Medical Care Manager

Medical Care Manager 2017-09-05T16:33:29+00:00
Medical Care Manager Job Posting | Men's Health Foundation | Healthcare, Education, Empowerment, Advocacy and Research

Job Summary

Under supervision of the Director, Programs and the Clinical Supervisor, the Medical Care Manager (MCM) must be a RN and work in collaboration with MCC staff to implement, monitor and maintain a care program under DHSP guidelines. The MCM conducts assessment, integrated care planning, and monitoring of patients’ progress in conjunction with the Patient Care Manager (PCM). The MCM is focused on meeting the needs of patients who are experiencing the following: medical adherence issues; significant changes in HIV health status or multiple health diagnoses that affect a patient’s HIV status. The MCM is assigned to work with the Patient Care Manager to facilitate best coordination with medical home team members. The MCM ensures the patient’s biomedical needs are met and their care is coordinated. MCM’s assist patients through the provision of brief interventions focused on patient education, treatment adherence, managing side effects, medical nutrition, co-infections, preventative care and risk reduction. The MCM does NOT focus on Clinical Nursing duties.

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Essential Functions

  • Collaborates with healthcare providers, MCC staff, other Men’s Health Foundation staff and outside organizations in planning, organizing, and implementing patient care plans for chronic disease management (e.g., HIV, Hepatitis C, Diabetes).
  • Provides support to the Patient Care Manager.
  • Ability to make independent and substantial decisions.
  • Provides outreach and ensures that clients are aware of services available.
  • Works in collaboration with staff members to develop, implement and maintain an effective and efficient UM Program.
  • Collaborates with other team members to implement specialty referral guidelines and to determine patient’s eligibility for referral authorization, i.e., Medi-Cal/Medicare status.
  • Collaborates with staff members regarding the coordination of specialty referrals per clinic protocol to all specialty consultants and ancillary health care services.
  • Ensures that the MCC staff promotes continuity of care and follow-up of clients.
  • Serves as a liaison between specialist consultants and Health Services.
  • Develops materials and assists with health care education for client, partner and family members.
  • Ensures that there is clear and concise communication, including case presentations, written progress notes, medication lists, summaries and reports.
  • Oversees the coordination services of outside agencies such as home health, hospital admissions and hospice care.
  • Supports the monitoring of specialist appointments for reconciling the funding, billing and reporting requirements.
  • Provides and oversees staff members who provide skilled nursing care to patients, including but not limited to administering medications, treatments and screening procedures as ordered and within the scope of practice of the license.
  • Will perform and oversee assessments per DHSP, HRSA and other regulatory agency guidelines.
  • Will assist with staff training, development and mentoring.
  • Attend and participate in weekly/monthly staff meetings, case conferences, in-services and other meetings as assigned.
  • The requirement to comply with OSHA, HIPPA and all other applicable regulations.
  • Triage patients as needed.
  • Other duties as assigned.

Job Qualifications and Experience

  • Must possess a valid license as a registered nurse (RN) in the State of California.
  • Ability to handle multiple tasks, be detailed oriented and maintain strict confidentiality of medical information.
  • Excellent verbal and written communication, organizational, detail and interpersonal skills.
  • Minimum of three years’ experience in direct patient care; preferably in an ambulatory care setting.
  • Minimum of two years’ experience in Case Management.
  • Experience in HIV/AIDS, Hepatitis C and chronic disease care/management preferred.
  • Basic knowledge of HIV/AIDS, other infectious diseases and state/federal reporting requirements.
  • Excellent verbal and written communication, organizational, detail and interpersonal skills.
  • Demonstrates knowledge of effects of psychosocial needs, trauma history, and cognitive/behavioral/motivational functioning on health-related behavior and exhibits ability to intervene appropriately and effectively;
  • Comprehensive knowledge of HIV/AIDS community resources, and public and private HIV/AIDS benefits programs;
  • Bilingual (English/Spanish) preferred;
  • Excellent verbal and written communication skills, including strong organizational, detail and interpersonal skills;
  • Good computer skills and knowledge including word processing, spreadsheets, and other software systems;
  • Ability to work effectively with men and transgender women of diverse races, ethnicities, ages, and sexual orientations in a multicultural environment.

The Men’s Health Foundation is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, national origin, ancestry, sex, gender identity, marital status, religious creed, medical/physical/mental condition, sexual orientation, or age.