Men’s Health Foundation connects men at risk to comprehensive healthcare and wellness through education, collaboration, and advocacy. Inspiring and empowering all men to live longer, healthier, and happier lives. We see a world where inequity and stigma do not separate men from healthcare. At Men’s Health Foundation, we are reimagining men’s healthcare. |
OverviewUnder the supervision of the MCC Program Manager, the Nurse Case Manager (Nurse CM) provides medical case management services to patients enrolled in MHF’s Medical Care Coordination (MCC) program. The Nurse CM conducts comprehensive assessments, develops integrated care plans, and monitors patient progress in collaboration with the MCC Social Worker and care team. This role focuses on supporting patients with medication adherence challenges, changes in HIV health status, and complex comorbid conditions. The Nurse CM ensures coordination of care and addresses patients’ biomedical needs through targeted interventions, including patient education, treatment adherence support, side effect management, and medical nutrition guidance, co-infections, preventative care, medication adherence, and risk reduction.
The Nurse CM does NOT focus on Clinical Nursing duties. However, a strong clinical background, critical thinking skills, and competency are required to provide the best and safest care for our patient population.
Essential Functions and Responsibilities This list may not include all duties assigned. - Collaborate with healthcare providers, MCC team members, and external partners to plan, implement, and coordinate patient centered care for chronic conditions (e.g., HIV, Hepatitis C, diabetes).
- Conduct outreach and ensure patients are informed of and connected to available services and resources.
- Support the MCC Social Worker and work within a multidisciplinary team to address patients’ medical and psychosocial needs.
- Serve as liaison between specialty providers and health services.
- Facilitate coordination of care across external agencies, including home health, hospital systems, and hospice services.
- Provide patient education and develop materials for patients, partners, and family members to support treatment adherence and health outcomes.
- Maintain accurate, timely, and compliant documentation, including progress notes, care plans, and reports.
- Participate in team meetings, case conferences, trainings, and program development activities.
- Exercise sound clinical judgment and independent decision-making in patient care and coordination.
- Ensure compliance with all applicable regulations, including HIPAA and OSHA standards.
- Perform other duties as assigned.
QUALIFICATIONS Education and Experience - Applicants must be a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) with an active California nursing license in good standing.
- Minimum of three years’ experience in direct patient care with nursing case management; preferably in an ambulatory care setting.
- Experience in HIV/AIDS, Hepatitis C and chronic diseases care/ management preferred.
- Basic knowledge of other infectious diseases and state/ federal reporting requirements.
- Demonstrate knowledge of effects of psychosocial needs, trauma history, and cognitive/behavioral/motivational functioning on health-related behavior and exhibit ability to intervene appropriately and effectively.
Skills and Abilities - Ability to work effectively with men and transgender women of diverse races, ethnicities, ages, and sexual orientation in a multicultural environment.
- Bilingual in Spanish preferred.
COMPANY REQUIRMENTS - Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check.
- Must be able to provide proof of COVID-19 vaccination on the first day of work.
- Excellent interpersonal skills.
- Attention to detail.
- Must take yearly flu shot or wear flu mask during flu season for patient-facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention.
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