21 jobs found in fort lauderdale

Job Description & Requirements Home Health Wound Care Physician Assistant or Nurse Practitioner (PA/NP) StartDate: 05/06/2019Available Shifts: Assessment Pay Rate: $58.00 - 70.00 Coporate office in Florida looking for Home Health Wound Care Physician Assistant or Nurse Practitioner (PA/NP) in Pennsylvania. This opportunity offers: Home Health opportunity in PENNSYLVANIA Flexible schedule - 2 days per week is ideal Patients will be mainly elderly/Medicare Pennsylvania has a diverse terrain, which includes wide stretches of farmland, national forests and mountains. In upstate Pennsylvania, enjoy the history of the early railway expansion, coal mines, and water recreation and jogging trails. Required Qualifications: Active PA License Local candidate - near Philly Signed w/ BCBS to serve the Philadelphia 5-County: Philly, Bucks, Chester, Delaware, Montgomery  Facility Location With more than 23 miles of palm-fringed shoreline, Fort Lauderdale is a year-round destination for sun-seekers and one of Florida’s premier resort towns. Graced with golden beaches, perennial sunshine, winding waterways and chic boutiques, this coastal community is also home to excellent health care facilities that offer numerous career-enhancing opportunities. Job Benefits Staff Care typically arranges medical or dental malpractice insurance for contractor physicians and other specialists with whom we match to client opportunities. In addition, Staff Care locum tenens positions regularly receive highly competitive pay and a dedicated team to handle all travel, lodging, rental, and transportation needs. About the Company Staff Care, an AMN Healthcare company, is the nation's leader in locum tenens staffing. We provide flexible, temporary employment options for physicians, clinicians, and other allied health professionals in all specialties with a variety of healthcare organizations, typically with interim contracts lasting from one week to one year. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer.  We encourage minority and female applicants to apply. Nurse Practitioner, Np, Anp, Advanced Practice, Advanced Practice Nurse, Nurse Nursing

Just 30 minutes from Fort Lauderdale, an OBGYN practice is looking to add a third midwife  to their current group of 4 physicians and 2 midwives. The group covers cases including high-risk pregnancies, regular OB, robotics, and more. There are 3 offices and 3 hospitals the group works out of, with each office connected to 1 hospital. Midwives share the call schedule. Ideally, the new midwife will speak Spanish, but it is not required. If you would like to learn more about this opportunity in a great location with a successful practice, contact Mackenzie Williams at 770-772-4558 x230, or by e-mail at mackenzie.williams@haymandaugherty.com.

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF’s core values are: • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right   STILL INTERESTED? Please continue!   Responsibilities: Summary The RN Care Team Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida. Key responsibilities include leading the care team which provides culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the RN Care Team Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.    Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: • Collaborates with and plays a lead role with Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. • Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. • Responsible to manage and coordinate care for an assigned population of Level 3, high risk members. • Orients new members to the Managed Care program through Welcome and Transition calls. • Completes assessments and re-assessments timely for members assigned to the Care Team. • With the member, establishes patient centered long term and short term goals for care and self management. • With the input of the member, family and medical team, creates an appropriate and timely individual care plan to assist the member to achieve the established goals. • Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. • Works to deliver care management services in an efficient and cost effective manner. • Performs PAC assessments and exception request visits as requested  • Adheres to PAC Manual when delivering PAC assessment or reassessment services.  • Communicates the care plan to the Primary Care Physician, member and others in the Health Home. • Revises the Care Plan as needed and at a minimum following hospitalization of the member or following the annual re-assessment. • Meets with patients face to face in the home or at physician appointments to complete assessments and other contacts, as necessary. • With the support of the Care Team,  re-engages the member following hospital admissions and emergency room use through reassessment, coordination of transition of care, including PCP appointment and transportation as needed. • Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. • Provides Transition of Care follow-up visits or calls to patients following change in level of care. • Provides health education regarding disease process, medications, medication adherence, community resources and benefits. • Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. • Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •  Maintains at least the minimum performance and productivity standards. • Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. o Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency • Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. • Advocates for member needs with medical provider, RN Care Team Manager and community. • Reports all complaints and grievances per grievance policy. • Other duties as assigned to ensure team goals are met. Management Responsibilities Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Supervises and delegates appropriate tasks to the LPN Care Partner, the Care Coordinator and the Social Worker and monitors for the appropriate completion of assigned tasks. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues. Signs off on Care Plans developed by the LPN Care Partner.   Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN Program. BSN preferred.  At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification within two years of employment. Certified in AIDS Care or eligible for ANAC certification within three years of employment Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.  Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues   Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing. Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.   Travel:  Over 50% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, and AHF office.  Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a leader or member  of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Current CPR (Cardio Pulmonary Resuscitation) Certificate Required Valid Florida Driver’s License with proof of automobile liability insurance

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHF’s core values are: • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right   STILL INTERESTED? Please continue!   Responsibilities: Essential Duties & Responsibilities Includes the following.  Other duties may be assigned . Maintains clinical competency, as demonstrated in providing and directing patient care. Assures that nursing staff practice within their individual scopes of practice. Assists and communicates with medical staff concerning patient care issues (e.g., change in condition, refill requests, patient incidents). Assesses and Triages patients. Participates in the case management of individual patients to ensure the continuity of care. Develops and oversees internal working systems relevant to the medical/nursing operations within a clinic setting. Produces required reports on a timely basis. Maintains compliance with DHS, County Public Health, and other regulatory agencies, statutes and standards. Directs nursing care in a manner reflective of the philosophy of AIDS Healthcare Foundation. Provides education to patient and patient's personal support system in areas such as disease management, safe sex, etc. Assumes supervisory duties such as performance evaluations, counseling and progressive discipline of the nursing staff. Complies with safety standards and infection control standards. Promotes team work, good interpersonal relations and communication among staff at the healthcare setting and corporate level. Participates in nursing staff orientation and serves as a clinical resource. Plans and participates in educational programs for the nursing staff. Oversees and controls supplies that directly impact patient care (e.g. ordering and charging stock medications, medical supplies and patient care equipment and/or supplies. Exercises appropriate judgment and good decision-making skills. Assumes additional responsibilities as necessary (i.e., assisting the nursing staff at times of critical need, attendance at all assigned committees). Participation in AHF Meetings/Committees Attends Nurse Managers Meeting. Attends Leadership Meeting. Attends HCC Staff Meeting. Attends other meetings as assigned. Supervisory Responsibilities Carries out supervisory responsibilities in accordance with AHF’s policies and applicable laws.  Responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work, appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.    Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN program. BSN preferred. Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of word processing software.    Language Skills Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.  Ability to respond to common inquiries or complaints from customers, regulatory agencies or members of the business community.  Ability to write speeches and articles for publication that conform to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors.   Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent to draw and interpret bar graphs.   Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.   Other Skills & Abilities/Qualifications Knowledge of HIV/AIDS and related medical and patient care issues and concerns in diverse populations. Previous administrative and supervisory experience preferred. Strong clinical nursing skills. Demonstrated proficiency in phlebotomy and intravenous insertion, care and therapy. Fluent in conversational Spanish and/or Creole preferred. Understanding of case management and benefits preferred. Ability to work at various healthcare centers.  Certificates, Licenses and Registrations Current State RN License in applicable working location. Current CPR certification (Healthcare Provider). Valid Driver License in state of employment, with proof of liability insurance.

