Nurse Care Manager – Infectious Disease

Mar 6, 2020

POSITION TITLE: Nurse Care Manager – Infectious Disease
ORGANIZATION: Greater Portland Health
LOCATION: Portland, Maine

Greater Portland Health is a remarkable medical practice committed to offering everyone in our communities high-quality, affordable and respectful care. Established in 2009 as the Portland Community Health Center, we now serve more than 12,500 people in our nine locations in Portland and South Portland. We provide medical, behavioral and oral health services.

Greater Portland Health is currently accepting applications for an Infectious Disease Nurse Care Manager. This is a fulltime position, offering competitive compensation and benefit package.

If you are interested in this position, please email a copy of your resume and cover letter to HResources@greaterportlandhealth.org.

GENERAL DESCRIPTION:

Provide high quality, team based infectious disease care to patients of all ages with HIV, hepatitis and latent TB. Serve in an expanded nursing role to collaborate with the medical team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. Integrate evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare. Responsibilities include telephone and walk-in triage, direct-patient care, patient education, population health management and care coordination.

ESSENTIAL JOB FUNCTIONS: *

Direct Patient Care:
• Provide infectious disease and primary care services to a panel of diverse patients.
• Responsible for providing care in a sensitive and non-judgmental manner.
• Provide diagnoses, treatment and/or proper referrals with special attention to infectious disease patients while maintaining expected medical standards.
• Function as an advocate for patients, particularly those with fewer economic and social resources.
• Conduct telephone and walk-in triage.
• Educate patients about self-management of acute or chronic illnesses, tailoring instructions to patients’ individual circumstances.
• Promote patient independence and self-management.
• Monitor patient progress and promote early intervention and group decision making.

Care Coordination:
• Follow HIV, hepatitis C and latent TB practice guidelines including preventative services, immunizations and chronic disease management.
• Maintain and continue to enhance the knowledge base and update approaches regarding HIV/AIDS treatment. This includes keeping abreast of relevant alternative treatment approaches.
• Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality and fiscal outcomes for the population.
• Provide safe transition of care across the continuum of care.
• Implement monitoring systems for high-risk patients to prevent and/or intervene early during acute exacerbations. Work with primary care physicians (PCPs) to ensure appropriate standing orders for acute exacerbation management (such as diuretic titration protocol).
• Continuously evaluate laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
• Collaborate with program coordinator to ensure a smooth process is in place when patients move between settings.
• Convene daily team huddle and facilitate discussions regarding patient care and concerns for the day.
• Provide regular progress updates to primary care provider and other members of the care team.
• Responsible for the assessment, planning and implementation process for a select group of patients in the outpatient setting.

Leadership/ Professionalism:
• Act as resource to staff and implement educational programs.
• Demonstrate leadership qualities in the areas of time management, problem solving, decision making, priority setting, delegation, organization, written/verbal communication and listening skills.
• Work with leadership in the design, implementation and evaluation of the Medical Home care model.

STAFF EXPECTATIONS:

• Support and show gratitude to all coworkers.
• Agree to ask for help when needed and ask questions to learn; be willing to grow in your role and position at Greater Portland Health (GPH).
• Be part of the solution.
• Believe and participate in change and be willing to engage in improvement process.
• Model effective teamwork and collaborative communication.
• Provide respectful feedback (in a private setting) when encountering conflicts; ask for help from supervisor as needed.
• Understand and value that everyone’s role is important and contributes to the whole organization.
• Be willing to learn, cross train, and share knowledge.
• Model positivity.
• Understand body language matters.
• Forgive and learn from failure.
• Agree to be flexible and adapt to organizational changes.
• Be mindful of challenges and burdens other colleagues may be facing and be kind.
• Honor and appreciate all forms of diversity.

EDUCATION, EXPERIENCE AND KNOWLEDGE QUALIFICATIONS:

• Minimum of two years of clinical experience with emphasis on HIV/AIDS patient care.
• Experience in sexually transmitted infection screening, treatment, and education.
• Registered nurse (RN) with three to five years of recent (within the last three years) acute care experience required. Licensed at an RN level by the State of Maine Board of Nursing.
• Bachelor’s degree in nursing is preferred.
• BLS certification required.
• Understanding of the psychosocial/medical needs of the client and basic care management principles in order to formulate an integrated approach to treatment that takes into consideration the complicated health problems of the patient.
• Proficient in the management of acute and chronic conditions, both simple and complex.
• Experience in care management/care coordination to include care planning, resource management, and utilization management desired.
• Prior experience in primary care setting desired.
• Experience managing a program and knowledge of regulations such as HIPAA and OSHA.

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