Bilingual LVN Care Coordinator

Titanium Healthcare • San Bernardino, CA

1d • Hybrid

About The Position

The LVN Care Coordinator is an essential member of Titanium Healthcare’s Enhanced Care Management (ECM) team. ECM is funded through California Advancing and Innovating Medi-Cal (CalAIM) and uses a person-centered approach to coordinate care and improve members’ health and life trajectory. The program serves enrolled Inland Empire Health Plan (IEHP) members, including frequent users of health services and people experiencing homelessness. The team provides in-person care management and coordination, supports access to managed care providers, and works to improve social and physical determinants of health. Members remain enrolled until they no longer need or want the services.

This is a hybrid, field-based position. Approximately 80% of the work is providing in-person services to members in the community, and approximately 20% is remote administrative, documentation, and other job-related work. The role requires regular in-person member engagement and travel within the assigned service area. The employee controls their schedule when meeting members and is eligible for mileage reimbursement for business-related vehicle use. Standard business hours are Monday through Friday, 8:30 a.m. to 5:00 p.m.

Requirements

• Diploma or GED.
• Valid, unrestricted state LVN license.
• At least 2 years of experience as an LVN in a healthcare setting, such as a medical clinic or acute care hospital.
• Prior experience using EHR/EPM.
• Current, valid driver’s license and clean driving record.
• Reliable transportation and proof of auto insurance.
• Distraction-free home workspace with a secure internet connection.
• Fluency in English, written and verbal, and bilingual fluency in Spanish.
• Ability to communicate clearly in person, by phone, and electronically.
• Adequate hearing and vision, with corrective devices if necessary, to conduct assessments and documentation.
• Ability to identify problems and use logic and related information to develop and implement solutions.
• Excellent organizational skills and attention to detail.
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice.
• Ability to lift, carry, push, or pull up to 20–25 pounds.
• Ability to climb stairs or navigate uneven terrain in community and home environments, bend, reach, conduct in-person visits in non-traditional environments, remain stationary, move around the office, and travel throughout the community.
• Ability to operate a vehicle and travel to meet members and attend meetings and events as required or requested.
• Ability to maintain professionalism and safety in diverse environments, including homes, shelters, outdoor settings, hospitals, and community organizations.
• Ability to work independently and complete assignments within established policies and procedures.
• Frequent use of computers, keyboards, and handheld/mobile devices, and ability to type for extended periods.
• Competence with computers, email, virtual platforms, and Microsoft Office-based programs.

Nice To Haves

• Associate degree.
• eClinical Works (ECW) experience.
• Experience working in an internal medicine clinic.
• Care management experience.
• Valid BLS certification from the American Heart Association.
• Valid CPR certification.

Responsibilities

• Facilitate access to primary care and behavioral health providers as needed.
• Work effectively as part of Titanium’s interdisciplinary team to provide high-quality, effective care management to ECM members.
• Engage members in skilled therapeutic interactions to promote health behaviors and provide behavioral health interventions within scope.
• Coordinate care and resource linkages, working with community professionals and organizations to ensure quality care.
• Coordinate seamless transitions of care that meet IEHP requirements following emergency room visits and hospitalizations.
• Complete regularly scheduled follow-up visits.
• Provide care coordination by phone, email, messages, calendar updates, appointment scheduling, data entry, and meeting attendance.
• Support the Behavioral Health Care Manager, Community Health Worker, and Care Coordinator with delegated tasks.
• Collaborate with other ECM care team members on member care issues.
• Participate in systematic case reviews as needed.
• Consult with the ECM Operations Leader and assigned POD RN before taking clinical action.
• Develop strategies to engage members in care and conduct motivational interviewing.
• Provide health education to members within scope of practice.
• Initiate care plans and complete assessments required by healthcare plan guidelines.
• Understand and follow departmental and companywide policies and procedures.
• Perform other duties as assigned or required by departmental policy.

Benefits

• 12 paid holidays and up to 15 days of accrued PTO, plus additional time off for sick leave, jury duty, bereavement, reproductive loss, and therapy.
• Hybrid work model and flexibility to support work-life balance.
• Medical, dental, and vision benefits; Titanium covers up to 100% of the employee premium and 50% of dependent premiums, depending on the plan.
• Unlimited therapy sessions funded 100% by Titanium Healthcare.
• Flexible Spending, Health Savings, and Dependent Care Accounts.
• Life and AD&D insurance funded 100% by Titanium Healthcare.
• Supplemental disability plans.
• Employee Assistance Programs.
• Pet insurance.
• Employee Referral Program with earnings of up to $1,000 per referral.
• 401(k) plan and Roth IRA options.
• Mileage reimbursement for business-related travel.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED