HIV Quality Management Coordinator/Medical Case Manager

Keystone HealthChambersburg, PA
Hybrid

About The Position

Keystone Infectious Diseases is seeking a dedicated HIV Quality Management Coordinator / Medical Case Manager to join our team. The HIV Quality Management Coordinator is responsible for leading and coordinating quality management and performance improvement activities for the Keystone Health HIV Program. This role develops, implements, and maintains the program's Quality Management Plan and ensures compliance with organizational standards and funding requirements through the creation and ongoing review of policies and procedures. Responsibilities include participation in internal and external quality management committees, monitoring program performance, collecting and analyzing quality improvement data, and preparing reports for program leadership, Keystone Health, and funding agencies. The Coordinator also collaborates with staff to support quality improvement initiatives and facilitates consumer involvement by incorporating patient feedback into program improvement efforts. In addition, this position serves as a Medical Case Manager for individuals living with HIV/AIDS. The Medical Case Manager coordinates medical and supportive services to promote continuity of care and positive health outcomes. Working closely with patients and healthcare providers, the Case Manager helps identify barriers to HIV primary care, supports adherence to treatment plans, and develops strategies to address patient needs. Services are provided through both in-person and remote interactions in office and community-based settings.

Requirements

  • Current Pennsylvania Licensed Registered Nurse (RN); or
  • Bachelor's degree in Social Work, Psychology, Sociology, or a related field; or
  • Bachelor's degree in a non-related field and at least two years of experience in case management, social work, or a similar role, along with Community Health Worker certification.
  • Must be able to complete all required training and competency requirements.

Nice To Haves

  • Previous experience developing and implementing a quality management program is preferred.

Responsibilities

  • Lead and coordinate quality management and performance improvement activities for the Keystone Health HIV Program.
  • Develop, implement, and maintain the program's Quality Management Plan.
  • Ensure compliance with organizational standards and funding requirements through the creation and ongoing review of policies and procedures.
  • Participate in internal and external quality management committees.
  • Monitor program performance.
  • Collect and analyze quality improvement data.
  • Prepare reports for program leadership, Keystone Health, and funding agencies.
  • Collaborate with staff to support quality improvement initiatives.
  • Facilitate consumer involvement by incorporating patient feedback into program improvement efforts.
  • Serve as a Medical Case Manager for individuals living with HIV/AIDS.
  • Coordinate medical and supportive services to promote continuity of care and positive health outcomes.
  • Identify barriers to HIV primary care.
  • Support adherence to treatment plans.
  • Develop strategies to address patient needs.
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