POSITION SUMMARY:    To provide comprehensive Registered Nurse Case Management and nursing care to maintain/improve the quality of life for individuals infected with HIV/AIDS. Coordinate comprehensive healthcare. Collaborate with other healthcare providers and community agencies. Independently develop, implement, coordinate and evaluate healthcare education in an ambulatory setting.

POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES

• Responsible for providing intensive clinical nurse case management for clients living with HIV.
• Work independently with clients to assess needs related medical, social and behavioral health services.
• Complete initial and ongoing nursing assessments that support medication adherence, health literacy, and client engagement in medical care, while maintaining client confidentiality.
• Collaborate with a diverse group of multidisciplinary care team members (physicians, nurses, social workers, community providers, etc.), to proactively plan and implement care and service plan goals. Monitor changes and respond to follow-up needs of clients, follow through on identified referrals in a timely manner, and communicate
• Facilitate client access to healthcare and community resources. Assists client to develop natural resources and makes appropriate referrals related to barriers to healthcare, (i.e. housing, transportation)
• Provide nursing care within the scope of practice and performs clinical duties and assist physician during clinic sessions. Maintain clinic cleanliness and order (i.e. stocking rooms, rotating medication, etc.)
• Document all encounters and contacts with clients. Maintains and updates patient data in electronic medical records.
• Collect and organize data and reports as appropriate for all grant reporting.
• Participate in departmental and organizational meetings and programs, including but not limited to community outreach and health fairs.
• Seek opportunities to increase clinical, professional and personal growth independently and through in-house education, conferences and community resources.
• Provide in-house and community presentations related to HIV/AIDS education
• Work collaboratively, constructively and cooperatively with team members.
• Perform other job duties as may be assigned.