Registered Nurse Case Manager

REGISTERED NURSE CASE MANAGER

I. JOB SUMMARY: The Registered Nurse Case Manager is the direct contact for the agency with people requesting services and assistance who are living with HIV/AIDS: As such the RN Case Manager must provide quality patient care via the development, implementation & evaluation of individual patient care plans, serve as a liaison between the agency, the patient, and their families, follow established professional standards of care, as well as agency guidelines, policies, and procedures.

This position will initially start as part-time and go full-time within the first 1-2 months.

II. JOB RELATIONSHIP:

Reports To: Project Director

III. RESPONSIBILITIES AND DUTIES:

A. Assure that each client enrolled within the Case Management program meets the functional eligibility criteria by conducting an initial comprehensive nursing assessment, of the client’s level of care and functional status.

B. Consult with the client’s attending physician, primary care practitioner, social worker, and other providers in order to coordinate plans of treatment.

C. Maintain all related records and reports for the reporting of collected data per State and professional standards.

D. Develop an individualized care plan for clients' needs including emergency services, food, health care, medical attention, HIV health education, emergency and permanent housing, mental-health and substance-abuse counseling, and emotional and practical support.

E. Identify and follow-up on instances of abuse, neglect, and exploitation that may bring harm or create potential harm to clients.

F. Empower and advocate for clients in decision-making and health care service planning.

G. Monitor client progress as outlined in their individualized care plan. Maintain an average of one successful contact per month; reassess client objectives and goals and make changes in accordance with the clients’ changing needs.

H Participate in bi-weekly Client Service meetings, or team meetings in order to consult with supervisors, attending physicians, and peers on case issues. Participate in annual In-services and trainings to receive updated information on services and entitlements.

K. Meet with clients in their place of residence in order to provide psychosocial support, assess needs, monitor progress, and offer other supportive services (this requirement has been modified due to COVID).

I. Perform additional duties as assigned by the Project Director.

IV. QUALIFICATIONS:

A. EDUCATION: Registered Nurse in the State of California with a degree from an Accredited Institution

CERTIFICATIONS: BLS, CNN, BSN required (PHN preferred).

B. TRAINING AND EXPERIENCE:

1. Minimum 2 years experience with, and knowledge in social-service case-management, and acute care to chronically ill clients, including practical knowledge of the social and economic aspects of clinical care.

2. Experience with and ability to work sensitively with the personal aspects of HIV disease.

3. Excellent verbal and written communication skills combined with consistent follow-through.

4. Experience working with communities of color, the lesbian/gay community, and other underserved populations.

C. SPECIAL REQUIREMENTS:

1. Bilingual capability in Spanish and/or experience working with the Hispanic population is a plus.

2. Valid California Drivers License and Proof of Insurance.

3. Ability to operate a computer and/or a tablet PC

4 May be exposed to unsanitary conditions in some home settings

5 May be exposed to high crime areas within the service community

6 May need to endure exposure to weather and temperature extremes

7 Ability to travel day to day within assigned geographic areas

The above statements reflect the general details considered necessary to describe the principal functions of the position and shall not be construed as a detailed description of all the work requirements that may be needed to perform in this position.