The Director of Utilization and Case Management is accountable for the Managed Care Division’s Florida based clinical program operations, including Managed Care Chronic Case Management, Utilization Management, Waiver programs and Ryan White Medical Case Management.     Responsibilities: Duties and Responsibilities include but are not limited to:   Collaborates with all managed care departments and AHF functions to develop and maintain Managed Care clinical programs, including the Chronic Care Model, which is the basis for the Case Management Program.. Works closely with management and staff to facilitate adherence to Plan operational standards and regulations. Responsible for Project Management related to clinical programs, including specific regulatory required processes and program enhancements. Assures timely reporting of required data through the Quality Management Committees and contracted private and/or governmental agencies and the Board of Directors,  including the annual UM Program Description, Workplan and annual UM Program Summary. Ensures there is appropriate monitoring of staff and department outcomes relative to performance objectives, including individual and collective feedback to the clinical team. Demonstrates comprehensive knowledge of Agency for Health Care Administration (AHCA), and Medicare (CMS) Medicare Advantage and Part D regulations as they pertain to managed care clinical operations. Collaborates with all managed care departments to ensure operational effectiveness of the Clinical Programs. Establishes measureable performance goals for staff and department programs including, UM, CM, MTMP, Ryan White and Waiver Medical Case Management Programs. Is an active participant in the preparation and execution of the Utilization Management Committee. Regularly attends and participates in the bi-weekly FL Operations meeting Reports UM/CM Department performance and outcomes to appropriate committees. Collaborates and cooperates with the Compliance Officer to ensure programmatic compliance to regulatory guidance in assigned areas. Assists with development of the operational budget and allocation of resources. Participates in Contracting and Provider Relations activities as necessary to develop and maintain provider networks based on member need. Ensures the appropriate authorization and appeals processes per regulatory requirements.  Collaborates with the Medical Director to ensure the Clinical appropriateness of programs and process.   Management Responsibilities Demonstrates the ability to organize and facilitate effective meetings. Develops project plans, coordinates projects and communicates project outcomes Responsible for hiring, training and motivating staff Mentors and develops the Manager of UM/CM, case managers, and others, as needed, on the team Disciplines in conjunction with Human Resources and AHF guidelines Addresses concerns and resolves issues   Participates in AHF Meetings/Committees Attends AHF and Managed Care Committees including: Quality Management Committee, Pharmacy and Therapeutics Utilization Management Committee Member Provider Committee Medical Staff Committee   Qualifications: To perform this job successfully, an individual must be able to satisfactorily perform the essential duties.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience •    Graduate from an accredited RN program  •    Current, unrestricted FL RN license •    BS in Nursing or other healthcare field •    Masters Degree preferred or demonstrated comparable managerial and executive experience •    Minimum of five years experience in managed care with emphasis in Medicaid and Medicare. Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of standard business software, including but not limited to: word processing, spreadsheet software, presentation software, experience with relational database principles and functions, and a basic understanding of claims administration principles is required. Language Skills Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or issues.  Ability to effectively present information to top management or public groups. Mathematical Skills High mathematical skills required. Ability to apply mathematical principles to practical solutions, using fractions, percentages, ratios, and proportions. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.   Travel:   Travel locally and in the domestic United States up to 40% of the time Other Skills & Abilities/Qualifications Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a part of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations. Certificates, Licenses and Registrations Current unrestricted FL RN License required CCM preferred

The RN Care Team Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida.   Key responsibilities include leading the care team which provides culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the RN Care Team Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.    Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: Collaborates with and plays a lead role with Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. Responsible to manage and coordinate care for an assigned population of Level 3, high risk members. Orients new members to the Managed Care program through Welcome and Transition calls. Completes assessments and re-assessments timely for members assigned to the Care Team. With the member, establishes patient centered long term and short term goals for care and self management. With the input of the member, family and medical team, creates an appropriate and timely individual care plan to assist the member to achieve the established goals. Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. Works to deliver care management services in an efficient and cost effective manner. Performs PAC assessments and exception request visits as requested  Adheres to PAC Manual when delivering PAC assessment or reassessment services. Communicates the care plan to the Primary Care Physician, member and others in the Health Home. Revises the Care Plan as needed and at a minimum following hospitalization of the member or following the annual re-assessment. Meets with patients face to face in the home or at physician appointments to complete assessments and other contacts, as necessary. With the support of the Care Team,  re-engages the member following hospital admissions and emergency room use through reassessment, coordination of transition of care, including PCP appointment and transportation as needed. Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. Provides Transition of Care follow-up visits or calls to patients following change in level of care. Provides health education regarding disease process, medications, medication adherence, community resources and benefits. Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. Maintains at least the minimum performance and productivity standards. Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. Advocates for member needs with medical provider, RN Care Team Manager and community. Reports all complaints and grievances per grievance policy. Other duties as assigned to ensure team goals are met. Management Responsibilities: Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Supervises and delegates appropriate tasks to the LPN Care Partner, the Care Coordinator and the Social Worker and monitors for the appropriate completion of assigned tasks. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues. Signs off on Care Plans developed by the LPN Care Partner.   Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN Program.  BSN preferred. At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification within two years of employment. Certified in AIDS Care or eligible for ANAC certification within three years of employment.   Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.    Language Skills: Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues  Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.   Travel:  Over 50% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, and AHF office.  Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a leader or member  of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred Certification in case management preferred Current CPR (Cardio Pulmonary Resuscitation) Certificate Required Valid Florida Driver’s License with proof of automobile liability insurance

