Care Team Nurse Case Manager
$52,339 / year or higher DOQ + Full-Time County Benefits .
James City County’s Social Services Department seeks an individual to perform responsible work identifying and providing services to address needs of children and their families through the provision of community-based services.
Responsibilities:
Provides assessment of health care needs for children and their families and assists families with developing health goals as identified through the assessment.
Provides ongoing case management services to children and their families such making referrals, monitoring status of referrals made, accompanying families to needed appointments, home visiting, helping families navigate/coordinate complicated health systems, education and conduct health education lessons specific to the family.
Works with community professionals to coordinate care and services.
Supports and assists the family in obtaining and maintaining a medical home including assisting the family with scheduling appointments, eliminating barriers to keeping appointments and intervening with the provider to resolve relationship issues and support to ensure seamless care as needed.
Provides community education and consultation services for children and families. Documents accurately and timely for enrollment paperwork, reports, assessments, goal plans, and other required forms.
Requirements:
Requires Licensed Professional Nurse (LPN) or Registered Nurse (RN) licensed from the Commonwealth of Virginia; experience working with children and families.
Must possess, or obtain within 30 days of hire, a valid Virginia driver’s license and have an acceptable driving record based on James City County’s criteria.
Knowledge of 2 generational model and with a trauma informed lens, knowledge of treatment modalities and disorders, to include mental and substance abuse, as well as knowledge of medications, indications, and contraindications to assist with health case management.
Knowledge of principles and processes for providing customer service including setting and meeting quality standards for services, and evaluation of customer satisfaction.
Skills in recording, interviewing, assessing, decision making, and treatment planning.
Skill in use of computer software, especially Microsoft Office Suite; and oral and written communication
Ability to analyze and use judgment in accomplishing diversified duties; think independently within the limits of policies, standards, and precedents.
Must be able to work a flexible schedule, including some nights and weekends.
Click here for full job description. Accepting applications until position is filled. Cover letters and resumes may also be attached, but a fully completed application is required for your application to be considered.
Only online applications to our website will be considered. To apply, please visit the James City County Career Center at https://jobs.jamescitycountyva.gov
Dec 28, 2023
Full time
Care Team Nurse Case Manager
$52,339 / year or higher DOQ + Full-Time County Benefits .
James City County’s Social Services Department seeks an individual to perform responsible work identifying and providing services to address needs of children and their families through the provision of community-based services.
Responsibilities:
Provides assessment of health care needs for children and their families and assists families with developing health goals as identified through the assessment.
Provides ongoing case management services to children and their families such making referrals, monitoring status of referrals made, accompanying families to needed appointments, home visiting, helping families navigate/coordinate complicated health systems, education and conduct health education lessons specific to the family.
Works with community professionals to coordinate care and services.
Supports and assists the family in obtaining and maintaining a medical home including assisting the family with scheduling appointments, eliminating barriers to keeping appointments and intervening with the provider to resolve relationship issues and support to ensure seamless care as needed.
Provides community education and consultation services for children and families. Documents accurately and timely for enrollment paperwork, reports, assessments, goal plans, and other required forms.
Requirements:
Requires Licensed Professional Nurse (LPN) or Registered Nurse (RN) licensed from the Commonwealth of Virginia; experience working with children and families.
Must possess, or obtain within 30 days of hire, a valid Virginia driver’s license and have an acceptable driving record based on James City County’s criteria.
Knowledge of 2 generational model and with a trauma informed lens, knowledge of treatment modalities and disorders, to include mental and substance abuse, as well as knowledge of medications, indications, and contraindications to assist with health case management.
Knowledge of principles and processes for providing customer service including setting and meeting quality standards for services, and evaluation of customer satisfaction.
Skills in recording, interviewing, assessing, decision making, and treatment planning.
Skill in use of computer software, especially Microsoft Office Suite; and oral and written communication
Ability to analyze and use judgment in accomplishing diversified duties; think independently within the limits of policies, standards, and precedents.
Must be able to work a flexible schedule, including some nights and weekends.
Click here for full job description. Accepting applications until position is filled. Cover letters and resumes may also be attached, but a fully completed application is required for your application to be considered.
Only online applications to our website will be considered. To apply, please visit the James City County Career Center at https://jobs.jamescitycountyva.gov
POSITION SUMMARY:
This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW). This position will ensure that all processes, programs and operations of utilization management are fully implemented for APLAHW.
The Utilization Manager will be proactive in establishing collaborative working relationships with each member of the Care Delivery team to assure a sound Utilization Management Program.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Develops and Implements a standardized Utilization Management Program to ensure that all functions meet internal, Government, Health Plan/IPA and medical group requirements.
Ensures staff competency utilizing inter-rater reliability tools and evidence-based criteria for utilization review.
Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.
Establishes excellent working relationships with all internal/external constituents and staff, including the Chief Medical Officer, clinic directors and site medical directors. Promotes collaborative relationships. Works cooperatively with other managers in the Quality Department, including the quality manager and risk/compliance manager.
Participates in the collection, analysis and reporting of data relevant to utilization management.
Collaborates with the Quality Director to identify opportunities for process improvements in Utilization management that are consistent with the organization’s vision and strategic long term goals.
Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.
Communicates with the staff both verbally and in writing to convey health plan, contract or operations information to ensure all staff members have a consistent and appropriate knowledge base to perform their duties.
Promotes staff growth and development by identifying educational opportunities to increase efficiency and maintain compliance with industry standards.
Participates in staff meetings, assuring policy and procedures are adhered to and, when necessary, modified to address changing strategic objectives.
Supervise a staff of referral coordinators, currently consisting of one supervisor and 5 other referral coordinators; Supervise at least 2 patient engagement and retention specialists; Supervise at least 2 medical records coordinator.
Optimize processes and workflows for the UM staff.
Ensure the referrals staff are meeting key quality and risk management goals and referrals are being properly tracked.
Hire and train new UM staff as needed.
Manage the medical group’s referral filter tool, flagging questionable referrals for further evaluation by the site medical director.
Supervise staff who are monitoring patients in emergency departments and hospitals in real time and ensuring that such patient receive appropriate follow up by clinical staff. If necessary, this may require directly contacting patients to coordinate care to minimize risk of hospital readmission.
Ensure that high utilizing patients are appropriately engaged in case management programs
Report key UM metrics at monthly agency quality meetings
Lead monthly UM committee meetings
Other duties may be assigned to meet business needs
REQUIREMENTS:
Training and Experience:
Five (5) years’ utilization/care management experience in a clinical or managed care setting preferred.
Four (4) years management/supervisory experience (in a formal or informal role) preferred.
Requires either a Bachelor’s degree in Nursing (RN with active California certification) or other Healthcare related field like MPH, MHA, MBA/MS in healthcare related filed
Basic computer skills in a Windows operating environment including Microsoft Word, Excel, and an e-mail system.
Must be a dynamic leader, able to navigate a complex environment, with excellent verbal and written communication skills, as well as strong operations experience.
Effective influencing, negotiation, relationship-building and communication skills are essential.
Effective employee management skills.
Possess strong leadership, critical-thinking and motivational skills/abilities.
Excellent problem-solving and organizational skills required.
Knowledge of:
Knowledge of InterQual and/or Milliman software preferred.
Knowledge of electronic health records systems (eclinicalworks preferred).
Knowledge of ambulatory healthcare delivery and management.
Knowledge of NCQA, DMHC, CMS and other regulatory agency requirements pertaining to delivery of health care in the managed care setting.
Ability to:
Ability and willingness to travel among APLAHW locations.
Manage people through change.
Demonstrate flexibility through change.
Lead and form a collaborative team.
Work effectively under pressure due to changing priorities.
Independently and self-direct activities.
Work effectively, establish, and promote positive relationships.
Adapt quickly to changing conditions while managing multiple priorities.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID Vaccination and Booster require or Medical/Religious Exemption.
Equal Opportunity Employer: minority/female/transgender/disability/veteran.
Oct 23, 2023
Full time
POSITION SUMMARY:
This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW). This position will ensure that all processes, programs and operations of utilization management are fully implemented for APLAHW.
The Utilization Manager will be proactive in establishing collaborative working relationships with each member of the Care Delivery team to assure a sound Utilization Management Program.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Develops and Implements a standardized Utilization Management Program to ensure that all functions meet internal, Government, Health Plan/IPA and medical group requirements.
Ensures staff competency utilizing inter-rater reliability tools and evidence-based criteria for utilization review.
Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.
Establishes excellent working relationships with all internal/external constituents and staff, including the Chief Medical Officer, clinic directors and site medical directors. Promotes collaborative relationships. Works cooperatively with other managers in the Quality Department, including the quality manager and risk/compliance manager.
Participates in the collection, analysis and reporting of data relevant to utilization management.
Collaborates with the Quality Director to identify opportunities for process improvements in Utilization management that are consistent with the organization’s vision and strategic long term goals.
Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.
Communicates with the staff both verbally and in writing to convey health plan, contract or operations information to ensure all staff members have a consistent and appropriate knowledge base to perform their duties.
Promotes staff growth and development by identifying educational opportunities to increase efficiency and maintain compliance with industry standards.
Participates in staff meetings, assuring policy and procedures are adhered to and, when necessary, modified to address changing strategic objectives.
Supervise a staff of referral coordinators, currently consisting of one supervisor and 5 other referral coordinators; Supervise at least 2 patient engagement and retention specialists; Supervise at least 2 medical records coordinator.
Optimize processes and workflows for the UM staff.
Ensure the referrals staff are meeting key quality and risk management goals and referrals are being properly tracked.
Hire and train new UM staff as needed.
Manage the medical group’s referral filter tool, flagging questionable referrals for further evaluation by the site medical director.
Supervise staff who are monitoring patients in emergency departments and hospitals in real time and ensuring that such patient receive appropriate follow up by clinical staff. If necessary, this may require directly contacting patients to coordinate care to minimize risk of hospital readmission.
Ensure that high utilizing patients are appropriately engaged in case management programs
Report key UM metrics at monthly agency quality meetings
Lead monthly UM committee meetings
Other duties may be assigned to meet business needs
REQUIREMENTS:
Training and Experience:
Five (5) years’ utilization/care management experience in a clinical or managed care setting preferred.
Four (4) years management/supervisory experience (in a formal or informal role) preferred.
Requires either a Bachelor’s degree in Nursing (RN with active California certification) or other Healthcare related field like MPH, MHA, MBA/MS in healthcare related filed
Basic computer skills in a Windows operating environment including Microsoft Word, Excel, and an e-mail system.
Must be a dynamic leader, able to navigate a complex environment, with excellent verbal and written communication skills, as well as strong operations experience.
Effective influencing, negotiation, relationship-building and communication skills are essential.
Effective employee management skills.
Possess strong leadership, critical-thinking and motivational skills/abilities.
Excellent problem-solving and organizational skills required.
Knowledge of:
Knowledge of InterQual and/or Milliman software preferred.
Knowledge of electronic health records systems (eclinicalworks preferred).
Knowledge of ambulatory healthcare delivery and management.
Knowledge of NCQA, DMHC, CMS and other regulatory agency requirements pertaining to delivery of health care in the managed care setting.
Ability to:
Ability and willingness to travel among APLAHW locations.
Manage people through change.
Demonstrate flexibility through change.
Lead and form a collaborative team.
Work effectively under pressure due to changing priorities.
Independently and self-direct activities.
Work effectively, establish, and promote positive relationships.
Adapt quickly to changing conditions while managing multiple priorities.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID Vaccination and Booster require or Medical/Religious Exemption.
Equal Opportunity Employer: minority/female/transgender/disability/veteran.
Leading the Way in Newborn Health: Join Us as a Newborn Screening Public Health Nurse-Supervisor in Oregon!
The Oregon State Public Health Laboratory, Newborn Screening Section , situated in Hillsboro, Oregon, has a career opportunity for a Newborn Screening Public Health Nurse-Supervisor (Public Health Nurse 2) to perform the critical functions of case management/follow-up of newborns who are “at risk” for a congenital disorder identified through screening, and lead the follow-up unit staff.
The Newborn Screening Section (NBS) of the Oregon State Public Health Laboratory performs testing to detect congenital disorders in newborn babies, including: PKU, Sickle Cell Disease, Congenital Hypothyroidism, Severe Combined Immunodeficiency, and more. The purpose is to provide timely detection and intervention to prevent life-long mental or physical impairment or death, related to the disorder.
As the Newborn Screening (NBS) Public Health Nurse-Supervisor, you will establish policies and procedures to ensure timely and appropriate follow-up of newborn screening samples and test results and provide medical and test interpretation consultations to medical providers and families for all conditions listed on the Oregon newborn screening panel. You will also plan, organize, and conduct evaluations of NBS follow-up services.
This position serves as a key contact between internal staff, OHSU consultants, primary care providers and submitters, and is responsible for orientation, mentoring, and acts as a lead worker for Newborn Screen follow-up staff. This position is considered essential and may be required to work during inclement weather or other hazardous conditions.
Responsibilities may include:
Support recruitment, on-boarding and off-board of all NBS follow-up unit staff.
Provide direction and guidance for all NBS follow-up unit staff including training, orientation, performance reviews, and goal setting.
Maintain clinical awareness of NBS follow-up processes.
Support NBS Section Manager with Workday processes for all NBS follow-up unit staff.
Work with NBS Program Manager on staff development, retention, and succession planning for the NBS follow-up unit.
Maintain expertise in case management, follow-up, diagnosis, and treatment of infants with congenital disorders on the screening panel.
Maintain awareness on all HR policies and procedures that affect NBS follow-up unit staff.
Work with NBS follow-up unit to build a strong team that is equity-focused through anti-racism training and resources.
Work with the NBS program manager and the manager of the operations team to coordinate the sample receiving, accessioning, and reporting process.
Assist in the design and development of NBS projects in cooperation with OSPHL leadership, laboratory staff, and medical consultants.
This is a full-time, permanent, classified position that is represented by a union. This recruitment may be used to establish a list of qualified applicants to fill current or future vacancies.
What's in it for you? Join our team of passionate individuals working to promote health across the lifespan of individuals, families, and communities. We value and support unique perspectives using a trauma-informed approach and aim to reflect these values in our hiring practices, professional development, and workplace. We are committed to racial equity as a driving factor to improve health outcomes for all communities that experience inequities.
We offer exceptional medical, vision and dental benefits packages for you and your qualified family members, with minimal out-of-pocket costs. Try this free virtual benefits counselor by clicking here: https://www.oregon.gov/oha/pebb/pages/alex.aspx
Paid Leave Days:
11 paid holidays each year.
3 additional paid personal business days each year.
8 hours of paid sick leave accrued each month.
Progressive vacation leave accrual starts at 8 hours each month with increases every 5 years.
Pension and Retirement
Public Service Loan Forgiveness (PSLF)
Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
Continuous growth and development opportunities.
Click here to learn more about State of Oregon benefits.
Monthly Salary Range: $6,316 - $9,588
The Oregon Health Authority is committed to:
Eliminating health inequities in Oregon by 2030
Becoming an anti-racist organization
Developing and promoting culturally and linguistically appropriate programs, and
Developing and retaining a diverse, inclusive, and equitable workforce that represents the diversity, cultures, strengths, and values of the people of Oregon.
Minimum Qualifications: A master’s degree in either Nursing or Public Health and four years of recent (within the last ten years) nursing experience, which includes two years of nurse supervising, administrative, or teaching experience, OR; A bachelor's degree in Nursing and five years of recent (within the last ten years) nursing experience, which includes two years of nurse supervising administrative or teaching experience.
Special Qualifications: Must have a valid license to practice as a registered nurse in Oregon. Must be able to travel in-state (Oregon) and out-of-state, and travel overnight.
Desired Attributes:
Applied professional experience in newborn screening specimen collection.
Experience applying principles of management, process improvement, resource allocation, strategic planning, and leadership directives.
Experience applying practices and procedures of administrative systems typical to complex organizations.
Experience applying techniques and methods of disseminating communication within an organization.
Experience with the executive and legislative decision-making process.
Experience in electronic data exchange systems and messaging design and configurations.
Public health systems and data experience.
Working knowledge of clinical health care systems.
Experience with data collection and use methodologies.
Preference may be given to applicants with a nursing degree in public health or an equivalent clinical field.
Experience creating, promoting, welcoming, and maintaining a culturally competent and diverse work environment.
Working Conditions:
The work of this role will be performed at the Oregon State Public Health Laboratory, located at 7202 NE Evergreen Parkway, Hillsboro, OR 97124. Must have a valid driver's license or means of daily and overnight reliable transportation. Must be able to travel in-state and out-of-state, and travel overnight. Travel is expected to attend meetings, and conferences, make presentations, and meet with partners. May occasionally be required to work more than eight hours per day and weekends during public health emergencies.
How to Apply:
Please apply at the following link:
https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Hillsboro--OHA--Evergreen-Parkway/Newborn-Screening-Public-Health-Nurse-Supervisor--Public-Health-Nurse-2---Hillsboro--OR--On-Site-_REQ-137912
Close Date: 10/03/2023
Sep 20, 2023
Full time
Leading the Way in Newborn Health: Join Us as a Newborn Screening Public Health Nurse-Supervisor in Oregon!
The Oregon State Public Health Laboratory, Newborn Screening Section , situated in Hillsboro, Oregon, has a career opportunity for a Newborn Screening Public Health Nurse-Supervisor (Public Health Nurse 2) to perform the critical functions of case management/follow-up of newborns who are “at risk” for a congenital disorder identified through screening, and lead the follow-up unit staff.
The Newborn Screening Section (NBS) of the Oregon State Public Health Laboratory performs testing to detect congenital disorders in newborn babies, including: PKU, Sickle Cell Disease, Congenital Hypothyroidism, Severe Combined Immunodeficiency, and more. The purpose is to provide timely detection and intervention to prevent life-long mental or physical impairment or death, related to the disorder.
As the Newborn Screening (NBS) Public Health Nurse-Supervisor, you will establish policies and procedures to ensure timely and appropriate follow-up of newborn screening samples and test results and provide medical and test interpretation consultations to medical providers and families for all conditions listed on the Oregon newborn screening panel. You will also plan, organize, and conduct evaluations of NBS follow-up services.
This position serves as a key contact between internal staff, OHSU consultants, primary care providers and submitters, and is responsible for orientation, mentoring, and acts as a lead worker for Newborn Screen follow-up staff. This position is considered essential and may be required to work during inclement weather or other hazardous conditions.
Responsibilities may include:
Support recruitment, on-boarding and off-board of all NBS follow-up unit staff.
Provide direction and guidance for all NBS follow-up unit staff including training, orientation, performance reviews, and goal setting.
Maintain clinical awareness of NBS follow-up processes.
Support NBS Section Manager with Workday processes for all NBS follow-up unit staff.
Work with NBS Program Manager on staff development, retention, and succession planning for the NBS follow-up unit.
Maintain expertise in case management, follow-up, diagnosis, and treatment of infants with congenital disorders on the screening panel.
Maintain awareness on all HR policies and procedures that affect NBS follow-up unit staff.
Work with NBS follow-up unit to build a strong team that is equity-focused through anti-racism training and resources.
Work with the NBS program manager and the manager of the operations team to coordinate the sample receiving, accessioning, and reporting process.
Assist in the design and development of NBS projects in cooperation with OSPHL leadership, laboratory staff, and medical consultants.
This is a full-time, permanent, classified position that is represented by a union. This recruitment may be used to establish a list of qualified applicants to fill current or future vacancies.
What's in it for you? Join our team of passionate individuals working to promote health across the lifespan of individuals, families, and communities. We value and support unique perspectives using a trauma-informed approach and aim to reflect these values in our hiring practices, professional development, and workplace. We are committed to racial equity as a driving factor to improve health outcomes for all communities that experience inequities.
We offer exceptional medical, vision and dental benefits packages for you and your qualified family members, with minimal out-of-pocket costs. Try this free virtual benefits counselor by clicking here: https://www.oregon.gov/oha/pebb/pages/alex.aspx
Paid Leave Days:
11 paid holidays each year.
3 additional paid personal business days each year.
8 hours of paid sick leave accrued each month.
Progressive vacation leave accrual starts at 8 hours each month with increases every 5 years.
Pension and Retirement
Public Service Loan Forgiveness (PSLF)
Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
Continuous growth and development opportunities.
Click here to learn more about State of Oregon benefits.
Monthly Salary Range: $6,316 - $9,588
The Oregon Health Authority is committed to:
Eliminating health inequities in Oregon by 2030
Becoming an anti-racist organization
Developing and promoting culturally and linguistically appropriate programs, and
Developing and retaining a diverse, inclusive, and equitable workforce that represents the diversity, cultures, strengths, and values of the people of Oregon.
Minimum Qualifications: A master’s degree in either Nursing or Public Health and four years of recent (within the last ten years) nursing experience, which includes two years of nurse supervising, administrative, or teaching experience, OR; A bachelor's degree in Nursing and five years of recent (within the last ten years) nursing experience, which includes two years of nurse supervising administrative or teaching experience.
Special Qualifications: Must have a valid license to practice as a registered nurse in Oregon. Must be able to travel in-state (Oregon) and out-of-state, and travel overnight.
Desired Attributes:
Applied professional experience in newborn screening specimen collection.
Experience applying principles of management, process improvement, resource allocation, strategic planning, and leadership directives.
Experience applying practices and procedures of administrative systems typical to complex organizations.
Experience applying techniques and methods of disseminating communication within an organization.
Experience with the executive and legislative decision-making process.
Experience in electronic data exchange systems and messaging design and configurations.
Public health systems and data experience.
Working knowledge of clinical health care systems.
Experience with data collection and use methodologies.
Preference may be given to applicants with a nursing degree in public health or an equivalent clinical field.
Experience creating, promoting, welcoming, and maintaining a culturally competent and diverse work environment.
Working Conditions:
The work of this role will be performed at the Oregon State Public Health Laboratory, located at 7202 NE Evergreen Parkway, Hillsboro, OR 97124. Must have a valid driver's license or means of daily and overnight reliable transportation. Must be able to travel in-state and out-of-state, and travel overnight. Travel is expected to attend meetings, and conferences, make presentations, and meet with partners. May occasionally be required to work more than eight hours per day and weekends during public health emergencies.
How to Apply:
Please apply at the following link:
https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Hillsboro--OHA--Evergreen-Parkway/Newborn-Screening-Public-Health-Nurse-Supervisor--Public-Health-Nurse-2---Hillsboro--OR--On-Site-_REQ-137912
Close Date: 10/03/2023
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
3 Personal Days
12 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
NOTE: This position will currently work 8a-5p; however may work evenings and weekends in the future.
This position will pay $75,327.00 - $97,196.00 annually. Salary is commensurate to experience.
POSITION SUMMARY:
Under the supervision of the Nursing Director, the Registered Nurse will provide culturally competent medical health services to low-income individuals in Los Angeles County, with a specific focus on the LGBT community.
The Registered Nurse will assure quality and cost-effective care for clinic patients, and will manage a patient’s course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources. In addition, the Registered Nurse will work closely with the Medical Director and Nursing Supervisor to design, implement and monitor workflow processes throughout all APLA Health sites as it pertains to patient centered medical home (PCMH) implementation. This position is primarily clinical.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care.
Interface with medical assistants to ensure patients receive specialty referrals in a timely manner and are able to follow through so as not to interrupt patient care.
Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines.
Administer vaccines to patients per APLAHW clinical guidelines.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Triage patients who walk in to clinic or call with acute medical concerns.
Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen.
Provide supervision and guidance for the clinic LVN and MAs.
Assist in the clinic transformation to a patient centered medical home (PCMH), in conjunction with the PCMH coordinator, medical director, chief operating office and clinical nurse manager.
Maintain adequate medical supplies, and medications for clinical areas by monitoring supplies and ordering supplies as needed. Ensure that exam rooms are fully stocked and prepared for patient care.
Participate in chronic disease management for selected patients with special needs.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience:
A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Clinical experience as a registered nurse in an ambulatory health care clinic, preferably at a federally qualified health center (FQHC). Experience working in patient-centered care teams preferred.
Must have problem solving and organizational skills in order to ensure a productive work environment and achievement of goals. Experience in chronic disease management, case management, utilization management and quality improvement projects are preferred. Experience in an HIV medical practice is preferred.
Knowledge of:
Knowledge and experience working with electronic health records, Eclinical works preferred.
Ability to:
Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID-19 and Booster or Medical/ Religious Exemption required.
Equal Opportunity Employer: minority/female/disability/transgender/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=58288&clientkey=A5559163F67395E0A2585D2135F98806
Dec 22, 2022
Full time
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
3 Personal Days
12 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
NOTE: This position will currently work 8a-5p; however may work evenings and weekends in the future.
This position will pay $75,327.00 - $97,196.00 annually. Salary is commensurate to experience.
POSITION SUMMARY:
Under the supervision of the Nursing Director, the Registered Nurse will provide culturally competent medical health services to low-income individuals in Los Angeles County, with a specific focus on the LGBT community.
The Registered Nurse will assure quality and cost-effective care for clinic patients, and will manage a patient’s course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources. In addition, the Registered Nurse will work closely with the Medical Director and Nursing Supervisor to design, implement and monitor workflow processes throughout all APLA Health sites as it pertains to patient centered medical home (PCMH) implementation. This position is primarily clinical.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care.
Interface with medical assistants to ensure patients receive specialty referrals in a timely manner and are able to follow through so as not to interrupt patient care.
Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines.
Administer vaccines to patients per APLAHW clinical guidelines.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Triage patients who walk in to clinic or call with acute medical concerns.
Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen.
Provide supervision and guidance for the clinic LVN and MAs.
Assist in the clinic transformation to a patient centered medical home (PCMH), in conjunction with the PCMH coordinator, medical director, chief operating office and clinical nurse manager.
Maintain adequate medical supplies, and medications for clinical areas by monitoring supplies and ordering supplies as needed. Ensure that exam rooms are fully stocked and prepared for patient care.
Participate in chronic disease management for selected patients with special needs.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience:
A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Clinical experience as a registered nurse in an ambulatory health care clinic, preferably at a federally qualified health center (FQHC). Experience working in patient-centered care teams preferred.
Must have problem solving and organizational skills in order to ensure a productive work environment and achievement of goals. Experience in chronic disease management, case management, utilization management and quality improvement projects are preferred. Experience in an HIV medical practice is preferred.
Knowledge of:
Knowledge and experience working with electronic health records, Eclinical works preferred.
Ability to:
Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID-19 and Booster or Medical/ Religious Exemption required.
Equal Opportunity Employer: minority/female/disability/transgender/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=58288&clientkey=A5559163F67395E0A2585D2135F98806
APLA Health
5901 W. Olympic Blvd Los Angeles, CA 90036
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
5 Personal Days
10 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
POSITION SUMMARY:
Under the supervision of the Nursing Director, the Clinical Case Manager will coordinate medical and support services for patients who are age 50+ and living with HIV, in consultation with the Medical Director and Supervisor. The Clinical Case Manager will coordinate patient care plans, based on individual assessments, collaborate with other health care team members and the HIVE Program Manager to promote health outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Perform initial comprehensive nursing assessment and ongoing reassessments, including an assessment of the patients current symptoms, risk factors, and an assessment of the patients level of care.
Document results of the intake, subsequent contacts, reassessments, and all work performed on behalf of the patient using our electronic health record system (eClinicalWorks).
Consult with the patients attending physician, primary care practitioner and/or other medical providers as needed to coordinate treatment plans and advocate for the client as necessary.
Identify those services available to the client and coordinate services and/or make appropriate referrals as required in the service plan.
Coordinate and monitor the service plan, including service providers' performance. Negotiate with service providers when those services have either not been provided, or have been inadequately provided.
Maintain timely and appropriate contact with assigned clients.
Identify and follow up on instances of abuse, neglect, and exploitation that bring harm or create the potential for harm to clients.
Adhere to all applicable professional, legal, and ethical standards of clinical practice in the provision of services, including but not limited to: mandated reporting, provision of effective services, case documentation, patient confidentiality/HIPAA regulations, ensuring client safety, and maintaining professional boundaries.
Establish working relationships with members of the client's social support systems (e.g. significant others, family members, friends, conservators, etc.). Provide emotional and practical assistance to help them in maintaining their support to the client.
Identify out of care older HIV-positive patients to reengage them in treatment
Identify patients unmet medical and non-medical needs and coordinate the provision of services.
Provide patient education based on identified learning needs utilizing available teaching resources.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Obtain training annually on topics that address HIV/AIDS, case management, psychosocial needs, and co-morbid disorders.
Attend unit, division, and other agency meetings as assigned.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience: Possession of the following is required: Current CA LVN license, or a valid California Registered Nurse (RN) license preferred , issued by the California Board of Registered Nursing (BRN). Clinical experience in an ambulatory health care clinic, preferably including 2 years of HIV clinical practice. Demonstrate a history of working with the target population, inclusive of cultural competency and sensitivity, including that of persons living with HIV, and the LGBT community. Experience in chronic disease management, case management, utilization management and quality improvement projects, is preferred. Experience working with electronic health records, working with EClinical Works preferred. Bilingual in Spanish preferred. Skill and knowledge to maintain current license/certificate.
Knowledge of:
A solid knowledge of HIV disease, including natural history, symptoms and treatment. Knowledge of substance abuse issues and treatment and related sexual risks. Knowledge of HIV & Aging issues, including medical, mental health and other psychosocial issues that affect older adults living with HIV.
Ability to:
Ability to research, identify and access community referrals. Demonstrate proficient written documentation skills. Ability to demonstrate basic skills of risk behavior assessment and motivate patients to modify HIV risk taking behaviors and substance use behaviors.
Demonstrate experience in conducting a psychosocial assessment and/or working individually with clients in a counseling capacity. Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California drivers license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID-19 Vaccination and booster or Medical/ Religious Exemption required.
Equal Opportunity Employer: minority/female/disability/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=73094&clientkey=A5559163F67395E0A2585D2135F98806
Dec 15, 2022
Full time
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
5 Personal Days
10 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
POSITION SUMMARY:
Under the supervision of the Nursing Director, the Clinical Case Manager will coordinate medical and support services for patients who are age 50+ and living with HIV, in consultation with the Medical Director and Supervisor. The Clinical Case Manager will coordinate patient care plans, based on individual assessments, collaborate with other health care team members and the HIVE Program Manager to promote health outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Perform initial comprehensive nursing assessment and ongoing reassessments, including an assessment of the patients current symptoms, risk factors, and an assessment of the patients level of care.
Document results of the intake, subsequent contacts, reassessments, and all work performed on behalf of the patient using our electronic health record system (eClinicalWorks).
Consult with the patients attending physician, primary care practitioner and/or other medical providers as needed to coordinate treatment plans and advocate for the client as necessary.
Identify those services available to the client and coordinate services and/or make appropriate referrals as required in the service plan.
Coordinate and monitor the service plan, including service providers' performance. Negotiate with service providers when those services have either not been provided, or have been inadequately provided.
Maintain timely and appropriate contact with assigned clients.
Identify and follow up on instances of abuse, neglect, and exploitation that bring harm or create the potential for harm to clients.
Adhere to all applicable professional, legal, and ethical standards of clinical practice in the provision of services, including but not limited to: mandated reporting, provision of effective services, case documentation, patient confidentiality/HIPAA regulations, ensuring client safety, and maintaining professional boundaries.
Establish working relationships with members of the client's social support systems (e.g. significant others, family members, friends, conservators, etc.). Provide emotional and practical assistance to help them in maintaining their support to the client.
Identify out of care older HIV-positive patients to reengage them in treatment
Identify patients unmet medical and non-medical needs and coordinate the provision of services.
Provide patient education based on identified learning needs utilizing available teaching resources.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Obtain training annually on topics that address HIV/AIDS, case management, psychosocial needs, and co-morbid disorders.
Attend unit, division, and other agency meetings as assigned.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience: Possession of the following is required: Current CA LVN license, or a valid California Registered Nurse (RN) license preferred , issued by the California Board of Registered Nursing (BRN). Clinical experience in an ambulatory health care clinic, preferably including 2 years of HIV clinical practice. Demonstrate a history of working with the target population, inclusive of cultural competency and sensitivity, including that of persons living with HIV, and the LGBT community. Experience in chronic disease management, case management, utilization management and quality improvement projects, is preferred. Experience working with electronic health records, working with EClinical Works preferred. Bilingual in Spanish preferred. Skill and knowledge to maintain current license/certificate.
Knowledge of:
A solid knowledge of HIV disease, including natural history, symptoms and treatment. Knowledge of substance abuse issues and treatment and related sexual risks. Knowledge of HIV & Aging issues, including medical, mental health and other psychosocial issues that affect older adults living with HIV.
Ability to:
Ability to research, identify and access community referrals. Demonstrate proficient written documentation skills. Ability to demonstrate basic skills of risk behavior assessment and motivate patients to modify HIV risk taking behaviors and substance use behaviors.
Demonstrate experience in conducting a psychosocial assessment and/or working individually with clients in a counseling capacity. Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California drivers license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.
COVID-19 Vaccination and booster or Medical/ Religious Exemption required.
Equal Opportunity Employer: minority/female/disability/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=73094&clientkey=A5559163F67395E0A2585D2135F98806
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
5 Personal Days
10 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
POSITION SUMMARY:
Under the direction of the Director of Case Management, provide the appropriate level of coordinated health care services for patients of APLA Health & Wellness. The RN medical care manager will coordinate with all parties involved in the care of the patient to provide effective and culturally competent care and treatment for people living with HIV and other chronic diseases. The position will be providing services to persons living with HIV as part of a Medical Care Coordination team and providing case management services for persons with other complex medical needs. The medical care coordination team will target people with HIV who are experiencing medical adherence issues, significant changes in HIV health status or multiple health diagnoses that affect the person’s HIV status. The RN medical care manager in conjunction with the Patient Care Manage,formulates care plans based upon assessment data and provision of care priorities, work in collaboration with the clinical social worker as necessary. The RN medical care manager will coordinate patient care and collaborate with other health care team members to establish the patient’s goals, develop treatment plans and obtain desired outcomes as well as provide patient education based on identified learning needs utilizing available teaching resources.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care.
Identifies out of care HIV-positive patients to reengage them in treatment
Perform a needs assessment on patients and obtain a brief medical history including the following:
Past Medical History, including key HIV parameters
Medication history
Recent treatment history
Identifies patients’ unmet medical needs and coordinates with clinic HIV and non-HIV providers to ensure that standards of care are met and any gaps or barriers are addressed.
Identifies patients’ unmet nonmedical needs or barriers to adherence and retention in care, and coordinates with other clinical staff (e.g. social workers) to address needs and barriers.
Utilizes population health registry to manage patients (i.e. identify unmet medical needs) and track trends in overall clinic performance.
Performs and interprets diagnostic procedures such as tuberculin tests, and administers treatments and preventive measures in the form of injections and immunizations in accordance with medical orders and APLA clinical guidelines
Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Triage patients who walk in to clinic or call with acute medical concerns.
Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen
Functions as an extended role nurse, provides health supervision, nursing diagnosis and treatment of minor conditions to persons living with HIV and non-HIV on a continuing basis under the consultative direction of a physician
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience:
Possession of the following is required: A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Must possess current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Three years of RN case management experience preferred, but previous work experience in clinical capacities will also be considered. Demonstrate a history of working with the target population, inclusive of cultural competency and sensitivity, including that of persons living with HIV, and the LGBT community. Experience in chronic disease management, case management, utilization management and quality improvement projects, is preferred. Experience working with electronic health records, working with EClinical Works preferred. Bilingual in Spanish preferred.
Knowledge of:
A solid knowledge of HIV disease, including natural history, symptoms and treatment. Knowledge of substance abuse issues and treatment and related sexual risks.
Ability to:
Ability to research, identify and access community referrals. Demonstrate proficient written documentation skills. Ability to demonstrate basic skills of risk behavior assessment and motivate patients to modify HIV risk taking behaviors and substance use behaviors.
Demonstrate experience in conducting a psychosocial assessment and/or working individually with clients in a counseling capacity. Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID vaccination and booster is required or medical/religious exemption.
Equal Opportunity Employer: minority/female/transgender/disability/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=69613&clientkey=A5559163F67395E0A2585D2135F98806
Dec 07, 2022
Full time
APLA Health’s mission is to achieve health care equity and promote well-being for the LGBT and other underserved communities and people living with and affected by HIV. We are a nonprofit, federally qualified health center serving more than 14,000 people annually. We provide 20 different services from 15 locations throughout Los Angeles County, including: medical, dental, and behavioral health care; PrEP counseling and management; health education and HIV prevention; and STD screening and treatment. For people living with HIV, we offer housing support; benefits counseling; home health care; and the Vance North Necessities of Life Program food pantries; among several other critically needed services. Additionally, we are leaders in advocating for policy and legislation that positively impacts the LGBT and HIV communities, provide capacity-building assistance to health departments across the country, and conduct community-based research on issues affecting the communities we serve. For more information, please visit us at aplahealth.org .
We offer great benefits, competitive pay, and great working environment!
We offer:
Medical Insurance
Dental Insurance (no cost for employee)
Vision Insurance (no cost for employee)
Long Term Disability
Group Term Life and AD&D Insurance
Employee Assistance Program
Flexible Spending Accounts
10 Paid Holidays
5 Personal Days
10 Vacation Days
12 Sick Days
Metro reimbursement or free parking
Employer Matched 403b Retirement Plan
This is a great opportunity to make a difference!
POSITION SUMMARY:
Under the direction of the Director of Case Management, provide the appropriate level of coordinated health care services for patients of APLA Health & Wellness. The RN medical care manager will coordinate with all parties involved in the care of the patient to provide effective and culturally competent care and treatment for people living with HIV and other chronic diseases. The position will be providing services to persons living with HIV as part of a Medical Care Coordination team and providing case management services for persons with other complex medical needs. The medical care coordination team will target people with HIV who are experiencing medical adherence issues, significant changes in HIV health status or multiple health diagnoses that affect the person’s HIV status. The RN medical care manager in conjunction with the Patient Care Manage,formulates care plans based upon assessment data and provision of care priorities, work in collaboration with the clinical social worker as necessary. The RN medical care manager will coordinate patient care and collaborate with other health care team members to establish the patient’s goals, develop treatment plans and obtain desired outcomes as well as provide patient education based on identified learning needs utilizing available teaching resources.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provide clinical support to medical providers before and after primary care visits so as to ensure the timely delivery of quality medical care.
Identifies out of care HIV-positive patients to reengage them in treatment
Perform a needs assessment on patients and obtain a brief medical history including the following:
Past Medical History, including key HIV parameters
Medication history
Recent treatment history
Identifies patients’ unmet medical needs and coordinates with clinic HIV and non-HIV providers to ensure that standards of care are met and any gaps or barriers are addressed.
Identifies patients’ unmet nonmedical needs or barriers to adherence and retention in care, and coordinates with other clinical staff (e.g. social workers) to address needs and barriers.
Utilizes population health registry to manage patients (i.e. identify unmet medical needs) and track trends in overall clinic performance.
Performs and interprets diagnostic procedures such as tuberculin tests, and administers treatments and preventive measures in the form of injections and immunizations in accordance with medical orders and APLA clinical guidelines
Treat patients diagnosed with sexually transmitted infections (STIs) in a timely manner and according to APLAHW clinical STI treatment guidelines.
Provide and appropriately document health education to patients.
Participate in quality improvement activities as directed by the medical director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives.
Triage patients who walk in to clinic or call with acute medical concerns.
Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen
Functions as an extended role nurse, provides health supervision, nursing diagnosis and treatment of minor conditions to persons living with HIV and non-HIV on a continuing basis under the consultative direction of a physician
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience:
Possession of the following is required: A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Must possess current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Three years of RN case management experience preferred, but previous work experience in clinical capacities will also be considered. Demonstrate a history of working with the target population, inclusive of cultural competency and sensitivity, including that of persons living with HIV, and the LGBT community. Experience in chronic disease management, case management, utilization management and quality improvement projects, is preferred. Experience working with electronic health records, working with EClinical Works preferred. Bilingual in Spanish preferred.
Knowledge of:
A solid knowledge of HIV disease, including natural history, symptoms and treatment. Knowledge of substance abuse issues and treatment and related sexual risks.
Ability to:
Ability to research, identify and access community referrals. Demonstrate proficient written documentation skills. Ability to demonstrate basic skills of risk behavior assessment and motivate patients to modify HIV risk taking behaviors and substance use behaviors.
Demonstrate experience in conducting a psychosocial assessment and/or working individually with clients in a counseling capacity. Ability to provide services in a non-judgmental fashion and work effectively with diverse populations is required as is the ability to maintain records and follow clinical guidelines/protocols. Must be able to work efficiently and complete tasks with a high degree of accuracy; work and solve problems independently; work flexible hours in order to complete tasks and meet client needs. Ability to be flexible in handling unanticipated client needs is required.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
SPECIAL REQUIREMENTS:
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID vaccination and booster is required or medical/religious exemption.
Equal Opportunity Employer: minority/female/transgender/disability/veteran.
To Apply:
Visit our website at www.aplahealth.org to apply or click the link below:
https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=69613&clientkey=A5559163F67395E0A2585D2135F98806
Job Description Bilingual Spanish/English Required This is a telework role, but candidates must be licensed in the state of CA. Working schedule: Monday-Friday, 8am-5pm. Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components • Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. • Uses clinical tools and information/data review to conduct an evaluation of member’s needs and benefits. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences • Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Pay Range The typical pay range for this role is: Minimum: 26.59 Maximum: 57.21
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications – Bilingual Spanish/English Required – 3+ years of clinical practical experience as an RN – Registered Nurse with active CA state license in good standing
Preferred Qualifications – 2+ years of case management, discharge planning and/or home health care coordination experience – Experience working with adult and senior populations – CCM preferred – Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually – Excellent analytical and problem-solving skills – Effective communications, organizational, and interpersonal skills. – Ability to work independently – Effective computer skills including navigating multiple systems and keyboarding – Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, and Outlook
Education – Associates degree required – Bachelor’s degree preferred
Business Overview Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Oct 27, 2022
Full time
Job Description Bilingual Spanish/English Required This is a telework role, but candidates must be licensed in the state of CA. Working schedule: Monday-Friday, 8am-5pm. Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components • Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. • Uses clinical tools and information/data review to conduct an evaluation of member’s needs and benefits. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. • Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences • Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Pay Range The typical pay range for this role is: Minimum: 26.59 Maximum: 57.21
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications – Bilingual Spanish/English Required – 3+ years of clinical practical experience as an RN – Registered Nurse with active CA state license in good standing
Preferred Qualifications – 2+ years of case management, discharge planning and/or home health care coordination experience – Experience working with adult and senior populations – CCM preferred – Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually – Excellent analytical and problem-solving skills – Effective communications, organizational, and interpersonal skills. – Ability to work independently – Effective computer skills including navigating multiple systems and keyboarding – Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, and Outlook
Education – Associates degree required – Bachelor’s degree preferred
Business Overview Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
We are currently seeking Care Managers to serve members in Johnston county.
This position will allow the successful candidate to work a primarily remote schedule which includes coming into the Alliance Johnston office (Smithfield, North Carolina) one day per week.
The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
Consistently evaluates appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
Utilize person centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained. Notify providers of successful authorization
Provide Support and Monitoring
Schedule initial contact with member to verify accuracy of demographic information.
Update inaccurate information from the Global Eligibility File
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Refer members who are in crisis/institutional care settings and require assistance with returning to community-based services, to the Integrated Health Consultant
Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management
Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Attend treatment meeting with member, natural supports and selected providers.
Schedule, coordinate and lead team conference calls on behalf of member needs
Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify that ongoing service adherence is maintained through monitoring.
Complete Documentation
Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member
Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Escalate complex cases and cases of concern to Supervisor.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Share appropriate documentation with all involved stakeholders as consent to release is granted.
Obtain releases/documentation and provides to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements
Minimum Education & Experience
Master’s degree from an accredited college or university in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience and active, valid NC clinical licensure as a LCSW, LCMHC, LPA, or LMFT
Or
Graduation from a school of nursing with valid NC licensure as a Registered Nurse and two years of full-time MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience.
Physical Health experience preferred
Special Requirements
Active Drivers License
RN, LCSW, LCMHC, LPA, or LMFT
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of Diagnostic and Statistical Manual of Mental Disorders
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
Strong interpersonal and written/verbal communication skills essential, including
Conflict management and resolution skills
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$50,865.49 to $ 87,563.63/Annually
Sep 23, 2022
Full time
We are currently seeking Care Managers to serve members in Johnston county.
This position will allow the successful candidate to work a primarily remote schedule which includes coming into the Alliance Johnston office (Smithfield, North Carolina) one day per week.
The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
Consistently evaluates appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
Utilize person centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained. Notify providers of successful authorization
Provide Support and Monitoring
Schedule initial contact with member to verify accuracy of demographic information.
Update inaccurate information from the Global Eligibility File
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Refer members who are in crisis/institutional care settings and require assistance with returning to community-based services, to the Integrated Health Consultant
Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management
Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Attend treatment meeting with member, natural supports and selected providers.
Schedule, coordinate and lead team conference calls on behalf of member needs
Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify that ongoing service adherence is maintained through monitoring.
Complete Documentation
Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member
Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Escalate complex cases and cases of concern to Supervisor.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Share appropriate documentation with all involved stakeholders as consent to release is granted.
Obtain releases/documentation and provides to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements
Minimum Education & Experience
Master’s degree from an accredited college or university in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience and active, valid NC clinical licensure as a LCSW, LCMHC, LPA, or LMFT
Or
Graduation from a school of nursing with valid NC licensure as a Registered Nurse and two years of full-time MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience.
Physical Health experience preferred
Special Requirements
Active Drivers License
RN, LCSW, LCMHC, LPA, or LMFT
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of Diagnostic and Statistical Manual of Mental Disorders
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
Strong interpersonal and written/verbal communication skills essential, including
Conflict management and resolution skills
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$50,865.49 to $ 87,563.63/Annually
Alliance Health
Morrisville and Charlotte North Carolina
Description
We are currently seeking Care Managers to serve members in Mecklenburg or Wake county.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
Consistently evaluates appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
Utilize person centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained. Notify providers of successful authorization
Provide Support and Monitoring
Schedule initial contact with member to verify accuracy of demographic information.
Update inaccurate information from the Global Eligibility File
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Refer members who are in crisis/institutional care settings and require assistance with returning to community-based services, to the Integrated Health Consultant
Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management
Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Attend treatment meeting with member, natural supports and selected providers.
Schedule, coordinate and lead team conference calls on behalf of member needs
Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify that ongoing service adherence is maintained through monitoring.
Complete Documentation
Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member
Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Escalate complex cases and cases of concern to Supervisor.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Share appropriate documentation with all involved stakeholders as consent to release is granted.
Obtain releases/documentation and provides to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements
Minimum Education & Experience
Master’s degree from an accredited college or university in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience and active, valid NC clinical licensure as a LCSW, LCMHC, LPA, or LMFT
Or
Graduation from a school of nursing with valid NC licensure as a Registered Nurse and two years of full-time MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience.
Physical Health experience preferred
Special Requirements
Active Drivers License
RN, LCSW, LCMHC, LPA, or LMFT
$50,865.49 to $ 87,563.63/Annually
Sep 23, 2022
Full time
Description
We are currently seeking Care Managers to serve members in Mecklenburg or Wake county.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
The Care Manager II position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues
Assist individuals/legally responsible persons in choosing service providers; ensuring objectivity in the process
Consistently evaluates appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification
Utilize person centered planning, motivational interviewing and historical review of assessments in Jiva to gather information and to identify supports needed for the individual
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services and trouble shoot until authorization is obtained. Notify providers of successful authorization
Provide Support and Monitoring
Schedule initial contact with member to verify accuracy of demographic information.
Update inaccurate information from the Global Eligibility File
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Refer members who are in crisis/institutional care settings and require assistance with returning to community-based services, to the Integrated Health Consultant
Recognize and report critical incidents and provider quality concerns to supervisors and Quality Management
Complete activities in JIVA related to Plans of Care developed from the Care Management Comprehensive Assessment
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Attend treatment meeting with member, natural supports and selected providers.
Schedule, coordinate and lead team conference calls on behalf of member needs
Communicate with member to check on status, verify care needs are met and that no new clinical needs warrant a change in condition assessment.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify that ongoing service adherence is maintained through monitoring.
Complete Documentation
Obtain and upload all supporting documentation, Legally Responsible Person (LRP) verification, and release of information that will improve care management activity on behalf of the member
Open new episodes in JIVA and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Escalate complex cases and cases of concern to Supervisor.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Share appropriate documentation with all involved stakeholders as consent to release is granted.
Obtain releases/documentation and provides to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency documentation standards, and Medicaid requirements
Minimum Education & Experience
Master’s degree from an accredited college or university in Human Services or related field and at least two years of full-time, post graduate degree, MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience and active, valid NC clinical licensure as a LCSW, LCMHC, LPA, or LMFT
Or
Graduation from a school of nursing with valid NC licensure as a Registered Nurse and two years of full-time MH/SUD and or Intellectual/Developmental Disabilities (I/DD) experience.
Physical Health experience preferred
Special Requirements
Active Drivers License
RN, LCSW, LCMHC, LPA, or LMFT
$50,865.49 to $ 87,563.63/Annually
We are currently seeking Care Managers to serve members in Mecklenburg county. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and two (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
Sep 23, 2022
Full time
We are currently seeking Care Managers to serve members in Mecklenburg county. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and two (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
We are currently seeking Care Managers to serve members in Cumberland county. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area with (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
Sep 23, 2022
Full time
We are currently seeking Care Managers to serve members in Cumberland county. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area with (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
Alliance Health
Morrisville, Durham, Cumberland and Smithfield North Carolina
We are currently seeking Care Managers to serve members in Durham, Johnston, Cumberland and Wake counties. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area with (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
Sep 23, 2022
Full time
We are currently seeking Care Managers to serve members in Durham, Johnston, Cumberland and Wake counties. The Care Manager I position leads all communication among care team members and is the primary point of contact for the member served. The Care Manager completes a comprehensive assessment and develops a unified plan of care for Tailored Plan recipients and relays communication among providers of health services.
This position will allow the successful candidates(s) to work a schedule which will include both onsite (in the county served) as well as remote work certain days of the week as approved by their supervisor.
Responsibilities & Duties
Complete Assessment/Planning
Complete comprehensive assessments at enrollment, yearly or at changes in condition.
Develop Plans of Care derived from the completed assessments.
Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
Submit referral to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity.
Assign Plan of Care activities to Community Health Worker if member has identified Social Determinants of Health (SDOH), disparities and/or complex payer issues.
Assist individuals/legally responsible persons (LRP in choosing service providers; ensuring objectivity in the process.
Consistently evaluate appropriateness of services and ensure implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.
Utilize person centered planning, motivational interviewing and historical review of assessments to gather information and to identify supports needed for the individual.
Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
Submit required documentation to UM to ensure timely delivery of services - and trouble shoots until authorization is obtained. Notifies providers of successful authorization.
Notify providers of successful authorization.
For Medicaid C, enlists administrative support to send Level of Care (LOC) and initial Individual Service Plan (ISP) to Department of Social Services (DSS) to turn on special waiver program indicator. Verify that necessary Client, Employer, Group (CEG) enrollments are correct in Jiva, and that Medicaid eligibility is updated in Alpha.
Provide Support and Monitoring to Members
Schedules initial contact with member to verify accuracy of demographic information Update inaccurate information from the Global Eligibility File.
Completes activities related to Plans of Care
Coordinate and participate with SIS Team to ensure successful completion of SIS assessment within time frames allotted.
For facility (ICF, Hospital, PRTF or SDC) discharges, inform SIS Supervisor that an assessment needs to be scheduled.
Attend Behavior Support Plan (BSP) meetings to ensure successful implementation of the plan.
Schedule and facilitate the ISP meeting.
Develop and update ISP
Submit requests for services and purchase orders for products, –supplies, and services covered under the Innovations waiver.
Coordinate with other team members to ensure smooth transition to appropriate level of care.
Complete check-in/contact with member and/or legally responsible person (LRP) via phone or email.
Complete Home and Community Based Services (HCBS) Notice of Change Form when arranging new HCBS service placement (for Residential Supports, Day Supports, and Supported Employment) with a new provider and submit to Provider Network department to ensure successful transition to provider.
Refer provider contractual concerns to Provider Networks.
Update other Care Team members of urgent or pertinent treatment updates
Recognize and report critical incidents to supervisors and Quality Management.
Schedule face to face meeting with member/LRP to provide education about Alliance, Care Teams, and services.
Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance.
Escalate complex cases and cases of concern to Supervisor.
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
Verify ongoing service adherence with member and/or guardian
Proactively respond to an individual’s planned movement outside the Alliance MCO geographic area to ensure a smooth transition without lapse in care.
Complete Documentation
Open new episodes in Jiva and schedule initial contact with member to verify accuracy of demographic information.
Document all applicable member updates and activities per organizational procedure.
Distribute surveys to members in service.
Ensure that service orders/doctor’s orders are obtained, as applicable.
Obtain releases/documentation and provide to all stakeholders involved.
Obtain clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information
Ensure clinical documentation (e.g. goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.
Minimum Education & Experience
Bachelor’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area with (2) years of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI)
OR
Master’s degree from an accredited college or university in Health, Psychology, Sociology, Social Work, Nursing or other relevant human services area and one (1) year of experience with Individuals with Intellectual and Developmental Disabilities (I/DD) or Traumatic Brain Injuries (TBI),
OR
Graduation from an accredited Nursing program and licensure as a Registered Nurse
Knowledge, Skills, & Abilities
Person Centered Thinking/planning
Knowledge of using assessments to develop plans of care
Knowledge of LOC process, SIS for IDD and FASN assessment for TBI
Knowledge of Medicaid basic, enhanced MHSUD, and waiver benefits plans
Knowledge of and skilled in the use of Motivational Interviewing
Knowledge of and skilled in the use of Motivational Interviewing techniques
Strong interpersonal and written/verbal communication skills
Conflict management and resolution skills
Proficient in Microsoft Office products (such as Word, Excel, Outlook, etc.)
High level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance.
Ability to make prompt, independent decisions based upon relevant facts
Salary
$22.15 to $ 38.14/Hourly
MediCapt Toolkit Consultant
Location: Remote, WorldWide
Classification: This is a temporary, part-time consultancy through November 2021, with the possibility of extension.
Organization Description
For more than 30 years, Physicians for Human Rights (PHR) has used science and medicine to document and call attention to mass atrocities and severe human rights violations. We investigate and document abuses, give voice to survivors and witnesses, and plant seeds of reconciliation by ensuring that perpetrators can be held accountable for their crimes. PHR uses our core disciplines – science, medicine, forensics, and public health – to inform our research and investigations and to strengthen the skills of frontline human rights defenders. We work closely with hundreds of partners around the world, using facts to wage effective advocacy and campaigning and providing critical scientific evidence so that survivors can seek justice.
PHR, which shared in the 1997 Nobel Peace Prize for our work to end the scourge of landmines, is poised for even greater growth and impact. As part of that strategy, we are seeking committed activists with a passion for human rights.
Role Description
In 2011, Physicians for Human Rights (PHR) launched its Program on Sexual Violence in Conflict Zones to confront impunity for widespread sexual violence – used as both a weapon of war and a common crime. Rare cases that made it to court often failed because of insufficient evidence to support survivors’ allegations. In that context, PHR saw medical professionals as powerful change agents and created an initiative to enhance collaboration between medical and legal professionals to collect, document, and analyze forensic evidence to hold perpetrators accountable, and to improve medical care and access to justice for survivors. PHR has been working with doctors, nurses, trauma counsellors, police officers, lawyers, and judges in Kenya and the Democratic Republic of the Congo (DRC) to develop comprehensive, standardized methods for collecting forensic evidence of sexual violence to increase the likelihood of effective and successful investigations and prosecutions of these crimes.
But health facilities and police stations using paper-based forms often lack proper storage for secure preservation or officials encounter difficulties traveling distances to transmit or retrieve evidence due to poor roads or lack of access to vehicles, among other complicating factors.
To address these challenges and to leverage mobile phone penetration even in the most resource-constrained environments, PHR has been developing a high-tech solution called MediCapt, a mobile application to help clinicians document forensic evidence of sexual violence during a patient encounter. This app converts a standardized medical intake form to a digital platform and combines it with a secure mobile camera to facilitate forensic photography. Clinicians can use the app to compile evidence, photograph survivors’ injuries, and securely transmit the data to police, lawyers, and judges involved in prosecuting these crimes. Digitizing these forms minimizes the chances of loss, tampering, or theft of medical evidence, while preserving chain of custody.
Our partners in the DRC and Kenya see MediCapt as a solution for yielding stronger evidence, preserving chain of custody, and improving data security and privacy. Among its key features, MediCapt includes sophisticated encryption, cloud data storage, high fidelity to chain of custody standards, and tamper-proof metadata. Significantly, the Android-based app is designed to securely collect data in conflict zones, as well as remote locations where internet connectivity and/or wireless data transmission is limited. PHR has been collaborating with clinicians in the DRC and Kenya to improve MediCapt’s features (offline printing, secure photo capture capacity, and back-end review for quality improvement and assurance). We have also been working with health care facilities to integrate the app into clinical workflows and co-developed implementation protocols. We went “live” with patients in Naivasha, Kenya in 2018 and we will soon pilot with patients for the first time in the DRC.
Reports to: Director, Program on Sexual Violence in Conflict Zones
Role Description:
MediCapt is an award-winning application developed by PHR that enables clinicians to document medical evidence of sexual violence cases digitally, capture forensic photographs, and store them securely. Clinician end users are currently using MediCapt with sexual violence survivors in Kenya and soon in the Democratic Republic of the Congo (DRC).
PHR is developing and implementing a scaling strategy to grow the MediCapt project in partnership with international organizations, humanitarian organizations, and governments. A key piece of the scaling strategy is the MediCapt Toolkit, which is the suite of materials needed to implement the project. The MediCapt Toolkit includes:
The MediCapt user manual
Training documents (for MediCapt training and forensic photography training)
This will include final versions of both PowerPoint slides for these trainings and a Facilitators Guide outlining the training modules
M&E tools and plan
Troubleshooting documents
Institutional policies and procedures
Briefs and resources
Fact sheets
Tech documentation (The documentation of this work will be led by the MediCapt Technical Project Manager and the Tech Advisory Board as a separate but related project)
The objective of the MediCapt Toolkit is to have final versions of all materials needed to implement the MediCapt project. As part of the MediCapt scaling strategy, PHR anticipates that other organizations will implement the project and the Toolkit will be the one-stop shop for all MediCapt materials. We will publish the MediCapt Toolkit on the PHR website in November 2021.
The MediCapt Toolkit will be published on the PHR website in English and French later this year to accompany the open-source code of the application.
We are looking for a consultant to lead the refinement and finalization of the MediCapt Toolkit.
Responsibilities:
Serve as lead on the MediCapt Toolkit project.
Conduct an assessment of the current materials, identify gaps and areas for improvement, and develop a plan for completing the project.
This will also include researching other organizations’ project toolkits to learn and improve on the current materials.
PHR has already conducted review of our current materials and a spreadsheet with the status of each document
Draft needed materials and liaise with PHR experts to manage development of technical materials.
Finalize the MediCapt Toolkit and ensure the materials are ready for publication.
