- Utilizes evidence based practice standards, PCMH guidelines, and knowledge of Chronic Illness to provide quality care management for persons living with HIV/AIDS
- Collaborates with providers/clinical teams to identify HIV patient population for care coordination based on quality reports, lab/diagnosis criteria, and provider recommendations.
- Coordinates care for patients receiving HIV and gender affirming care, including assistance with referrals, providing medication education and connecting patients to internal/external services.
- Participates in State and Federal Ryan White Program HIV trainings, conferences, and meetings.
- Participates in HIV related educational events with patients including quarterly Client Advisory Board (CAB).
- Collaborates with members of the HIV team and Quality Improvement Committee-tracking HIV metrics and participates in quality improvement projects related to HIV and gender affirming care.
- Facilitates referrals to behavioral health, substance abuse, specialty care and other community-based resources to address social drivers of health (SDOH).
- Supports patients living with HIV with medication education, community linkage and counseling to achieve and maintain viral suppression
- Participates in HIV clinical meetings with patients across the WYH network of care
- Assists patients across the WYH network of care with linkage to counseling across the HIV care continuum including STI testing, Pre-exposure prophylaxis (or PrEP), and Post-exposure prophylaxis (PEP)
- Collaborates with medical case managers to ensure all patients with HIV are connected to care in a timely manner
- Serves as point of contact for patients requiring assistance with clinical HIV needs and triages needs to other team members as indicated.
- Demonstrates excellence in both internal and external customer service, along with patient engagement
- Understands and effectively communicates HIPAA compliance, corporate compliance and client confidentiality.
- Ensures and remains in compliance with local, state, and federal regulation (FQHC), i.e. DHHS HRSA, CMS guidelines, and NYSDOH (article 28), and all accreditation standards (e.g. Joint Commission and NCQA-PCMH)
- Adheres to the National Patient Safety Goals as defined by the Joint Commission/NCQA and Whitney M. Young Jr. Health Center.
- Completes other duties as assigned
-
Cross-market Care Coordinator
3 days ago
Optum Albany, United StatesOptum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - ...
-
Patient Care Coordinator-remote Nationwide
2 weeks ago
Optum Albany, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Promenade at University Place Albany, United StatesPromenade at University Place is looking to hire a compassionate and creative person to serve as our Activity Director for both our Assisted Living and Memory Care residents. · Reporting to the Executive Director, the Activity Director would plan, organize and schedule all activi ...
-
Mltc Care Coordinator
2 weeks ago
Nascentia Health Latham, United StatesThe MLTC Care Coordinator provides administrative and technical support to the Clinical Supervisor and team members. Responsible for the operational aspects of the referral and authorization process. Coordinates authorized services with appropriate agencies. Communicates with Mem ...
-
Care Coordinator
2 weeks ago
Whitney M. Young Jr. Health Center Albany, United StatesGENERAL RESPONSIBILITIES: · The Care Coordinator is a member of the Community Prevention and Treatment Services Team. This position works directly with patients who are living with infectious diseases and experiencing barriers to care and treatment. Populations served by CPTS Ca ...
-
Care Coordinator
3 weeks ago
Trinity Health Albany, United StatesEmployment Type: · Part time · Shift: · Rotating Shift · Description: · Care Coordinator – St. Peter's Hospital - Per Diem - Rotating · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, prov ...
-
Care Coordinator
3 weeks ago
Whitney M. Young Jr. Health Center Albany, United StatesGENERAL RESPONSIBILITIES: The Care Coordinator is a member of the Community Prevention and Treatment Services Team. This position works directly with patients who are living with infectious diseases and experiencing barriers to care and treatment. Populations served by CPTS Care ...
-
care coordinator
3 weeks ago
St. Peters Health Partners Albany, NY , USA, United StatesEmployment Type: · Part time · Shift: · Rotating Shift · Description: · Care Coordinator - St. Peter's Hospital - Per Diem - Rotating · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, prov ...
