Registered Nurse case Manager

About us

Primary Care At Home, Inc. is a nonprofit specializing in care for persons living with HIV or AIDS. We offer comprehensive wrap-around Case Management and facilitate Home Health services for Persons Living With HIV/AIDS.

PCAHI is comprised of a small team of dedicated professionals who take pride in their work and are eager to support our participants in leading healthy and fulfilling lives. We are a small group that is very intentional about maintaining a positive and supportive culture for our team and our participants.

The position is part-time to full-time. Initially starting at 20 hours per week and then ramping-up as you develop a larger caseload. It may require visits to participant homes (we pay mileage).

We offer some benefits. Our current schedule is based upon the hybrid model. All team members are accountable from 8-5 daily However, each team member spends about 2-3 days per week in the office for 3-4 hours (approx).

We offer a monthly Health and Wellness stipend which can be used for health insurance, or any other needs our team members feel appropriate.

We offer approximately 2 months of time off per year (this includes, paid holidays, vacation time, and sick leave).

REGISTERED NURSE CASE MANAGER

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

II. JOB RELATIONSHIP:

Reports To: Project Director

III. RESPONSIBILITIES AND DUTIES:

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

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

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

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

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

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

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

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

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

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

IV. QUALIFICATIONS:

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

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

B. TRAINING AND EXPERIENCE:

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

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

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

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

other underserved populations.

C. SPECIAL REQUIREMENTS:

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

2. Valid California Drivers License and Proof of Insurance.

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

4 May be exposed to unsanitary conditions in some home settings

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

6 May need to endure exposure to weather and temperature extremes

7 Ability to travel day to day within assigned geographic areas

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

Primary Care At Home, Inc provided the following inclusive hiring information:

We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Job Types: Part-time, Full-time

Salary: $42.00 - $47.00 per hour

Expected hours: 20 – 40 per week

Benefits:

Flexible schedule (hybrid)

Health savings account

Mileage reimbursement

Paid time off

Medical specialties:

Home Health

Hospice & Palliative Medicine

Primary Care

Schedule:

8 hour shift

Day shift

Monday to Friday

Work setting:

Clinic

Long-term care

Outpatient