THP Specialty Care Coordinator

Program: Specialty Care Services

Department: Health Services

Reports to: Manager Specialty Care Services & Utilization Review

Status: 100% Full-Time Non-Exempt

Probation: 90 days

Benefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) Retirement Plan

CENTERS MISSION: Building a world where LGBT people thrive as healthy equal and complete members of society.

DEPARTMENT SUMMARY: As the nations largest and most experienced provider of LGBT medical and mental health services we help LGBTQ people lead healthier happier lives by keeping their minds and body well. All services are free or at a low cost. Were also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community.

JOB SUMMARY: The THP Specialty Care Navigator supports patients in navigating and coordinating specialty care referrals for gender-affirming services including surgery and related procedures. This role provides guidance education and coordination across multi-step care pathways helping patients understand requirements prepare for services and complete necessary steps throughout the care process. Responsibilities include supporting referral-related activities coordinating patient preparation facilitating scheduling and follow-up across multiple services and maintaining accurate documentation. Working collaboratively with providers and care teams this role helps ensure timely access to care reduce barriers and promote continuity across gender-affirming care pathways.

ESSENTIAL FUNCTIONS

Specialty Care Coordination

Coordinate complex gender-affirming specialty care pathways including surgery and related procedures across multiple referrals and providers

Manage pre- and post-procedure requirements including letters of support medical clearances documentation and appointment coordination

Track and reconcile multiple referrals and services within each patients care plan to support continuity and completion

Identify and address delays gaps and barriers that impact access to specialty care

Referral & Authorization Coordination

Determine referral eligibility and authorization requirements based on payer guidelines and compliance standards

Maintain the full referral lifecycle in alignment with department policies and Medi-Cal Medicare Managed Care and private insurance requirements

Coordinate and monitor specialty referrals to ensure timely scheduling completion and EHR documentation

Collaborate with eligibility and benefits staff to resolve coverage or eligibility issues that affect care progression

Patient Navigation & Support

Serve as a consistent point of contact for patients navigating gender-affirming specialty care services

Educate patients on care processes requirements timelines and expectations across each stage of care

Communicate referral details appointment instructions and care expectations in a timely and supportive manner

Provide ongoing follow-up to support patient engagement throughout extended care timelines

Help patients prepare for care by coordinating required documentation appointments and readiness steps

Care Team Collaboration

Serve as a liaison between specialty providers internal care teams and insurance entities to support coordinated care delivery

Maintain communication with specialty providers to obtain consult notes confirm services and support additional care needs

Provide regular updates to the multidisciplinary care team on referral status insurance issues barriers and patient needs

Escalate complex issues to appropriate teams and coordinate timely resolution

Access & Advocacy

Troubleshoot barriers to specialty care including insurance transportation language access and system navigation needs

Advocate for patients by coordinating with internal and external partners to support seamless transitions of care

Facilitate communication across care teams to promote equitable access to services

Quality & Compliance

Participate in quality improvement initiatives to enhance THP specialty care referral workflows patient experience and process efficiency

Support data audits and documentation reviews as needed

Participate in staff meetings training and other required activities

Comply with OSHA HIPAA and other applicable regulations

Perform other duties as assigned

QUALIFICATIONS

Minimum 23 years of experience in a healthcare setting including care coordination specialty referrals case management or patient navigation

Experience supporting complex patient workflows involving multiple providers services or visits

Experience with gender-affirming care coordination and surgical planning preferred

Strong organizational skills and the ability to manage multiple patients and track activities across extended timelines

Ability to identify barriers to care and coordinate solutions with appropriate teams

Strong communication organizational and interpersonal skills with a high level of attention to detail

Knowledge of ICD-9/10 codes and CPT coding

Proficient in Microsoft Office EHR and other healthcare software

Self-motivated with the ability to handle multiple tasks and maintain patient confidentiality.

Able to work independently with minimal supervision

Bilingual (English/Spanish) is a plus

Experience working with or knowledge of the LGBTQ community and related issues

Passion for the Centers mission and a commitment to diversity and inclusion

Demonstrated ability to work effectively with people of diverse races ethnicities nationalities sexual orientations gender identities gender expression socio-economic backgrounds religions ages English-speaking abilities immigration status and physical abilities in a multicultural environment

The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race color ancestry religious creed national origin sex sexual orientation gender identity gender expression medical/physical/mental condition pregnancy/childbirth and related medical condition age marital status or veteran status.

The Center requires that all staff working in Health Services clinical site locations receive the most up-to-date Influenza vaccinations and strongly recommends that staff also receive the latest COVID-19 vaccine. Staff not working at any of the Centers clinical sites are encouraged to receive the latest COVID-19 and Influenza vaccines but are not required to do so. For more information please contact .