APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org.
APLA Health is currently seeking an RN Medical Care Manager to join our team! We offer great benefits, competitive pay, and great working environment!
We offer:
• Medical Insurance
• Dental Insurance (no cost for employee)
• Vision Insurance (no cost for employee)
• Long Term Disability
• Group Term Life and AD&D Insurance
• Employee Assistance Program
• Flexible Spending Accounts
• 10 Paid Holidays
• 3 Personal Days
• 10 Vacation Days
• 12 Sick Days
• Metro reimbursement or free parking
• Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
RN Medical Care Manager (90036)
POSITION SUMMARY:
The RN Medical Care Manager will coordinate with all parties involved in the care of the patient to provide effective and culturally competent care and treatment for people living with HIV and other chronic diseases. The position will be split 50/50 between providing services to persons living with HIV as part of a Medical Care Coordination team and providing case management services for persons with other complex medical needs. The medical care coordination team will target people with HIV who are experiencing medical adherence issues, significant changes in HIV health status or multiple health diagnoses that affect the person’s HIV status. The RN medical care manager formulates care plans based upon assessment data and provision of care priorities, in collaboration with the clinical social worker. The RN medical care manager will coordinate patient care and collaborate with other health care team members to establish the patient’s goals, develop treatment plans and obtain desired outcomes as well as provide patient education based on identified learning needs utilizing available teaching resources.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
• Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care.
• Identifies out of care HIV-positive patients to reengage them in treatment
• Perform a needs assessment on patients and obtain a brief medical history including the following:
o Past Medical History, including key HIV parameters
o Medication history
o Recent treatment history
• Identifies patients’ unmet medical needs and coordinates with clinic HIV and non-HIV providers to ensure that standards of care are met and any gaps or barriers are addressed.
• Identifies patients’ unmet nonmedical needs or barriers to adherence and retention in care, and coordinates with other clinical staff (e.g. social workers) to address needs and barriers.
• Utilizes population health registry to manage patients (i.e. identify unmet medical needs) and track trends in overall clinic performance.
• Performs and interprets diagnostic procedures such as tuberculin tests, and administers treatments and preventive measures in the form of injections and immunizations in accordance with medical orders and APLA clinical guidelines
• Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines.
• Provide and appropriately document health education to patients.
• Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
• Triage patients who walk in to clinic or call with acute medical concerns.
• Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen
• Functions as an extended role nurse, provides health supervision, diagnosis and treatment of minor conditions to persons living with HIV on a continuing basis under the consultative direction of a physician
• Supervise all medical assistants at the assigned clinic site.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
Job Requirements:
Training and Experience:
High school diploma or GED required, AA degree preferred. At least two (2) years experience working in a medical office or similar environment. Bilingual English/Spanish strongly preferred. Knowledgeable about insurance plans as well as Medi-cal/Medicare.
Knowledge of:
Must be proficient in the use of Microsoft Office programs. Knowledge of electronic health records – eClinicalWorks preferred.
Ability to:
• Must be extremely organized and detailed oriented
• Must have excellent communications and written skills
• Strong telephone etiquette
• Must have a courteous, professional nature and customer service oriented
• Must maintain a strict discipline in time management with a focus on quality
• Knowledgeable about insurance plans, Medi-Cal / Medicare
• Good computer and typing skills.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
Equal Opportunity Employer: minority/female/disability/veteran.