Cares Clinical Coordinator

Job Title: 4685 Cares Clinical Coordinator

Reports To: Director of Nursing

Type: Full-time Exempt

OVERVIEW:

The Cares Clinical Coordinator is responsible for implementing, delivering and maintaining clinical services for Community Access Network’s Cares program. The purpose of the Cares program is to provide HIV care in the outpatient setting. The Cares Clinical Coordinator serves as the initial and/or primary clinical point of contact for new patients and assists in the coordination of medical care for Cares patients to manage their disease specifically related to the medical treatment plan supporting optimal treatment adherence and successful engagement in medical care. The position guides and supports clinical staff in the Cares program, consistent with the Nurse Practice Act of Virginia, and American Nurses’ Association’s (ANA) Principles of Nurse staffing. The Cares Clinical Coordinator serves as Cares Quality Manager, and coordinates with the Medical Director at Quality Management meetings to ensure the development, implementation, and evaluation of the Cares Annual Quality Management Plan (QMP). The position delivers quality-related trainings and education to staff and patients as needed to accomplish the goals of the Cares QMP and participates in statewide quality management meetings to stay abreast of statewide quality initiatives, performance indicators and goals.

Duties

1. Ensures adequate support of Nursing and Medical Case Management staff, including assessing training needs, and evaluating the effectiveness of services.

2. Supports the clinical team, providing in clinic services and post clinic management related to necessary lab work and medication management.

3. Coordinates clinical services and activities required in implementing the patient service plan; communicates with and between the patient and the patient’s healthcare provider(s) to encourage access and successful adherence to medical treatments; communicates and collaborates with the Cares team to plan patient care.

4. Plans, coordinates, manages and documents the care provided to assigned patients in the electronic health record.

5. Receives the referral for new patient and conducts initial face-to-face nursing assessment/interview to include health status and history, health literacy and current medications. Use of professional judgment is used to determine the appropriate level of program support/service in collaboration with the Program Coordinator.

6. Reviews re-assessments, including assessment of client’s adherence to treatment. Develops comprehensive, individualized service plans in coordination with the Medical Case Manager.

7. Educates patients about HIV, its transmission, complications, risk reduction and education.

8. Re-evaluation of the treatment plan with the Medical Case Manager at least every 6 months with adaptations as necessary, providing support and guidance to the case manager. Treatment adherence counseling as needed to ensure adherence to complex HIV treatments.

9. Monitoring of HIV medication therapy to include education of concerning risks and side effects monitoring adherence and tolerance of medications in conjunction with the Medical Case Manager. Providing support and guidance to the case manager as needed.

10. Reviewing and monitoring CD4 and viral load (VL) lab values, to include making sure the most current CD4 and VL lab values are recorded in the patient file/database.

11. Provides preceptorship, mentorship, and presents educational programs for Cares Clinical staff, as well assists with on-boarding and orientation of new providers to the Cares program. Ensures annual competencies are developed, completed, and maintained by all clinical staff in the Cares program in coordination with the Director of Nursing.

12. Collaborates with the Director of Nursing and Cares medical team to ensure best practices according to CDC regulations and HRSA guidelines are followed as standards of care. Adheres to National Patient Safety Goals (NPSG).

13. In conjunction with the Cares Medical Director and Cares Program Coordinator, develops and implements quality assurance and compliance programs that promote patient satisfaction and that positively impact the program’s ability to meet grant requirements. This includes participation in state-level quality meetings and management of the state mandated quality improvement project (if applicable).

14. Develops and maintains collaborations with other HIV/AIDS services organizations and participates in consortium and other meetings.

15. Other duties as assigned.

Requirements

· Bachelors of Social Work BSW or other related health or human services degree

· Current, active license as a Registered Nurse (RN) in Virginia or hold a current multistate licensure privilege as a registered nurse or at least three years of nursing (RN/LPN) experience

· Or Two years of related experience or knowledge of HIV/AIDS disease process and/or Ryan White grant program requirements regardless of academic preparation

Desired Qualifications

· Knowledge of community health care systems and resources.

· Knowledge of the U.S. Department of Health and Human Services’ Health Resource and

Services Administration (HRSA) – Ryan White Part B and Part C programs.

· Able to evaluate implementation of program and clinical guidelines on a continuing basis, plan for and implement change in an organized and efficient way.

Required Values

· Commitment to the vision of CAN that everyone has a medical home providing optimal individual and community wellness. Work collaboratively, respectfully, and effectively with others and encourage open expression of ideas and opinions

· Practice cultural humility, avoid making assumptions about the knowledge, behaviors, or values of patients

· Develop and maintain positive supportive working relationships with patients, providers, community organizations, and others

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Work Location: In person