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
• 11 Paid Holidays
• 4 Personal Days
• 10 Vacation Days
• 12 Sick Days
• Metro reimbursement or free
parking
• Employer Matched (6%) 403b
Retirement Plan
This is a great opportunity to make a difference!
This position will pay $41.16 - $53.10 hourly. Salary is commensurate with experience.
POSITION SUMMARY:
Under the direction of the MCC Coordinator, 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 Manager, formulates care plans based upon assessment data and provision of
care priorities and works 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:
• Provides clinical support and advocacy to HIV+ patients, such as support in
improving medication adherence and risk reduction.
• Identifies out of care HIV-positive patients to reengage them in treatment
• Perform periodic needs assessments for patients to monitor and update medical
needs and to intervene appropriately to support better health outcomes.
• 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.
• Assist in tracking, following up with, and supporting existing and recently enrolled
patients
• 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.
• Provide and appropriately document brief interventions focused on patient
education, treatment adherence, managing side effects, medical nutrition
therapy, co-infections, preventative care and risk reduction.
• 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.
• 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
• Provides health supervision 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. 3 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, 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 comprehensive medical-psychosocial
assessment and/or working individually with clients in a case management 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 is
required and APLA Health will consider accommodations for disability- and religious-
based reasons.
Equal Opportunity Employer: minority/female/disability/transgender/veteran.