibilities.
- Excellent verbal and written communication, interpersonal, problem-solving, conflict resolution, time management, positive personal influence and negotiation skills
- Ability to work respectfully and creatively with clients of diverse functional abilities, social, economic, and cultural backgrounds to support both client autonomy and client safety.
- Demonstrated skills in motivating, mentoring, coaching and educating clients with various necessary medical, social and functional interventions.
Job Type: Full-time
RESPONSIBLE TO: MEDICAL DIRECTOR
Responsible for examining, diagnosing and treating patients in accordance with recognized community standards. Physicians are members of patient-centered care teams.
DUTIES AND RESPONSIBILITIES:
- Assists in monitoring and approving the appropriateness of the pharmaceutical prescriptions of the midlevels and performs chart review on their medical records.
- Examines, diagnoses, and treats patients in accordance with recognized community standards.
- Orders laboratory tests, x-rays, consultation and diagnostic tests for patients as appropriate.
- Adequately documents care provided in the patient’s medical record immediately following each visit.
- Provides appropriate clinical information on patient visits to permit appropriate grant or insurance billing.
- Provides on-call telephone triage as scheduled.
- Adheres to the IBCC Mission, Vision, and Values, Standards of Conduct and HIPAA principles.
- Consistently adheres to and/or exceeds IBCC’s communication guidelines and expectations with patients, peers, and supervisor
- As an integral part of a patient-centered care team, solicits and respects patients’ values and preferences; ensures patients are recognized as members of their care team and have an active voice in decisions about their care; builds positive relationships with patients and staff, and participates in patient-centered medical home team meetings and trainings
- Participates in continuous quality improvement activities
- Possesses license to practice medicine in the State of California.
- Board Certified or Board Eligible in Family Practice or Internal Medicine.
- Two years experience as provider in an outpatient clinic, preferably community-based.
- Excellent communication and inter-personal and teamwork skills.
- Able to relate to culturally diverse patients and community.
- Adheres to the IBCC Mission, Vision, and Values, Standards of Conduct and HIPAA principles
Consistently adheres to and/or exceeds IBCC’s communication guidelines and expectations with
patients, peers, and supervisors. Greets every patient with a verbal greeting, eye contact and a smile. Communicates effectively by using welcoming words, proper tone of voice appropriate body language, eye contact and smiling in patient interactions. Listens skillfully and displays a willingness and ability to
- acknowledge patient needs, expectations and values using reflective listening and empathy conveyance. Responds to patient needs in ways that are helpful and beyond expectation.
- Collaboratively works with patients to positively affect their health outcomes.
- Builds positive relationships with other staff to maximize accessibility of care to all patients.
- Participates in continuous quality improvement activities and patient-centered medical home team meetings and training, and is receptive to accepting other job duties as assigned and as delegated.
Job Type: Full-time
Health Home Programs: Care Coordination
RESPONSIBLE TO: DIRECTOR OF CARE COORDINATION
As part of the Health Homes care team, the Care Coordinator identifies community and social support needs and links patients to social services and housing. Eligible patients will be ensured that they receive timely, high quality and efficient health care and support services through the development of a multi-disciplinary care plan, self-management goals and referrals to both internal and external resources.
DUTIES AND RESPONSIBILITES:
- Work with patients and care teams to develop and update the Health Action Plan.
- Assist patients with making appointments with specialists, arranging transportation, and accompanying them to appointments.
- Connect patients to community and social services, including housing.
- Facilitate care transitions between the hospital, nursing homes, other treatment facilities, and home.
- Document in person and telephone encounters in the tracking system and use it to identify and re-engage patients.
- Provide relevant self-management support for patients with chronic illnesses as identified by clinical teams.
- Work with patients both in person and by phone to remind and review their plan of care and progress toward their goals.
- Utilize HIPAA protocol in contacting patients.
QUALIFICATIONS: Aptitude for skilled personal communication is mandatory.
- Bachelor’s degree in a health-related field OR social work in a health care setting with a minimum of 12 months experience OR LPN OR Medical Assistant with a minimum of 36 months experience in a health care setting.
- Strong written and verbal skills.
- Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation), when appropriate.
- Bilingual in English and Spanish.
- Strong organizational skills.
- Able to be flexible with roles.
- Valid California driver’s license and a reliable vehicle.
- Experience working with underserved, transient populations
- Experience working with patients who have co-occurring mental health, substance abuse, and physical health problems.
Job Type: Full-time
Company Paid Employee Health Insurance:
o Life insurance $25,000.00
Paid days off
• 2 weeks vacation first year
• 2 weeks sick days
• 10 Paid holidays
• Paid employee birthday