Lead meetings with PHR staff and consultants to coordinate the project and participate in regular calls with the PHR team.
Complete four key deliverables:
Deliverable
Estimated days
Landscape assessment of current materials
7
Work plan for project (and revisions of plan if needed from PHR input)
2
Draft MediCapt Toolkit
12
Final MediCapt Toolkit, including feedback from PHR team
8
Qualifications and Skills
Experience in developing tools, materials, programming, education, or research to address sexual and gender-based violence;
Ability to adjust and create tools;
Pro-activity and ability to work independently
Excellent project manager, flexible and skilled in executing multiple tasks, managing work plans and budgets, and working with diverse groups of stakeholders across multiple global teams;
Superb oral and written communication skills in English;
Experience working on tech-related global health, justice, or human rights projects
Excellent cross-cultural communication skills;
Ability to produce clear written products in English with minimal editing, French-language skill a plus.
More information about Physicians for Human Rights can be found at www.phr.org.
To Apply
Please combine your cover letter and resume as a pdf or Word doc and send it to resumes@phr.org . Indicate your “ Last Name/First Name, MediCapt Toolkit Consultant ” in the email subject line.
A complete application consists of:
a) A thoughtful cover letter explaining why you are qualified for/interested in the MediCapt Toolkit Consultant position with PHR.
b) Resume/Curriculum Vitae.
Only complete applications in the format requested and sent to resumes@phr.org will be considered.
Physicians for Human Rights is an equal opportunity employer committed to inclusive hiring and dedicated to diversity in its work and staff. We recruit and hire without discrimination based on race, national origin, religion, gender, gender identity, sexual orientation, prior conviction, arrest history, disability, marital status, veteran status, age, or any other protection afforded by law.
Sep 02, 2021
Full time
MediCapt Toolkit Consultant
Location: Remote, WorldWide
Classification: This is a temporary, part-time consultancy through November 2021, with the possibility of extension.
Organization Description
For more than 30 years, Physicians for Human Rights (PHR) has used science and medicine to document and call attention to mass atrocities and severe human rights violations. We investigate and document abuses, give voice to survivors and witnesses, and plant seeds of reconciliation by ensuring that perpetrators can be held accountable for their crimes. PHR uses our core disciplines – science, medicine, forensics, and public health – to inform our research and investigations and to strengthen the skills of frontline human rights defenders. We work closely with hundreds of partners around the world, using facts to wage effective advocacy and campaigning and providing critical scientific evidence so that survivors can seek justice.
PHR, which shared in the 1997 Nobel Peace Prize for our work to end the scourge of landmines, is poised for even greater growth and impact. As part of that strategy, we are seeking committed activists with a passion for human rights.
Role Description
In 2011, Physicians for Human Rights (PHR) launched its Program on Sexual Violence in Conflict Zones to confront impunity for widespread sexual violence – used as both a weapon of war and a common crime. Rare cases that made it to court often failed because of insufficient evidence to support survivors’ allegations. In that context, PHR saw medical professionals as powerful change agents and created an initiative to enhance collaboration between medical and legal professionals to collect, document, and analyze forensic evidence to hold perpetrators accountable, and to improve medical care and access to justice for survivors. PHR has been working with doctors, nurses, trauma counsellors, police officers, lawyers, and judges in Kenya and the Democratic Republic of the Congo (DRC) to develop comprehensive, standardized methods for collecting forensic evidence of sexual violence to increase the likelihood of effective and successful investigations and prosecutions of these crimes.
But health facilities and police stations using paper-based forms often lack proper storage for secure preservation or officials encounter difficulties traveling distances to transmit or retrieve evidence due to poor roads or lack of access to vehicles, among other complicating factors.
To address these challenges and to leverage mobile phone penetration even in the most resource-constrained environments, PHR has been developing a high-tech solution called MediCapt, a mobile application to help clinicians document forensic evidence of sexual violence during a patient encounter. This app converts a standardized medical intake form to a digital platform and combines it with a secure mobile camera to facilitate forensic photography. Clinicians can use the app to compile evidence, photograph survivors’ injuries, and securely transmit the data to police, lawyers, and judges involved in prosecuting these crimes. Digitizing these forms minimizes the chances of loss, tampering, or theft of medical evidence, while preserving chain of custody.
Our partners in the DRC and Kenya see MediCapt as a solution for yielding stronger evidence, preserving chain of custody, and improving data security and privacy. Among its key features, MediCapt includes sophisticated encryption, cloud data storage, high fidelity to chain of custody standards, and tamper-proof metadata. Significantly, the Android-based app is designed to securely collect data in conflict zones, as well as remote locations where internet connectivity and/or wireless data transmission is limited. PHR has been collaborating with clinicians in the DRC and Kenya to improve MediCapt’s features (offline printing, secure photo capture capacity, and back-end review for quality improvement and assurance). We have also been working with health care facilities to integrate the app into clinical workflows and co-developed implementation protocols. We went “live” with patients in Naivasha, Kenya in 2018 and we will soon pilot with patients for the first time in the DRC.
Reports to: Director, Program on Sexual Violence in Conflict Zones
Role Description:
MediCapt is an award-winning application developed by PHR that enables clinicians to document medical evidence of sexual violence cases digitally, capture forensic photographs, and store them securely. Clinician end users are currently using MediCapt with sexual violence survivors in Kenya and soon in the Democratic Republic of the Congo (DRC).
PHR is developing and implementing a scaling strategy to grow the MediCapt project in partnership with international organizations, humanitarian organizations, and governments. A key piece of the scaling strategy is the MediCapt Toolkit, which is the suite of materials needed to implement the project. The MediCapt Toolkit includes:
The MediCapt user manual
Training documents (for MediCapt training and forensic photography training)
This will include final versions of both PowerPoint slides for these trainings and a Facilitators Guide outlining the training modules
M&E tools and plan
Troubleshooting documents
Institutional policies and procedures
Briefs and resources
Fact sheets
Tech documentation (The documentation of this work will be led by the MediCapt Technical Project Manager and the Tech Advisory Board as a separate but related project)
The objective of the MediCapt Toolkit is to have final versions of all materials needed to implement the MediCapt project. As part of the MediCapt scaling strategy, PHR anticipates that other organizations will implement the project and the Toolkit will be the one-stop shop for all MediCapt materials. We will publish the MediCapt Toolkit on the PHR website in November 2021.
The MediCapt Toolkit will be published on the PHR website in English and French later this year to accompany the open-source code of the application.
We are looking for a consultant to lead the refinement and finalization of the MediCapt Toolkit.
Responsibilities:
Serve as lead on the MediCapt Toolkit project.
Conduct an assessment of the current materials, identify gaps and areas for improvement, and develop a plan for completing the project.
This will also include researching other organizations’ project toolkits to learn and improve on the current materials.
PHR has already conducted review of our current materials and a spreadsheet with the status of each document
Draft needed materials and liaise with PHR experts to manage development of technical materials.
Finalize the MediCapt Toolkit and ensure the materials are ready for publication.
Lead meetings with PHR staff and consultants to coordinate the project and participate in regular calls with the PHR team.
Complete four key deliverables:
Deliverable
Estimated days
Landscape assessment of current materials
7
Work plan for project (and revisions of plan if needed from PHR input)
2
Draft MediCapt Toolkit
12
Final MediCapt Toolkit, including feedback from PHR team
8
Qualifications and Skills
Experience in developing tools, materials, programming, education, or research to address sexual and gender-based violence;
Ability to adjust and create tools;
Pro-activity and ability to work independently
Excellent project manager, flexible and skilled in executing multiple tasks, managing work plans and budgets, and working with diverse groups of stakeholders across multiple global teams;
Superb oral and written communication skills in English;
Experience working on tech-related global health, justice, or human rights projects
Excellent cross-cultural communication skills;
Ability to produce clear written products in English with minimal editing, French-language skill a plus.
More information about Physicians for Human Rights can be found at www.phr.org.
To Apply
Please combine your cover letter and resume as a pdf or Word doc and send it to resumes@phr.org . Indicate your “ Last Name/First Name, MediCapt Toolkit Consultant ” in the email subject line.
A complete application consists of:
a) A thoughtful cover letter explaining why you are qualified for/interested in the MediCapt Toolkit Consultant position with PHR.
b) Resume/Curriculum Vitae.
Only complete applications in the format requested and sent to resumes@phr.org will be considered.
Physicians for Human Rights is an equal opportunity employer committed to inclusive hiring and dedicated to diversity in its work and staff. We recruit and hire without discrimination based on race, national origin, religion, gender, gender identity, sexual orientation, prior conviction, arrest history, disability, marital status, veteran status, age, or any other protection afforded by law.