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:
• Value Employees
• Respect for Diversity
• Fight for What’s Right
STILL INTERESTED? Please continue!
The Ryan White Medical Case Manager of Care Management Programs is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of leadership and supervision of the Disease and Medical Case Management Programs of AIDS Healthcare Foundation (AHF).
The Ryan White Medical Case Manager of Care Management Programs contributes to the success of the Medical Care Management Programs by managing the daily work flow to achieve high quality care management delivery and positive clinical outcomes, while meeting the administrative and contractual performance targets, documentation standards and billing requirements of the Medical Care Management Programs.
Essential Duties & Responsibilities
Includes the following. Other duties may be assigned.
Maintains extensive knowledge regarding the current standards of HIV/AIDS care and case management processes.
Disseminates information and educates the provider community and patients regarding the latest treatment protocols in HIV/AIDS management.
Establishes, documents and maintains clients’ Ryan White eligibility. Maintains files according to contract requirements.
Interviews patients and families to assess needs and risk categories to develop and implement appropriate plans of care and assessments
Establishes long and short term goals for the patient/family which are S-M-A-R-T
(Smart, Measurable, Achievable, Realistic, Timely)
Creates an individualized plan of action in collaboration with the patient, family, medical caregivers and community agencies
Monitors adherence to HIV medical appointments, medical and medication regiment treatment plans.
Conducts outreach contacts for patients who miss their appointments or those patients who have not been seen by the provider within 104 days since their last appointment.
Performs medication adherence education, reconciliation with physician ordered medications and medication education on over the counter medication usage with prescribed medications.
Implements, monitors and evaluates the plan of care and its effectiveness per EMA requirements. Revises as necessary.
Monitors hospital, emergency room, outpatient and ancillary services; lab values and patient satisfaction to determine program effectiveness.
Educates patients regarding the disease process and medications, methods for improving medication compliance, available community resources and other pertinent information.
Reviews medical records to identify needs and tracks outcomes. Updates plans of care (ISP) as required and as needed.
Performs reassessments as required by contractual requirements
Collaborates with ASOs and other community services in the Eligible Metropolitan Area (EMA), including specialty care providers, as necessary to ensure appropriate access to services and follow-up on the results to such referrals.
Documents effectively in the CPS and EMA-mandated computer system and tracks outcomes of care on an individual and aggregate basis regarding the patient and provider population.
Maintains detailed record of time spent providing service to each patient and submits this information at regular intervals for timely billing.
Monitors patient’s acuity level in an ongoing fashion and updates appropriately.
Provides feedback to the referring provider regarding planned disenrollment from program.
Participates in local EMA functions in the community.
Assists in tracking, resolving and reporting of complaints/grievances.
Maintains information in a confidential manner.
Obtains and maintains knowledge of Ryan White Medical Case Management contract, deliverables and standards of care.
Helps drive and maintain the Mobile Unit.
Participation in AHF Meetings/Committees
Attends Meetings as required.
This job has no supervisory responsibilities.
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
Graduation from an accredited professional nursing program. 2 years clinical experience. One year experience with HIV/AIDS patients. Minimum Associate’s degree (A.A.) in nursing
Computer/Software Skills & Abilities
To perform this job successfully an individual should have knowledge of MS Office Word processing software, Excel spreadsheet software, and Contact Management software.
Ability to read, analyzes, and interprets 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.
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.
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
Minimum one year managed care and case management experience.
Excellent written and verbal communication skills.
Excellent organizational skills.
Knowledge of ICD-9 Coding.
Clinical experience in the care of people with HIV/AIDS.
Must be able to travel 50% of the time.
Certificates, Licenses and Registrations
Registered Nurse licensed by the State of Florida with an AS Degree; Baccalaureate Degree preferred.
Valid Florida Driver’s License with proof of automobile liability insurance.
Certification in case management, preferred. If candidate does not have a CCM certificate, one is to be obtained within 18 months of employment.
AIDS Certified Registered Nurse (ACRN) preferred. If candidate does not have an ACRN certificate, one is to be obtained within 24 months of employment.
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