Utilization Review is the process in which medical review determinations are made based on clinical guidelines and structured processes. This position reviews the utilization of the organization/plan’s resources against established criteria, monitors and evaluates the medical necessity, appropriateness and efficient use of health care services. The position also provides reports and recommendations for improved utilization of resources while maintaining quality of care to the UM/CM Mgr., Director of Managed Care and the Chief of Managed Care. Essential Duties and Responsibilities: Includes the following.  Other duties may be assigned. Pre-admission, concurrent and retrospective acute care, sub-acute, hospice, transitional care & long term care to determine whether or not an admission is, or remains to be, reasonable and medically necessary, using established criteria, e.g., Milliman and Robertson, InterQual, Medicare or Medicaid, or AHF Best Practice criteria Performs case reviews in a timely manner and maintains all required documentation of clinical reviews in the appropriate database.  Issues authorizations to Providers and assists Plan Medical Director in the issuance of other required communications (such as denials) per established guidelines, and in compliance with all applicable Medicare or Medicaid guidelines. Collaborates with the Primary Care Provider and/or attending physician, internal and external case managers, patient and/or family and other healthcare providers to provide continuity and quality of care in the most cost effective manner Assists in the discharge planning process with both internal and external case managers/discharge planners and/or patient and family. Concurrent Review and collaboration with internal case managers of all acute care, skilled nursing, acute rehabilitation, long term care, hospice and home with home care services admissions of Plan members. Assesses each acute care hospital admission to determine the appropriate level of care, i.e., critical care, telemetry, step down, medical-surgical, administrative, etc. Admission Reviews are performed within 72 hours of admission (for weekend admissions) and within 48 hrs. of all other admission, or as dictated by applicable policy and procedure. Monitors and maintains Hospitalization Reports at the direction of UM/CM Mgr. May attend clinical meetings with hospital based providers and staff regarding the care of plan members. Coordinates closely with the Plan’s Medical Director, referring cases that do not appear to meet established criteria. Compiles and analyzes data for utilization review management activities. Maintains logs and statistics as directed by UM/CM Mgr. Provides outpatient or pharmacy services utilization review, based on UM/CM Dept. needs. Prepares or assists in preparing  weekly, monthly, quarterly and yearly and ad hoc utilization review reports as directed by UM/CM Mgr. Assists in preparing an annual Utilization Management Program evaluation. Participation in AHF Meetings/Committees Attends AHF meetings as assigned. Supervisory Responsibilities This job has no supervisory responsibilities.   Qualifications: To perform this job successfully, an individual must be able to satisfactorily perform the essential duties.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Current Florida RN license 3 or more years of recent medical/surgical or critical care nursing experience 3 or more years of recent Utilization Review/Case Management Experience Strong telephonic communication skills, ability to conduct high level clinical discussions with physicians and nurses Ability to successfully work with various levels of professional staff; must work well independently and as part of a team Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.   Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent to draw and interpret bar graphs. College level algebra and statistics Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right     STILL INTERESTED? Please continue!     Responsibilities: Essential Duties & Responsibilities Includes the following.  Other duties may be assigned . Maintains clinical competency, as demonstrated in providing and directing patient care. Assures that nursing staff practice within their individual scopes of practice. Assists and communicates with medical staff concerning patient care issues (e.g., change in condition, refill requests, patient incidents). Assesses and Triages patients. Participates in the case management of individual patients to ensure the continuity of care. Develops and oversees internal working systems relevant to the medical/nursing operations within a clinic setting. Produces required reports on a timely basis. Maintains compliance with DHS, County Public Health, and other regulatory agencies, statutes and standards. Directs nursing care in a manner reflective of the philosophy of AIDS Healthcare Foundation. Provides education to patient and patient's personal support system in areas such as disease management, safe sex, etc. Assumes supervisory duties such as performance evaluations, counseling and progressive discipline of the nursing staff. Complies with safety standards and infection control standards. Promotes team work, good interpersonal relations and communication among staff at the healthcare setting and corporate level. Participates in nursing staff orientation and serves as a clinical resource. Plans and participates in educational programs for the nursing staff. Oversees and controls supplies that directly impact patient care (e.g. ordering and charging stock medications, medical supplies and patient care equipment and/or supplies. Exercises appropriate judgment and good decision-making skills. Assumes additional responsibilities as necessary (i.e., assisting the nursing staff at times of critical need, attendance at all assigned committees). Participation in AHF Meetings/Committees Attends Nurse Managers Meeting. Attends Leadership Meeting. Attends HCC Staff Meeting. Attends other meetings as assigned. Supervisory Responsibilities Carries out supervisory responsibilities in accordance with AHF’s policies and applicable laws.  Responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work, appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.    Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN program. BSN preferred. Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of word processing software.    Language Skills Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.  Ability to respond to common inquiries or complaints from customers, regulatory agencies or members of the business community.  Ability to write speeches and articles for publication that conform to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors.   Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent to draw and interpret bar graphs.   Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.   Other Skills & Abilities/Qualifications Knowledge of HIV/AIDS and related medical and patient care issues and concerns in diverse populations. Previous administrative and supervisory experience preferred. Strong clinical nursing skills. Demonstrated proficiency in phlebotomy and intravenous insertion, care and therapy. Fluent in conversational Spanish preferred. Understanding of case management and benefits preferred. Ability to work at various healthcare centers.  Certificates, Licenses and Registrations Current State RN License in applicable working location. Current CPR certification (Healthcare Provider). Valid Driver License in state of employment, with proof of liability insurance. We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right     STILL INTERESTED? Please continue!     Responsibilities: Essential Duties & Responsibilities Includes the following.  Other duties may be assigned . Maintains clinical competency, as demonstrated in providing and directing patient care. Assures that nursing staff practice within their individual scopes of practice. Assists and communicates with medical staff concerning patient care issues (e.g., change in condition, refill requests, patient incidents). Assesses and Triages patients. Participates in the case management of individual patients to ensure the continuity of care. Develops and oversees internal working systems relevant to the medical/nursing operations within a clinic setting. Produces required reports on a timely basis. Maintains compliance with DHS, County Public Health, and other regulatory agencies, statutes and standards. Directs nursing care in a manner reflective of the philosophy of AIDS Healthcare Foundation. Provides education to patient and patient's personal support system in areas such as disease management, safe sex, etc. Assumes supervisory duties such as performance evaluations, counseling and progressive discipline of the nursing staff. Complies with safety standards and infection control standards. Promotes team work, good interpersonal relations and communication among staff at the healthcare setting and corporate level. Participates in nursing staff orientation and serves as a clinical resource. Plans and participates in educational programs for the nursing staff. Oversees and controls supplies that directly impact patient care (e.g. ordering and charging stock medications, medical supplies and patient care equipment and/or supplies. Exercises appropriate judgment and good decision-making skills. Assumes additional responsibilities as necessary (i.e., assisting the nursing staff at times of critical need, attendance at all assigned committees). Participation in AHF Meetings/Committees Attends Nurse Managers Meeting. Attends Leadership Meeting. Attends HCC Staff Meeting. Attends other meetings as assigned. Supervisory Responsibilities Carries out supervisory responsibilities in accordance with AHF’s policies and applicable laws.  Responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work, appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.    Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN program. BSN preferred. Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of word processing software.    Language Skills Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.  Ability to respond to common inquiries or complaints from customers, regulatory agencies or members of the business community.  Ability to write speeches and articles for publication that conform to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors.   Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent to draw and interpret bar graphs.   Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.   Other Skills & Abilities/Qualifications Knowledge of HIV/AIDS and related medical and patient care issues and concerns in diverse populations. Previous administrative and supervisory experience preferred. Strong clinical nursing skills. Demonstrated proficiency in phlebotomy and intravenous insertion, care and therapy. Fluent in conversational Spanish preferred. Understanding of case management and benefits preferred. Ability to work at various healthcare centers.  Certificates, Licenses and Registrations Current State RN License in applicable working location. Current CPR certification (Healthcare Provider). Valid Driver License in state of employment, with proof of liability insurance. We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

Responsibilities: Summary The RN Care Team Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida. Key responsibilities include leading the care team which provides culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the RN Care Team Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.    Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: • Collaborates with and plays a lead role with Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. • Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. • Responsible to manage and coordinate care for an assigned population of Level 3, high risk members. • Orients new members to the Managed Care program through Welcome and Transition calls. • Completes assessments and re-assessments timely for members assigned to the Care Team. • With the member, establishes patient centered long term and short term goals for care and self management. • With the input of the member, family and medical team, creates an appropriate and timely individual care plan to assist the member to achieve the established goals. • Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. • Works to deliver care management services in an efficient and cost effective manner. • Performs PAC assessments and exception request visits as requested  • Adheres to PAC Manual when delivering PAC assessment or reassessment services.  • Communicates the care plan to the Primary Care Physician, member and others in the Health Home. • Revises the Care Plan as needed and at a minimum following hospitalization of the member or following the annual re-assessment. • Meets with patients face to face in the home or at physician appointments to complete assessments and other contacts, as necessary. • With the support of the Care Team,  re-engages the member following hospital admissions and emergency room use through reassessment, coordination of transition of care, including PCP appointment and transportation as needed. • Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. • Provides Transition of Care follow-up visits or calls to patients following change in level of care. • Provides health education regarding disease process, medications, medication adherence, community resources and benefits. • Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. • Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •  Maintains at least the minimum performance and productivity standards. • Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. o Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency • Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. • Advocates for member needs with medical provider, RN Care Team Manager and community. • Reports all complaints and grievances per grievance policy. • Other duties as assigned to ensure team goals are met. Management Responsibilities Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Supervises and delegates appropriate tasks to the LPN Care Partner, the Care Coordinator and the Social Worker and monitors for the appropriate completion of assigned tasks. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues. Signs off on Care Plans developed by the LPN Care Partner.   Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN Program. BSN preferred.  At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification within two years of employment. Certified in AIDS Care or eligible for ANAC certification within three years of employment.   Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.  Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues   Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.   Travel:  Over 50% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, and AHF office.  Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a leader or member  of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Current CPR (Cardio Pulmonary Resuscitation) Certificate Required Valid Florida Driver’s License with proof of automobile liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

