Quality Care Management Registered Nurse at AIDS Healthcare Foundation

Los Angeles, California, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Feb, 26

Salary

0.0

Posted On

22 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Care Management, Compassionate Care, Collaborative Care, HEDIS, Ryan White Standards, Preventative Measures, Patient Engagement, Chronic Care Management, Transitions of Care, Vaccination Administration, Retinal Eye Camera Screenings, Gaps in Care, Healthcare Effectiveness, Advocacy, Healthcare Systems

Industry

Hospitals and Health Care

Description

WHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s 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 you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. 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. AHF’s core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for What’s Right Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News. Benefits at AHF AHF 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. YOUR CONTRIBUTION TO OUR SUCCESS! A Quality Care Management Registered Nurse contributes to AHF by improving health outcomes of patients receiving services throughout the AHF Healthcare System through compassionate proactive collaborative care. The position may be hybrid of both remote HCC locations and field work. QCMRN will demonstrate strong knowledge of Healhcare Effectiveness Data and Information Set (HEDIS), HIV AIDS Bureau (HAB) Ryan White Standards and other preventative measures as appropriate. A QCMRN enhances the reputation of AHF by collaborating with providers and patients in addressing preventive health measure outcomes of all payor sources through improving HEDIS and HIV/AIDS Bureau measures, gaps in care, retention, barriers to care, transitions of care, and when needed, chronic care management.. With radical collaboration with AHF departments and entities, QCMRN work will directly to capture value based bonus revenue based upon meeting quality, administrative and risk parameters outlined in Third Party (TPP), AHF Health Plan(s) and specific Ryan White contracts. Clinical expectations include but are not limited to completing measures by providing clinical support (i.e.admistereing vaccines as needed, performing retinal eye camera screenings and clinical duties in collaboration with providers and HCC staff as necessary). You will be a passionate advocate for our top initiatives. To be successful as a QCMRN it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The QCMRN will work as a part of a close-knit team to monitor the needs of patients as they pertain to preventative measures, gaps in care and standards mentioned such as HEDIS and HAB measures. The RN will collaborate with the provider and healthcare center team so that completion of the appropriate measures are seamless. The QCMRN will understand the needed measures and work with both the Quality Care Management Program leadership, HCC leadership and providers in providing standard and creative ways for patient engagement that both empowers the patient and completes their gaps in care for stronger engagement with their healthcare and healthcare providers. Retention of patients to stay in care and to actively participate in their healthcare is priority for the QCMRN. The program and position center on closing gaps in care, removing barriers to receiving, completing preventative measures, adhering the the HEDIS and HAB measures and collaboratively executing transitions of care and/or chronic care management with the client, medical provider and HCC staff. Licenses and Certifications: QCMRN requires an uncencumbered, active Registered Nurse license in the state where the QCM operates AHF Commitment 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.

Responsibilities

The Quality Care Management Registered Nurse improves health outcomes of patients through compassionate proactive collaborative care. They work closely with providers and patients to address preventive health measures and enhance the reputation of AHF.