-
care coordinator
3 weeks ago
Trinity Health Albany, NY , USA, United States**Employment Type:** · Part time · **Shift:** · Rotating Shift · **Description:** · **Care Coordinator - St. Peter's Hospital - Per Diem - Rotating** · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social ...
-
Care Coordinator
1 week ago
Catholic Charities of the Dioscese of Albany Albany, United StatesJob Description · Our team is looking for the right fitis it you? · Catholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and t ...
-
Care Coordinator
2 weeks ago
Catholic Charities Albany, United States· Our team is looking for the right it you? · Catholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholi ...
-
Care Coordinator
3 weeks ago
Catholic Charities of the Dioscese of Albany Albany, United StatesJob DescriptionOur team is looking for the right it you?Catholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable ...
-
Care Coordinator
3 weeks ago
Trinity Health Albany, United StatesEmployment Type:Part timeShift:Rotating ShiftDescription:Care Coordinator - St. Peter's Hospital - Per Diem - RotatingUnder the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, provides follow up to ...
-
Care Coordinator
3 weeks ago
Trinity Alliance of the Capital Region Albany, United StatesJob Description · Job DescriptionTrinity Alliance of the Capital Region is one of the area's leading social services organizations with a mission to promote healthy families, improving communities and providing education and employment, as a means to change generations. Founded i ...
-
rn care coordinator
3 weeks ago
Whitney M Young Jr Health Center Albany, NY , USA, United StatesGENERAL RESPONSIBILITIES: · The Registered Nurse (RN) at Whitney Young Health (WYH) will demonstrate professional nursing practice, excellent communication and critical thinking skills, self-management expertise along with outstanding customer service to promote and assist indiv ...
-
Clinical Care Coordinator
3 weeks ago
St. Margaret's Center Albany, United StatesJob Description · Job DescriptionClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, ...
-
Clinical Care Coordinator
18 minutes ago
St. Margaret's Center Albany, United StatesClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a ski ...
-
Clinical Care Coordinator
2 weeks ago
St. Margaret's Center Albany, United StatesJob Description · Job DescriptionClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, ...
-
Clinical Care Coordinator
2 weeks ago
St. Margaret's Center Albany, United StatesClinical Care CoordinatorFull Time Days * Monday - Friday * $ /hourSt. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nur ...
-
Clinical Care Coordinator
4 weeks ago
St. Margaret's Center Albany, United StatesClinical Care CoordinatorFull Time Days * Monday - Friday * $ /hourSt. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nur ...
rn care coordinator - Albany, NY , USA, United States - Whitney M Young Jr Health Center
Description
GENERAL RESPONSIBILITIES: The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services (CPTS) Team. Working directly with patients who are living with infectious diseases and experiencing social drivers of health (SDOH)-often serving as barriers to care. The RN will provide gender-affirming care to individuals living with HIV and/or Hepatitis C, substance use disorder (SUD), members of the LGBTQIA+ community, and individuals seeking integrated care. Using principles of the Patient Centered Medical Home (PCMH), the Registered Nurse Care Coordinator will demonstrate professional nursing practice, excellent communication and critical thinking skills, self- management expertise along with outstanding customer service. The RN Care Coordinator serves to assist individuals with care management, prevention, testing and counseling; while assisting patients with chronic disease management and wellness promotion. The RN Care Coordinator will assist in the coordination and integration of medical and behavioral health working with the patient to achieve optimal health.SPECIFIC RESPONSIBILITIES:
MINIMUM QUALIFICATIONS:
Associates degree/graduate of a registered approval program for Registered Professional Nurses with current NYS registration. Two (2) years' experience in a health care setting. Demonstrated excellent customer service, good communication, and interpersonal skills. Proficiency with computer use.
PREFERRED QUALIFICATIONS:
Bachelor's degree in Nursing and/or two (2) years' experience working with patients with chronic conditions and care coordination in a medical setting. Experience working with HIV population a plus. Flexibility in schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.
Salary range: $62,000 - $72,000 annually