Summary: Utilization Review is the process in which medical review determinations are made based on clinical guidelines and structured processes. This position reviews the utilization of the organization/plan’s resources against established criteria, monitors and evaluates the medical necessity, appropriateness and efficient use of health care services.   The UM/Transition of Care RN is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida.   Key responsibilities include leading the transition of care process, providing culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the Utilization Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment, re-assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.    Responsibilities: Duties and Responsibilities include but are not limited to: •    The Transition of Care UM Nurse is responsible for projecting and integrating the Mission and Core Values of the organization within and outside of the Managed Care Department. •    Collaborates with transitioning facility staff to assure discharge planning and physician discharge orders have been implemented and confirmed as executed prior to the patient’s discharge •    Concurrent acute care, sub-acute, hospice, transitional care & long term care to determine whether or not an admission is, or remains to be, reasonable and medically necessary, using established criteria, e.g., InterQual, Medicare or Medicaid, or AHF Best Practice criteria •    Collaborates with the Primary Care Provider and/or attending physician, internal and external case managers, patient and/or family and other healthcare providers to provide continuity and quality of care in the most cost effective manner •    Assists in the discharge planning process with both internal and external case managers/discharge planners and/or patient and family. •    Concurrent Review and collaboration with internal case managers of all acute care, skilled nursing, acute rehabilitation, long term care, hospice and home with home care services admissions of Plan members. •    Provides feedback related to each acute care hospital admission to determine the appropriate level of care, i.e., critical care, telemetry, step down, medical-surgical, administrative, etc. •    Collaborates with and plays a lead role to re-engage the member during and following a medical, rehabilitation and behavioral inpatient admission through reassessment, coordination of transition of care, including PCP appointment, supplies, services and transportation as needed •    Provides transition of care visits in the inpatient setting to educate the patient, when consented to by the patient, the family/significant other on their discharge plan, i.e., what to expect,  medications prescribed, what they were prescribed for and how to take them, reconciling pre and post hospitalization medication lists, keeping personal health record/notes and what and when to report symptoms to the UM/TOC nurse, RNCTM or PCP,  as well as conducting  follow-up home/ transition facility visits and calls to patients following the transition to a new level of care to assure plan is progressing and  PCP visit has occurred. •    Intercedes directly on member behalf when necessary to assure smooth transition process, e.g., assuring delivery of prescription medications, authorizing care/services based upon indications and appropriateness of care criteria, substituting home health vendors when care or supply commitments for transition are not met, etc. •    Collaborates with the Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. •    Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. •    Completes assessments and re-assessments timely for members as needed during transition of care, updates RNCTM on assessment findings, discharge plan and changes to patient individual care plan. •    With the member, establishes and updates patient centered long term and short term goals for care and self-management. •    With the input of the member, family and medical team, creates an appropriate and timely individual and updates care plan to assist the member to achieve the established goals. •    Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wraparound solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. •    Works to deliver care management services in an efficient and cost effective manner. •    Communicates the care plan to the Primary Care Physician, member and others in the Health Home. •    Revises the Care Plan following hospitalization of the member or following the annual re-assessment. •    Meets with patients face to face in the home or at physician appointments to complete transition of care assessments, surveys and other contacts, as necessary. •    Provides health education regarding disease process, medications, medication adherence, community resources and benefits. •    Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. •    Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •     Maintains at least the minimum performance and productivity standards. •    Completes a minimum of three recommended AIDS related in-services, trainings or one conference per year. o    Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency •    Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. •    Advocates for member needs with medical provider, RN Care Team Manager and community. •    Reports all complaints and grievances per grievance policy. •    Prepares or assists in preparing  weekly, monthly, quarterly and yearly and ad hoc utilization review reports as directed by UM Manager. •    Other duties as assigned to ensure team goals are met. Management Responsibilities Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management regarding member clinical, satisfaction, utilization and cost issues. Job Requirements: To perform this job successfully, an individual must be able to satisfactorily perform the essential duties.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Graduate from an accredited RN program required BS in Nursing preferred At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification with one year of employment. Certified in AIDS Care or eligible for ANAC certification within one year of employment Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.   Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues   Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.   Travel Over 80% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, other health venues and AHF offices.   Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work and communicate effectively with various levels of professional (e.g., physicians, professional nurses, licensed psycho-social professionals, licensed healthcare professionals health care administrators, etc.) and non-professional staff/external individuals (non-licensed allied health personnel, lay case managers, care coordinators, family/significant others, etc.). Ability to successfully mediate conflicts between individuals or groups Must be able to work independently and as a leader or member of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Valid Florida Driver’s License with proof of automobile liability insurance    We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

