RN Care Team Manager
| 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. STILL INTERESTED? Please continue! Summary The RN Care Team Manager is responsible for the leadership of the care team which provides case management services to an HIV/AIDS population enrolled in Medicare or Medicaid programs within the Managed Care Division of AIDS Healthcare Foundation. Essential Duties & Responsibilities Includes the following. Other duties may be assigned. • 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. • 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 the highest risk 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. • 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, monitors hospital admissions, emergency room use, 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. • Completes a minimum of three recommended AIDS related in-services, trainings or conferences per year. MANAGEMENT RESPONSIBILITIES: • Collaborates with the Manager of UM/CM on the day to day supervision of the Care Team members. • Oversees the work the LVN Care Partner, the Care Coordinator and the Social Worker. • 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. • Assigns Severity Level I and II member assessments and care plans to the LVN Care Partner. • Signs off on Care Plans developed by the LVN Care Partner. 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 three years clinical experience and two years Case Management, Community nursing, Home Health or Hospice nursing required. • Supervisory experience preferred. • Managed Care experience a plus with knowledge of Medicare and Medi-Cal 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 knowledge of standard business software, including but not limited to: word processing, spreadsheet software, and experience with relational database principles and functions. TRAVEL: Home/ field based position with daily local travel to Health Care Centers, physician offices, patient homes, and AHF office. 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 California RN License required. • CCM preferred. • CA drivers license required and proof of liability insurance. Are you intrigued by this amazing opportunity? Are you eager to learn more? If so, please send your resume via e-mail to: Careers@aidshealth.org. ADDITIONAL INFORMATION Salary: Based on Experience, Plus Competitive Benefits Package and a Great Work Environment Position Type: Full Time, Employee Hours: 8:30am - 5:30pm, Monday - Friday Location: 1001 N. Martel Avenue, West Hollywood, California. Reference Code: 0708-RNCTM CONTACT INFORMATION Cristina de Leon Human Resources Business Line Partner AIDS Healthcare Foundation 6255 W. Sunset Blvd., 21st. Floor Los Angeles, CA 90028 Fax Number: (323) 462-6869 We look forward to hearing from you! AHF IS AN EQUAL OPPORTUNITY EMPLOYER | |
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