Registered Nurse - HIV Services (bilingual - Spanish)

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco.

The center offers primary health care services, adult medicine, pediatrics, family planning, OB / GYN, HIV and homeless services.

We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve with a focus on the Latino Spanish-Speaking Communities.

We are currently looking for qualified candidates to join our Shotwell HIV Services Clinic (Clinica Esperanza) as a Registered Nurse .

Please note : this role requires an applicant to be bilingual (English / Spanish) . This position reports to the Senior Nurse Manager and is a Regular, Full Time, Exempt role with a starting annual salary range of $83,000 to $93,000 with full benefits .

Primary Objective

The Registered Nurse will provide direct quality medical care to individuals living with HIV / AIDS and will support a clinical team approach to primary comprehensive medical care and provide for continuity of care to MNHC patients.

Member of the HIV multi-disciplinary team responsible for ensuring patient medication adherence, STD treatment, nursing, and co-visits

Essential Functions / Responsibilities

Clinical Duties Approximately 60% Time

• Effectively triages patients with appropriate attention to acuity and the availability of medical providers for urgent care evaluation.
• Provides and completes medical treatment as ordered and performs procedures based on MNHC Nursing Protocols.
• Completes / ensures completion of nursing co-visits in conjunction with medical providers.
• Will be responsible for 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.
• HIV Rapid initiation and re-engagement to care.
• 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 :

• Healthful living habits
• Safer sex practices
• Prevention of exposure to opportunistic pathogens
• Information and education on preventative care
• Needed immunizations
• Managing a long-term chronic illness
• 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.
• Documentation in progress notes, on the required forms and in the Electronic Health Record.
• Assists in the coordination of clinic operations, flow, and client care. Completes documentation of reports and clinical services provided with a high level of detail and thoroughness.
• Assists the HIV Clinical Operations and Integration manager in developing, implementing, and evaluating best practices, protocols, policies, and procedures.
• Ensures Confidential Reporting is submitted to the Department of Public Health and addresses any submission issues.
• Laboratory Testing Personnel Backup : Perform moderate lab testing, and Provider Performed Microscopy per the laboratory guidelines.

Care Management Approximately 20% Time

• Conduct outreach to eligible and referred patients for care management, via phone or in-person.
• Participate in Care Conferences with patient, family members as needed and patient’s Care Team.
• Interface with other Departments in co-managing patients and participate in inter-departmental projects.
• Develop patient-centered, individualized Care Plans for our most medically vulnerable clients :
• Assess clients for ability to attend all medical appointments including primary care visits, procedures, imaging and specialty visits.
• Actively address barriers to attending medical appointments.
• Support client in attending all medical appointments. This may include collaborating with other agencies, arranging transport, phone call reminders or arranging for the patient to be accompanied to the visit.
• Provide regular medication reconciliation with clients. Assess adherence and develop continuous follow up plan for medication non-adherence.
• Provide meaningful telephone follow up after hospitalizations and link patients to appropriate medical follow up care.
• Assess clients for the need of a home visit, and provide home visits as needed to those that would benefit.
• Support identification of patient’s strengths and barriers to ensure optimal and successful Care Plans. Respect patient health choices in the Care Plan process.
• Track barriers to care, assist with eliminating or reducing barriers to obtaining needed services.
• Collaborate with patient to navigate the system of providers and social service agencies.
• Support Nurse, patient and caregiver(s) in re-assessment of Care Plan goals.
• Connect patient to cultural, community, housing and social resources, and follow-up to assure connections are made whenever possible
• Act as a liaison to hospitals, long-term care settings, specialists, home health representatives, and other community agencies in collaboration with Nurse.
• Facilitate care transitions for patients discharging from external facilities (i.e. skilled nursing, hospital, and emergency room) and ensure appropriate follow-up with patient’s PCP in a timely manner.

Administrative Duties Approximately 20% Time

Attend weekly multi-disciplinary team meetings and present clients’ psychosocial assessment and treatment plan based on recommendations from physician, health educator, nutritionist, and other team members.

Participate in staff meetings and in-service training. Participates in and attends nursing staff meetings. Receive weekly individual clinical supervision.

• Attends and actively participate in Care Management / Health Homes Team meetings, Care Team Huddles, and assigned meetings and / or trainings.
• Provides input and shares creative strategies to improve the Care Management / Health Homes Program.
• Completes all required documentation in a timely fashion in accordance with regulations, funder requirements, program standards and workflows.
• Documentation of interventions in clients’ records.
• Make community presentations of HIV Services.
• Other duties as assigned.

Qualifications

• Current California licensure as a Registered Nurse
• Bachelor’s degree in Nursing preferred
• Bilingual (Spanish / English) required.
• Current CPR certification
• 2 years’ experience in outpatient / ambulatory nursing
• 2 years’ experience in case management / care coordination
• Good knowledge of the nursing process and critical thinking abilities required
• Knowledge of electronic medical records and tracking systems required
• 2 years' experience in working with HIV / AIDS clients.
• Experience with substance abuse and the Latino community preferred.
• Experience with HIV / AIDs, and / or the risk behaviors associated with HIV (e.g., substance use, homelessness, etc.) preferred
• Sensitivity to HIV / AIDS and Gay, Lesbian, Bisexual, and Transgender issues
• Ability to work professionally and ethically within multi-cultural settings, including ability to maintain confidentiality and privacy of persons, documents, data, and communications.

To learn more about our organization, please visit our website at

• Medical Insurance MNHC pays 90-100% based on plan
• Dental and Vision Insurance free to employee
• Life Insurance free basic policy plus voluntary option
• Flexible Spending Accounts for health & dependent care expenses
• Commuter benefits for public transportation expenses
• Vacation 2 weeks (3 weeks after 5 yrs; 4 weeks after 8 yrs)
• 12 Paid Holidays plus your birthday and 12 Sick Days each year
• 40 hours Paid Educational Leave
• 401k Retirement Savings Plan with Company Contribution

Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce .

We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.