Summary The RN Care Team Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida. Key responsibilities include leading the care team which provides culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the RN Care Team Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.   Responsibilities: Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: • Collaborates with and plays a lead role with Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. • Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. • Responsible to manage and coordinate care for an assigned population of Level 3, high risk members. • Orients new members to the Managed Care program through Welcome and Transition calls. • Completes assessments and re-assessments timely for members assigned to the Care Team. • With the member, establishes patient centered long term and short term goals for care and self management. • With the input of the member, family and medical team, creates an appropriate and timely individual care plan to assist the member to achieve the established goals. • Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. • Works to deliver care management services in an efficient and cost effective manner. • Performs PAC assessments and exception request visits as requested  • Adheres to PAC Manual when delivering PAC assessment or reassessment services.  • Communicates the care plan to the Primary Care Physician, member and others in the Health Home. • Revises the Care Plan as needed and at a minimum following hospitalization of the member or following the annual re-assessment. • Meets with patients face to face in the home or at physician appointments to complete assessments and other contacts, as necessary. • With the support of the Care Team,  re-engages the member following hospital admissions and emergency room use through reassessment, coordination of transition of care, including PCP appointment and transportation as needed. • Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. • Provides Transition of Care follow-up visits or calls to patients following change in level of care. • Provides health education regarding disease process, medications, medication adherence, community resources and benefits. • Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. • Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •  Maintains at least the minimum performance and productivity standards. • Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. o Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency • Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. • Advocates for member needs with medical provider, RN Care Team Manager and community. • Reports all complaints and grievances per grievance policy. • Other duties as assigned to ensure team goals are met. Management Responsibilities Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Supervises and delegates appropriate tasks to the LPN Care Partner, the Care Coordinator and the Social Worker and monitors for the appropriate completion of assigned tasks. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues. Signs off on Care Plans developed by the LPN Care Partner.   Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN Program. BSN preferred.  At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification within two years of employment. Certified in AIDS Care or eligible for ANAC certification within three years of employment.   Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.  Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues   Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.   Travel:  Over 50% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, and AHF office.  Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a leader or member  of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Current CPR (Cardio Pulmonary Resuscitation) Certificate Required Valid Florida Driver’s License with proof of automobile liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are to be:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right     STILL INTERESTED? Please continue! AHF is currently seeking a Full Time LPN for our Northpoint Healthcare Center in Fort Lauderdale. The hours of operations are Monday, Tuesday, Thursday and Friday 8 AM to 5 PM and Wednesdays 11 AM to 7 PM. We offer a competitive salary, amazing benefits and a great work environment. A bilingual candidate is preferred but not required to apply.     Responsibilities: Essential Duties & Responsibilities Includes the following.  Other duties may be assigned.   Documents patient's weight, temperature, pulse, respiration and blood pressure at patient healthcare visit as ordered or per protocol. Collects samples such as urine, blood, and stool specimens in the Healthcare Centers as ordered and instructs patients in home collection of urine, stool and sputum specimens, when appropriate Performs phlebotomy as ordered and prepares specimens for transport to laboratory. Documents services performed for compliance and reporting purposes. Reviews physician orders, lab requests or follow-up needs with patient. Collaborates with other nursing personnel and participates as a team member.  May receive laboratory results over the telephone and transmit them to the Nurse Manager and the patient's medical provider in a timely manner. Administers Purified Protein Derivative (PPD), as ordered. Determines results. Administers controlled medication and documents appropriately. Reports changes in patient's physical status to the Nurse Manager or medical provider. Assists physician with examinations and procedures as assigned. Documents observations as requested by an MD and/or Nurse Manager in the patient's medical record. Receives and processes medication refill requests; verifies medication requests with healthcare provider and obtains appropriate documentation. Ensures maintenance of patient confidentiality. Maintains supplies and cleanliness of examination rooms. Maintains logs as directed by the Nurse Manager. Maintains standard precautions for infection control.   Participation in AHF Meetings/Committees Meetings as assigned.   Supervisory Responsibilities This job has no supervisory responsibilities.   Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience High school diploma or general education degree (GED);  graduate of an accredited licensed pracital nurse program.  Minimum of two years related experience and/or training. Computer/Software Skills & Abilities Proficiency in word processing and basic data base programs.Proficiency in Logician/EMR (training and continuing education will be provided in house). Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent to draw and interpret bar graphs. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.   Other Skills & Abilities/Qualifications Communicates in a tactful and professional manner. Bilingual (English/Spanish) highly desirable. Experience and sensitivity in working with individuals affected by HIV/AIDS. Certificates, Licenses and Registrations Valid Florida L.P.N. License, without restrictions. Valid C.P.R. certification. Certificate in phlebotomy and intravenous (IV) therapy; certification must be presented upon hire or prior to the completion of the initial 90-day introductory period.   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are to be:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right     STILL INTERESTED? Please continue!   Summary The RN Complex Care Manager (RNCCM) is responsible for projecting and integrating the mission and core values of the organization in the provision of care management services to members of PHP and PHC health plans.   Key responsibilities include the intense and complex care management of members meeting the criteria of catastrophic needs. These will include those members identified with more than one ER visit in a quarter, all cause readmissions to acute hospitals, transplant work-up/wait list/follow up, skilled nursing facility stays greater than 14 days, high utilization of outpatient/home health services, substance dependence, diagnosed mental health disorders, chronic homelessness and a history of non-compliance to provider appointments/ARV regimens. The RNCCM will provide culturally and linguistically sensitive complex care management services to the HIV/AIDS special needs population enrolled in PHP and PHC health plans under the supervision of the UM/CM Manager. The RNCCM contributes to successful patient outcomes by designing and implementing a comprehensive targeted individualized care plan that addresses member needs and necessary interventions that stabilize the member’s condition and decreases the over-utilization of services. The RNCCM collaborates with the Chronic Care Team in order to transition the member to the appropriate level of care when the acute and/or catastrophic need has been stabilized or eliminated. The RNCCM participates in activities that increase understanding of the communities served and assures members have access to and knowledge of their health plan benefits, community benefits, treatment and medication adherence plan.    Responsibilities: Duties and Responsibilities include but are not limited to: •    Visitation of hospitalized members at least once a week during the member’s hospitalization in order to: •    Provide member and designated care giver education to assist the member in better management of the diagnosed medical condition.   •    Collaborate with the hospital, consulted physicians and the primary care physician (PCP) in developing a discharge and transition plan that:  •   Avoids the negative consequence of fragmented care •     Eliminates the duplication of services  •   Resolves inappropriate care recommendations •   Provides post discharge education that reduces confusion, resolves conflicting care recommendations, educates member/care giver on signs and symptoms for immediate notification of RNCCM or PCP •  Avoids medication errors through pre-admission, concurrent and post hospitalization medication reconciliation and member education •   Empowers member and care giver(s) to be active in care decisions and execution of the transition plan •    Collaborates with PCPs and external network PCPs, the Chronic Care Team and other practitioners to ensure care is coordinated and integrated into the individualized care plan (ICP). •    Prepares a personal health record check list with the member that includes dates of follow up appointments, instructions, warning signs, critical activities, medication list, and member personal notes.  •    Makes home visits to ensure the member and care giver pre-discharge preparation and post discharge transition plan is in place and the self-management support is adequate to meet the goals of the transition plan to prevent readmission. •    Assures that transition plan and self management goals are realistic. •    Remains accessible to member and care giver to address concerns and answer questions. Returns phone calls within 1 hour of receipt during working hours. •    Facilitates communication across venues of care by coaching patients and their caregivers to be advocates for ensuring that their needs are met across settings.  •    Assures that member is knowledgeable about comorbidity exacerbations and how to respond.  Facilitates PCP urgent care visit according to member needs. •    Instructs member and care-giver on care access and advice for after hours, weekend and holidays.  •    Interacts with assigned members weekly: e.g., daily phone calls, house calls, monitoring checks, etc. •    Communicates member progress and adjustment of ICP on a frequent basis with assigned PCP.  Provide written progress reports in the first 30 days post discharge on a weekly basis. •    Collaborate with ASOs, Waiver Providers and other Community Organizations as necessary to ensure appropriate access to service and follow up on the results to such referrals. •    Responsible to manage and coordinate care for an assigned population of members who have been shown to be the highest severity level and highest risk. This includes but are not limited to high utilization members, members with documented frequent ER usage, frequent admissions and readmissions within 30 days   •    Completes assessments, re-assessments and care coordination for members assigned. •    With the member, establishes patient centered long term and short term goals for care and management of the member’s disease state with the focus on the intense case management of complex issues and multiple comorbidities.  •    With the input of the member, family and medical team creates an appropriate and timely individualized care plan to assist the member to achieve the established goals. •    Maintains current knowledge of plan benefit structure, policies and procedures related to authorization of services; and is adept at creating a wrap around solution to address member’s needs using intense, complex care management, appropriate plan benefits, and available ASO and community resources. •    Works to deliver these intense, complex care management services in an efficient and cost effective manner, and analyzes medical records and applies medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests •    Reviews member status on a continual basis for appropriate assignment to the catastrophic care designation and collaborates with RN Care Team Manager when assignment changes occur.   •    Communicates the care plan to the PCP, member and others in the Health Home. •    Revises the ICP to reflect changes in the member’s health and needs, at a minimum, following hospitalization of the member, or following the annual re-assessment. •    Meets with members in all care settings to complete assessments and other contacts, as necessary. •    Works to re-engage the member following hospital admissions and emergency room use through intense care management, education, coordination of care, follow-up appointments and arrangement of transportation as needed. •    Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. •    Provides daily support to patient in the form of calls, follow-up visits, collaboration with providers and family in all care settings. . •    Provides health education regarding disease process, medications, medication adherence, community resources and benefits. •    Collaborates with AIDS Service Organizations (ASOs) and other community resources, as necessary, to ensure appropriate access to care and services. •    Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •    Maintains at least the minimum performance and productivity standards. •    Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. •    Reports urgent member issues and barriers to care to the Primary Care Provider and the Manager or Director of UM/CM, as appropriate. •    Advocates for member needs with providers in all care settings,  •    Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency •    Reports all complaints and grievances per grievance policy. •    Other duties as assigned to ensure team goals are met. Management Responsibilities Participates in weekly MCO Clinical and Utilization Rounds.  Collaborates with the plan Medical Director, Manager and Director of Utilization and Case Management, on all aspects of member care, including but not limited to medical management, complaints/grievances, utilization of services and social issues.     Qualifications:   To perform this job successfully, an individual must be able to satisfactorily perform the essential duties. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience •    Graduate of an accredited RN program required; BSN or MSN preferred •    At least five years of clinical experience and three years of case management, community, home health or hospice nursing preferred. CCM and/or ACRN certification desired. •    Managed Care experience a plus with knowledge of Medicare and Medicaid regulations. •    Certified Case Manager (CCM) or eligible for certification with one year of employment. •    Certified AIDS Care RN (ACRN) or eligible for ANAC certification within two years of employment Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word, MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.            Language Skills •    Excellent written and verbal communication skills. •    Ability to read, analyze, and interpret AHF documents, policies, procedures, publications, and other documents. •    Ability to respond effectively to sensitive inquiries or issues   •    Skilled in motivational interviewing techniques to engage member in the plan of care •    Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. •    Bilingual Spanish and/or Creole a plus. Reasoning Ability •    Ability to define problems, collect data, establish facts, and draw valid conclusions and express same verbally and/or in writing •    Ability to interpret and follow a flow diagram •    Ability to apply the nursing process to assessment, care planning and patient management •    Ability to prioritize tasks and delegate to the appropriate staff  •    Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables Other Skills & Abilities/Qualifications •    Excellent organizational skills •    Ability to successfully work with various levels of professional and non-professional staff •    Must be able to work independently and as a leader or member of a team •    Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations Certificates, Licenses and Registrations •    Unrestricted Registered Nurse licensed by the State of Florida •    Baccalaureate or Advanced Nursing Degree preferred  •    Certification in case management and HIV/AIDS preferred  •    Valid Florida Driver’s License with proof of automobile liability insurance  Travel   Over 80% Local travel. Home and field based position with daily local travel to health care centers, inpatient facilities, physician offices, member homes, AHF Managed Care and Corporate offices. *Travel is specific to the assigned county. 

