RN Medical Care Manager

About the role

A RN Medical Care Manager contributes to AHF by blending the Mission and Core Values with care coordination processes and functions. The PIC RN demonstrates strong clinical skills, proactive thinking, comprehensive knowledge of healthcare rules, medications and supportive services, with a special focus dedicated to HIV/AIDS members, ensuring that all members have access to a comprehensive set of services based on their needs and preferences across the continuum of care.

Responsibilities

• Conduct comprehensive health assessments up to 180 days
• Establish a coordinated personalized care plan with members and providers
• Review and educate members on medication adherence
• Address behavioral health and social needs
• Emphasize the importance of medical appointment compliance
• Address NYS HIV Quality Measures
• Counsel and educate to achieve HIV viral load suppression
• Support members through transitions of care
• Participate in monthly care management meetings
• Be a passionate advocate for AHF's top initiatives
• Work as part of a close knit team to promote healthy behaviors and individual member care plan adherence
• Engage in discussions of STI impact on care
• Adhere to primary care and specialist treatment plans
• Cultivate and facilitate care coordination for healthplan members
• Develop a personalized care plan
• Closing care gaps and engaging in opportunities to increase knowledge of MetroPlusHealth’s PIC plan benefits and community resources
• Collaborate with members' primary care provider and lead interdisciplinary team planning

Requirements

Licenses and Certifications:

• NYS RN License required
• HIV experience preferred
• Care Management experience preferred
• Bilingual Spanish preferred