RN HIV CASE MANAGER

SANTA ROSA COMMUNITY HEALTH•Santa Rosa, CA

3h•$51 - $64•Onsite

About The Position

The RN HIV Case Manager/Clinical Care is a member of the multidisciplinary HIV Care Team. The RN Case Manager is primarily responsible for assisting clients with their health and wellness and works in partnership with the Social Work Case Manager and the Medical Provider to assist clients with their health and wellness. The RN HIV Case Manager/Clinical Care provides nursing assessment/reassessment and provides nurse consultation to other members of the client’s Care Team, developing care plans, performing nursing interventions and providing client advocacy with the health care system. They are an integral part of a team focusing on positive outcomes for clients.

Requirements

Active, unrestricted California RN license.
Current CPR card.
At least two (2) years of RN Case Management experience, including development of care plans required.
Good knowledge of the nursing process and critical thinking abilities required.
Knowledge of electronic medical records and tracking systems required.
Demonstrated proficiency with all tasks on the most current RN HIV Case Manager and RN Clinical Care competency list.
Excellent judgment in clinical settings.
Excellent communication skills with staff and providers.
Knowledge of principles of nurse case management.
Ability to use electronic health record systems.
Demonstrates knowledge of compliance issues within the community clinic environment.
Demonstrates a willingness to report any incident that is unusual or incompatible with accepted clinic procedures.
Maintains confidentiality of patients at all times by complying with HIPAA policies.
Strong interpersonal skills; ability to be sensitive with persons of various social, cultural, economic and educational backgrounds.
Proficiency with Microsoft Outlook, Word, Excel and PowerPoint.
Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
Ability to work independently and as part of a team.
Good judgment, problem solving and decision-making skills.

Nice To Haves

Two years’ experience with direct HIV patient care and coordination preferred.
Experience with Mental Health and/or Substance Abuse Case Management preferred.
Personal experience with HIV/AIDS, and/or the risk behaviors associated with HIV (e.g., substance use, homelessness, etc.) preferred.
Fluency in English and Spanish (speak, read, write) preferred.

Responsibilities

Face-to-face nursing assessment and reassessment to include medical history taking at intake and on a schedule determined by the acuity scale.
Development of a comprehensive individualized Care Plan in collaboration with the Social Work Case Manager and the Medical Provider.
Coordination of the services and activities required in implementing the Care Plan.
Case conferencing with other members of the HIV Care Coordination Team as appropriate and as required by acuity level.
Referral and follow-up for medical evaluation and treatment.
Education and counseling about HIV disease process management.
Case management of HIV medication therapy including monitoring and educating client about medication side effects, disease process, and lab values..
Adherence assessment and interventions to include counseling, education and referral, as appropriate.
Nutritional assessment and interventions to include counseling, education and referral, as appropriate.
The Nurse will be responsible for identifying needs for interventions and facilitating the client’s ability to access recommended interventions and will either directly provide the intervention or will refer the client to an appropriate resource to receive the intervention.
Provide nursing interventions and education about a variety of issues, as appropriate to both client-assessed need for intervention and the nurse’s trained skills. Interventions may include (but are not limited to):
Healthful living habits
Holistic approach to wellness
Safer sex practices
Prevention of exposure to opportunistic pathogens
Information and education on preventative care
Needed immunizations
Managing a long-term chronic illness
Telephone triage: receive patient calls, determine the seriousness of the encounter and decide on a plan of action.
Perform prescription refills and assist medical provider with other clinical case management documentation and follow up.
Regular communication, client advocacy and case conferencing with the client’s primary and specialty medical providers.
Follow all established clinic protocols for patient care and clinical duties.
Documentation in progress notes, on the required forms and in the Electronic Health Record (eCW).
Participates in ongoing training.
Other duties as assigned.
Assists with meeting the needs of complex medical patients, including assessment, education, referrals, and follow-up care. This may involve face-to-face, phone meetings, and review of electronic messaging and media.
Provides nursing care including but not limited to administering medications and treatments in compliance with a medical provider’s orders, Santa Rosa Community Health’s policies, and State of California guidelines. This is inclusive of assigned functions within electronic health records.
Participates with the rest of the clinical team to improve quality of patient care and infection control.
Interprets information obtained from patient and others, including the health care team, and documents all clinical care in the patient’s electronic medical record.
Provides general care coordination including but not limited to: patient triage, phone call-backs, prescription refills, lab ordering and interpretation, and medical case management.
Monitors tracking systems for abnormal labs, infectious diseases, and high-risk referrals.