Overview: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right   STILL INTERESTED? Please continue!   Responsibilities: Summary: The Integrated Medication Management RN Care Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF Medicare and Medicaid health plans of California.   Key responsibilities include performing a timely (minimum yearly) assessment and care plan, including a Comprehensive Medication Review (CMR) and Targeted Medication Review (TMR) in collaboration with the Pharmacist. The IMM program is composed of a team including the Pharmacist, Tech and RN and is focused on those patients who receive medications from the AHF pharmacy, but do not use AHF Healthcare Centers. Through the nursing assessment, the RN will provide Disease Management of HIV/AIDS and any other co-morbidity as indicated by medications filled by the AHF pharmacy. The RN will work closely with the Pharmacist to identify appropriate interventions as a result of the assessment and CMR.   Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: Collaborates with the IMM team to ensure patients are well supported in the management of their medication and diagnosis. Collaborates with Pharmacist so that appropriate interventions, education and ongoing dialogue are maintained. Responsible to manage and coordinate care as it related to Medication Management, Individual Care Plans and Nursing Assessment for an assigned population of pharmacy patients. This includes but are not limited to high utilization members, members classified as polypharmacy, Completes assessments, re-assessments and care coordination for patients as assigned within the designated time lines. With the patient, establishes patient centered long term and short term goals for care and management of the member’s disease state. With the input of the patient, family and IMM team creates an appropriate and timely individual care plan to assist the member to achieve the established goals Communicates the care plan to the patient and IMM team and monitors for success Revises the Care Plan to reflect changes in the member’s health and needs, at a minimum following hospitalization of the member, or following the annual re-assessment. Meets with patients in all care settings to complete assessments and other contacts, as necessary. Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. Provides support to patient in the form of calls, follow-up visits, collaboration with providers and family in all care settings. Provides health education regarding disease process, medications, medication adherence, community resources and benefits. Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens.   Qualifications: Education and/or Experience Graduate from an accredited RN program required Advanced Nursing Degree preferred At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Certified Case Manager (CCM) or eligible for certification with one year of employment. Experience in field case management, including working remotely from a pharmacy, home office or field station.   Travel: Over 50% Local travel. This position will work between a remote home/ field based location and the pharmacy assigned. Local travel to AHF pharmacy, patient homes when indicated and telephonic communication is expected. The IMM RN will also travel to AHF Corporate or Regional offices when appropriate.     Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Advanced Nursing/ Baccalaureate Degree preferred Certification in case management preferred Valid Florida Driver’s License with proof of automobile liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.   #LI-HT1

Overview: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are to be:   • Patient-Centered • Value Employees • Respect for Diversity • Nimble • Fight for What’s Right     STILL INTERESTED? Please continue! Responsibilities: Essential Duties & Responsibilities Includes the following. Other duties may be assigned.   • Leads AAAHC survey preparation. • In collaboration with department Directors, Plan Medical Director and the National Director Quality    Management (NDQM) develops monitoring tools to measure and internally report departmental    adherence to the domains of the AAAHC standards. Implements, maintains and reports the     outcomes of the monthly monitoring of AAAHC adherence no less than quarterly.     o Reports findings and results of corrective action plans, when one is in place, to the Chief, VP          and Medical and National QM Directors. • Supports compliance with AAAHC standards and participates in AAAHC survey preparation.   • Assists with preparation for HEDIS data collection, validation audits, data submission as required.   • Works collaboratively with the NDQM and PMD to design and execute programs and projects to     improve HEDIS, HOS, CAHPS, QIP, PIP monitoring rates.   • Leads the Florida Provider Satisfaction survey project. Conducts survey and submits results on time    to Executive Management, the Quality Management Committee and required reporting agencies.   • Develops and maintains a calendar of contractual, accreditation, and regulatory reporting     requirements. Collaborates with Compliance and provides all subject matter and due dates for the    compliance Report Manager application so reporting can be tracked for timeliness.   • Assures contractually required quality activities are occurring. Reports these monthly status reports     to Executive Management, quarterly reporting to the QMC and required monthly/quarterly and/or    annual reporting to oversight agencies. Reports such activities according to timelines outlined in Plan    Guidance or contracts. Examples of such monitoring and reporting are:     o CHCUP     o EPSDT     o AHCA Performance Measures     o Satisfaction surveys   • Facilitates and writes Florida QIP’s/CCIP’s/PIP’s and may consult and contribute on quality      improvement initiatives for other states and programs.   • When non-compliance with the contractual, regulatory or accreditation activities are found,    collaborates with the department and develops corrective action plans (CAP). Reports status of    CAPs on a monthly basis to Executive Management through the completion and six month follow-up    of the CAP.   • Collaborates with the Information Technology Department and with the Data Analyst to obtain     relevant information to track and trend quality indicators.   • Conducts audits of Primary Care Provider and Case/Disease Management records/charts to identify    areas for improved quality of care.   • Leads and conducts external audits of contracted network providers to maintain the quality and    integrity of the network.   • Establishes and utilizes benchmarks and thresholds as quality indicators.   • Performs selected outcome studies.   • Participates in developing a training program related to Quality Improvement.   • Provides QI Training to Plan employees and network providers.   • Manages the Risk Management Program   • Manages the Complaint and Grievance Process. Assures processes are followed and all timeliness     requirements continually are met.     o Performs incident (complaint/grievance) investigations.     o Assures Medicare and Medicaid standards, communication, investigation, follow-up and time          frames for Grievance Management are met at all times.     o Educates Member Service Staff on Medicare and Medicaid standards for complaints and           grievances.     o Develops corrective action plans in collaboration with management as needed. Monitors CAP to          assure correction and maintenance of correction has occurred. Reports results to QMC.   • Monitors and reports on AAAHC.   • Participates on quality improvement teams.   • Assists in the development of the annual QI Plan.   • Conducts analysis of data collected to accomplish established QI Program goals.   • Assists the Compliance Department on projects, activities, meetings, audits, etc to carry out    compliance program   • Assures ongoing, quarterly, semiannual and annual QI reports and evaluations are completed as    prescribed in the overall QI plan.   • Prepares quarterly QI reports for submission to the Managed Care Executive Oversight Committee,    Quality Management Committee and Board of Directors.   • Submits an annual evaluation of the QI Plan to the NDQM, PMD, Chief and Executive Oversight     Committee no later than March of each year for the previous calendar year.   Participation in AHF Meetings/Committees Attends Quality Management Committee Attend Quality Department Staff Meetings Attends AHF meetings as assigned. External AHCA, CMS or other required meetings as assigned by the NDQM or VPMC.   Supervisory Responsibilities This job supervises one QM analyst. Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience • Bachelor’s degree BSN/BA from four-year college or university; or Associate Degree Nursing and one     to two years related experience and/or training or equivalent combination of education and      experience.  • Certificate in Risk Management or able to obtain certification within 4 months of employment.   Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software   Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.   Mathematical Skills High Skills: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, rations, and proportions to practical solutions. Reasoning Ability Very High Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.   Other Skills & Abilities/Qualifications • Five years experience in acute care, case management utilization review, or quality improvement    management. • Extensive knowledge of Microsoft Access, Excel and Word. • Successful completion of a college level statistics class. • BS/BA in health sciences, health management, or a related field preferred.   Certificates, Licenses and Registrations Licensed Registered Nurse with the Florida Board of Registered Nursing. Certified Risk Manager   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.   Req No  2015-4247  

