RN Care Team Manager

WHO WE ARE: AIDS HEALTHCARE FOUNDATIONDoes the idea of doing something that really makes a difference in peoples lives while being well-compensated intrigue you?

Are you looking to work for an organization that encourages growth and success from each and every one of its employees?If so, AIDS Healthcare Foundation is the place for youFounded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the world.

Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay.

Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.BENEFITS AT AHFAHF offers comprehensive benefits to help our employees do and be their very best These benefits are intended to enhance employee physical, financial, spiritual, and professional health.Health Plans:PHP (HMO SNP)PHP is a Medicare Advantage Prescription Drug health plan specifically for Medicare beneficiaries who are living with HIV and reside in Duval, Broward and Miami-Dade Counties.PHP is the first HIV-specific special needs health plan approved by the Centers for Medicare & Medicaid Services (CMS).

This plan covers routine doctor and specialist office visits, emergency and urgent care, hospitalization, and more.

It also includes a prescription drug benefit for no monthly premium.AHFs core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for Whats RightSTILL INTERESTED?

Please continue YOUR CONTRIBUTION TO OUR SUCCESS: The RN Care Team Manager (RNCTM) achieves AHFs mission by demonstrating strong clinical skills, proactive thinking, and comprehensive knowledge of healthcare rules and supportive services with a special focus dedicated to HIV/AIDS members.By utilizing core principles of nursing, you will meet our members where they are, identify strengths and opportunities for growth and assist them with realistic goal setting.

With skills of collaboration and engagement, you will work with our providers and interdisciplinary team to educate, reinforce, rehabilitate, and support our members to heal and grow to potentiate their health status and improve their quality of life.

Your input will directly contribute to the review for medical necessity, under and over utilization and as a result improve members health outcomes.

You, as the RNCTM, are the first line of support for both members and providers.

Working with and holding your team of Care Coordinator(s) and Social Work(s) accountable as it pertains to the successful management of your members.

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You establish connections necessary to provide education so members may obtain realistic healthcare goals, services and objectives; collaborate with the member and PCP in developing personalized care plans which set specific interventions which impact the members health & wellbeing; educate members and providers regarding preventative wellness activities, incentives and resources; and promote achievement of mutually agreed upon goals maximizing their best clinical outcomes.By engaging in opportunities to increase knowledge of community, government, grant funded programs and health plan resources, the RNCTM can ensure the member optimizes all available health care resources.

You also assist in improving member focused HEDIS measures, such as preventative wellness, which ensure our members keep healthy or Risk Adjustment which allows us to allocate services to members who are more at risk for poor health outcomes than other members.

You enhance the experience of all Managed Care employees when you collaborate with other departments to ensure member needs are addressed.

Improve relations with the AHF Healthcare Centers by integrating in the office and opening lines of communication between the member, health plan, and providers.We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability.

The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.