Responsibilities: Includes the following.  Other duties may be assigned. Responsible for the direction of Utilization and Case Management Departments; Maintains adequate functionality and effective administration of departments; Coordinates staff schedules to assure effective functioning of programs. Implements and evaluates Utilization Management and Case Management policies and procedures, guidelines and action plans in compliance with all state/federal and/or Medicare/Medicaid requirements. Monitors and evaluates the performance of Case Management and Utilization Programs through activity reports to assure appropriate delivery of health care services and adherence to regulatory and contractual requirements; ensures that the Utilization Management and Case Management Programs are compliant with state/federal and/or Medicare/Medicaid specifications for Managed Care Programs. Participates in the development, implementation, and oversight of specialty programs and/or expense programs; Analyzes performance of programs against AHF MCO goals, industry standards and contractual performance guarantees. Conducts utilization and site audits required to meet regulatory and contractual obligations. Forecasts and develops plans for departmental allocation of resources; Assists in the development of departmental budgets; Maintains budget; Prepares monthly variance reports with corrective actions. Develops, monitors and analyzes key program indicators in the areas of utilization and quality; Takes corrective action as necessary. Coordinates lines of communication between Utilization and Case Management staff, Disease Management and Executive Management. Participates in provider relations and contracting activities as necessary to maintain and develop AHF MCO Contracted Provider Networks. Administers Utilization Management Referral, Prior Authorization, grievance and appeal processes, working closely with the Plan Medical Director to ensure compliance to AHF MCO timeframes for action and notification. Coordinates Utilization Management and Case Management Committee agenda; Provides quality indicator reports and report analysis to committee members and Executive Management. Provides administrative clinical oversight to Medical Claims Department and works with them to maintain clear lines of communication and effective processes for prospective, concurrent and retrospective review of services provided and paid.  Participation in AHF Meetings/Committees Attends AHF MCO meetings as assigned. Attends Utilization Management and Case Management Committee Meetings. Chairs Committees as assigned. Supervisory Responsibilities Carries out supervisory responsibilities in accordance with AHF MCO policies and applicable laws.  Responsibilities include interviewing, hiring, and training employees;  planning, assigning and directing work, appraising performance;  rewarding and disciplining employees;  addressing complaints and resolving problems.    Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Graduate from an accredited RN Program with 3 or more years of recent medical/surgical or HIV/AIDS nursing experience and 3 or more years of recent Utilization Review/Case Management experience. Computer/Software Skills & Abilities To perform this job successfully, an individual should have knowledge of Contact Management systems, Word processing software, and Spreadsheet software. Language Skills Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.  Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.  Ability to write speeches and articles for publication that conform to prescribed style and format.  Ability to effectively present information to top management, public groups, and/or boards of directors. Mathematical Skills High Skills:  Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.  Ability to apply concepts such as fractions, percentages, rations, and proportions to practical solutions. Reasoning Ability Very High Skills:  Ability to define problems, collect data, establish facts, and draw valid conclusions.  Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables Other Skills & Abilities/Qualifications Ability to successfully work with various levels of professional staff Must be able to work independently and as part of a team. Knowledge of HIV/AIDS and related medical and patient care issues and concerns in diverse populations. Certificates, Licenses and Registrations Current Florida RN License     DISCLAIMER: We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.   Req No  2016-4446

Overview: Summary: The Transition of Care RN is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida.     Key responsibilities include leading the transition of care process, providing culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the Director of Utilization and Case Management , participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment, re-assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits, treatment plan, and medication adherence.   Responsibilities: Essential Duties & Responsibilities   Duties and Responsibilities include but are not limited to: • Collaborates with transitioning facility staff to assure discharge planning and physician discharge orders have been implemented and confirmed as executed prior to the patient’s discharge • Collaborates with and plays a lead role to re-engage the member during and following a medical, rehabilitation and behavioral inpatient admission through reassessment, coordination of transition of care, including PCP appointment, supplies, services and transportation as needed • Provides Transition of Care visits in the inpatient setting to educate the patient, when consented to by the patient, the family/significant other on their discharge plan, i.e., what to expect, medications prescribed, what they were prescribed for and how to take them, reconciling pre and post hospitalization medication lists, keeping personal health record/notes and what and when to report symptoms to the TOC nurse, RNCTM or PCP, as well as conducting follow-up home/ transition facility visits and calls to patients following the transition to a new level of care to assure plan is progressing and PCP visit has occured. • Intercedes directly on member behalf when necessary to assure smooth transition process, e.g., assuring delivery of prescription medications, authorizing care/services based upon indications and appropriateness of care criteria, substituting home health vendors when care or supply commitments for transition are not met, etc. • Collaborates with the Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. • Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. • Completes assessments and re-assessments timely for members as needed during transition of care, updates RNCTM on assessment findings, discharge plan and changes to patient individual care plan. • With the member, establishes and updates patient centered long term and short term goals for care and self management. • With the input of the member, family and medical team, creates an appropriate and timely individual and updates care plan to assist the member to achieve the established goals. • Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. • Works to deliver care management services in an efficient and cost effective manner. • Communicates the care plan to the Primary Care Physician, member and others in the Health Home. • Revises the Care Plan following hospitalization of the member or following the annual re-assessment. • Meets with patients face to face in the home or at physician appointments to complete transition of care assessments, surveys and other contacts, as necessary. • Provides health education regarding disease process, medications, medication adherence, community resources and benefits. • Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. • Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. • Maintains at least the minimum performance and productivity standards. • Completes a minimum of three recommended AIDS related in-services, trainings or one conference per year. o Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency • Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. • Advocates for member needs with medical provider, RN Care Team Manager and community. • Reports all complaints and grievances per grievance policy. • Other duties as assigned to ensure team goals are met.   Management Responsibilities   Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues.       Qualifications: To perform this job successfully, an individual must be able to satisfactorily perform the essential duties. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Graduate from an accredited RN program required BS in Nursing preferred At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification with one year of employment. Certified in AIDS Care or eligible for ANAC certification within one year of employment Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook. Knowledge of MS Visio a plus. Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues  Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or Creole a plus. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables. Travel:   Over 80% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, other health venues and AHF offices.   Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work and communicate effectively with various levels of professional (e.g., physicians, professional nurses, licensed psycho-social professionals, licensed healthcare professionals health care administrators, etc.) and non-professional staff/external individuals (non-licensed allied health personnel, lay case managers, care coordinators, family/significant others, etc.). Ability to successfully mediate conflicts between individuals or groups Must be able to work independently and as a leader or member of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations   Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Valid Florida Driver’s License with proof of automobile liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.   Req No  2016-4504

Overview: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are to be:   Patient-Centered Value Employees Respect for Diversity Nimble Fight for What’s Right PHC/PHP is currently seeking an RN Care Team Manager for Broward County.    We offer a competitive salary, amazing benefts and a great work environment. A bilingual candidate is preferred but not required to apply.     STILL INTERESTED? Please continue!     Responsibilities: Summary The RN Care Team Manager is responsible for projecting and integrating the Mission and Core Values of the organization in the provision care management services to members of the AHF/AHFMCO Medicare and Medicaid health plans of Florida.     Key responsibilities include leading the care team which provides culturally and linguistically sensitive care management services to the HIV/AIDS special needs population enrolled in the Medicare and Medicaid health plans under the supervision of the RN Care Team Manager, participating in the gathering and transmission of information and data to the RN Care Team Manager for assessment and care planning, participating in interdisciplinary team meetings, participation in activities that increase understanding of the communities served by the AHF/AHF MCO and going the extra mile to assure members have access and knowledge of their health plan benefits, community benefits,  treatment plan, and  medication adherence.    Essential Duties & Responsibilities Duties and Responsibilities include but are not limited to: • Collaborates with and plays a lead role with Health Care Center and external network PCPs, the Care Team and other practitioners to ensure members are well supported and managed within the Health Home of the Chronic Care Model. • Collaborates with ASO's, PAC Providers and other Community Services as necessary to ensure appropriate access to service and follow up on the results to such referrals. • Responsible to manage and coordinate care for an assigned population of Level 3, high risk members. • Orients new members to the Managed Care program through Welcome and Transition calls. • Completes assessments and re-assessments timely for members assigned to the Care Team. • With the member, establishes patient centered long term and short term goals for care and self management. • With the input of the member, family and medical team, creates an appropriate and timely individual care plan to assist the member to achieve the established goals. • Maintains current knowledge of MCO benefit structure, policies and procedures related to authorization of services. And is adept at creating a wrap around solution to address member’s needs using appropriate MCO benefits and available ASO and community resources. • Works to deliver care management services in an efficient and cost effective manner. • Performs PAC assessments and exception request visits as requested  • Adheres to PAC Manual when delivering PAC assessment or reassessment services.  • Communicates the care plan to the Primary Care Physician, member and others in the Health Home. • Revises the Care Plan as needed and at a minimum following hospitalization of the member or following the annual re-assessment. • Meets with patients face to face in the home or at physician appointments to complete assessments and other contacts, as necessary. • With the support of the Care Team,  re-engages the member following hospital admissions and emergency room use through reassessment, coordination of transition of care, including PCP appointment and transportation as needed. • Monitors the appropriate use of outpatient ancillary services, medication adherence, compliance to PCP visit schedules and results of lab work. • Provides Transition of Care follow-up visits or calls to patients following change in level of care. • Provides health education regarding disease process, medications, medication adherence, community resources and benefits. • Collaborates with AIDS Service Organizations and other community resources, as necessary, to ensure appropriate access to care and services. • Maintains current clinical knowledge of HIV/AIDS medications and treatment regimens. •  Maintains at least the minimum performance and productivity standards. • Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. o Obtains and maintains HIV/AIDS disease/treatment general knowledge proficiency • Reports urgent member issues and barriers to care to the Primary Care Provider and the Director of UM/CM, as appropriate. • Advocates for member needs with medical provider, RN Care Team Manager and community. • Reports all complaints and grievances per grievance policy. • Other duties as assigned to ensure team goals are met.   Management Responsibilities Collaborates with the Director of UM/CM or their designee on the day to day supervision of the Care Team members. Supervises and delegates appropriate tasks to the LPN Care Partner, the Care Coordinator and the Social Worker and monitors for the appropriate completion of assigned tasks. Organizes and leads the team conferences with the Interdisciplinary Team. Collaborates with the Plan Medical Director, Manager and Director of Utilization and Case Management on member clinical, satisfaction, utilization and cost issues. Signs off on Care Plans developed by the LPN Care Partner.   Qualifications: Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.    The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Education and/or Experience Graduate from an accredited RN Program. BSN preferred.  At least five years clinical experience and three years Case Management, Community nursing, Home Health or Hospice nursing desired Managed Care experience a plus with knowledge of Medicare and Florida Medicaid regulations Certified Case Manager (CCM) or eligible for certification within two years of employment. Certified in AIDS Care or eligible for ANAC certification within three years of employment.   Computer/Software Skills & Abilities To perform this job successfully, an individual should have adequate typing skills and basic knowledge of business software, including but not limited to: MS Word  MS Excel, MS Access data base input to pre-designed forms, Internet Explorer and MS Outlook.  Knowledge of MS Visio a plus.    Language Skills Excellent written and verbal communication skills. Ability to read, analyze, and interpret AHF/AHF MCO documents, policies, procedures, publications, and other documents. Ability to respond effectively to sensitive inquiries or issues   Skilled in motivational interviewing techniques to engage member in the plan of care Ability to effectively present information and respond to questions from groups of peers, superiors, clients, customers, and the general public. Bilingual Spanish, and/or  Creole a plus.   Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. and express same verbally and/or in writing..  Ability to interpret and follow a flow diagram. Ability to apply the nursing process to assessment, care planning and patient management. Ability to prioritize tasks and delegate to the appropriate staff  Ability to interpret a variety of technical instructions in mathematical or diagram format including abstract and concrete variables.     Travel:  Over 50% Local travel. Home/ field based position with daily local travel to Health Care Centers, inpatient facilities, physician offices, patient homes, and AHF office.  Other Skills & Abilities/Qualifications Excellent organizational skills. Ability to successfully work with various levels of professional and non-professional staff. Must be able to work independently and as a leader or member  of a team. Knowledge of HIV/AIDS, related medical and patient care issues and concerns in diverse populations   Certificates, Licenses and Registrations Unrestricted Registered Nurse licensed by the State of Florida Baccalaureate Degree preferred  Certification in case management preferred  Current CPR (Cardio Pulmonary Resuscitation) Certificate Required Valid Florida Driver’s License with proof of automobile liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.  The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.   Req No  2016-4644   #LI-HT1

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!   Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?   If so, AIDS Healthcare Foundation is the place for you!   Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.    AHF’s core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for What’s Right   STILL INTERESTED? Please continue!   Responsibilities: The Licensed Clinical Social Worker Therapist / Licensed Marriage and Family Therapist is responsible for projecting and integrating the Mission and Core Values of the organization as well as AHF’s Management Philosophy in the leadership of the Mental Health Department.   Essential Duties & Responsibilities Includes the following. Other duties may be assigned as deemed necessary by the Director of Mental Health. • Conducts a psychosocial assessment on all new clients; conducts additional follow-up assessments as required by regulation or deemed necessary by the healthcare team. • Provides crisis intervention counseling to an individual, couple or families experiencing immediate psychosocial distress either by phone or face-to-face. • Provides short-term therapy as needed for individuals, couples, families and/or groups of clients. Length of therapy will be determined in conjunction with the Director of Mental Health—Southern Bureau. • Provides mental health triage/ referral/ coordination to clients, including directing clients to the appropriate level of mental health care: including medication management, neuropsychological testing, day treatment programs, substance abuse services and inpatient hospitalization. • Advises, counsels and, when appropriate, assists the patient's support system in problem identification, analysis, suggestions for interventions and follow up plans. • Develops and tracks mental health treatment plans in conjunction with the Director of Mental Health—Southern Bureau. • Reports suspicions of child and/or adult abuse to the appropriate authorities according to statutes in collaboration with the Director of Mental Health—Southern Bureau, the patient's medical provider and AHF's General Counsel. • Contacts the client’s HIV provider on a regular basis to ensure client is actively engaged in medical care. • Completes and documents case closures and discharges as appropriate. • Collaborates with the healthcare center team (nursing, medicine, benefits) to link client with community services and programs as required by the treatment plan in conjunction with the Director of Mental Health—Southern Bureau. • Attends monthly HCC interdisciplinary team meeting. • Maintains an active client caseload in accordance with productivity standards determined by the Director of Mental Health—Southern Bureau. • Schedules an 8-hour/day taking into account that the one-hour patient session includes admin time of 10-15 minutes to complete chart notes. • Reviews cases on an ongoing basis to assure maintenance of accurate information, benefits and appropriateness of the treatment plan with the Director of Mental Health—Southern Bureau. • Utilizes a standardized format for documentation and maintains complete and accurate files on all clients; documents response to the treatment plan and documents all services provided to the Director of Mental Health—Southern Bureau. • Conducts continuous quality improvement activities to assure caliber of service. • Serves as agency liaison to other service and community organizations as assigned by the Director of Mental Health—Southern Bureau. • Participates in training and consultation on HIV mental health issues to healthcare center staff, clients and the general public as assigned by the Director of Mental Health—Southern Bureau. • Prepares monthly reports (Grant or Governmental) as required by the Director of Mental Health—Southern Bureau. • Prepares quarterly reports for Positive Healthcare in conjunction with the Director of Mental Health—Southern Bureau.   Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   Other Qualifications   • Three years or more of inpatient mental health care experience desired. • Two years of clinical work, preferably with emphasis on chronically ill mental health patients desired. • Must be able to travel locally to HCCs.  • Strong organizational and record keeping skills. • Refined mental health interview techniques. • Knowledge of HIV/AIDS related issues and concerns as they relate to the diverse populations. (Preferred). • Familiarity with general medical and psychiatric disorders seen in HIV infected persons, HIV-associated neurocognitive disorders (HAND), crisis intervention techniques and social/family systems.   Other Skills and Abilities   • Bilingual (English/Spanish or English/Creole) skills strongly preferred. • Strong interpersonal and communication skills. • Ability to work as a team player. • Word processing and statistical skills   Certificates, Licenses, Registrations • Licensure as Clinical Social Worker (LCSW) in Florida preferred • Valid Florida Driver's License • Proof of liability insurance   We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.   Req No  2017-5939