RN Case Manager Lead

The Clinical Support Services Lead/Registered Nurse Case Manager (RNCM) is responsible for the coordination of comprehensive healthcare and community-based services for a designated patient population. The Clinical Support Services Lead/RNCM develops, implements, coordinates, and evaluates health care plans in the clinic; collaborates with other health care providers, and community service agencies to coordinate patient care. The Clinical Support Services Lead/RNCM ensures adherence to the clinic's policies and nursing procedures, standards, and practices. In addition, the Clinical Support Services Lead/RNCM provides direct supervision for the clinical support services team consisting of the nurse case managers, medical record coordinators and referral coordinators

This is a full-time and in-office position located at the AvitaCare Atlanta Clinic (2140 Peachtree Rd.) General work hours are Mon - Fri: 8:00 AM to 5:00 PM.

About the role:

• Facilitates patient access to healthcare, and community resources; assists patient to develop natural resources and contact social support networks; develops resources as appropriate to meet patient needs.
• Works with patients to assess, develop, implement, monitor, and recommend modifications to comprehensive, cost-effective care plans, using a multidisciplinary approach.
• Coordinates, monitors, and evaluates provider services and care.
• Documents all patient encounters and contracts made on behalf of patients; documents nursing summaries of care.
• Evaluates and documents the progress of individual therapeutic programs, and recommends modifications as needed.
• Works closely with the interdisciplinary team to identify high-risk, complex patient cases; manage care including referral management, care planning, post discharge planning and coordinate transition of care post-hospital discharge.
• Serves as the primary point of contact for the following: (1) Department of Public Health and Health Departments for HIV/STI surveillance (2) Q-care plus for linkage to care for patients requesting transition to clinic environment. (3) HIV Patient self-referral portal on the AvitaCare Atlanta website and management of those patients linkage to care
• Conducts patient assessments for health coaching programs to reduce or eliminate high risk behaviors.
• Assists Clinical Lead with quality assurance monitoring with UDS/HEDIS and other quality metrics as dictated by the insurance providers. Works directly with FQHC as the primary quality point of contact for the practice.
• Partners closely with care management staff for coordination of social services needs.
• Performs all other duties as assigned.

About you:

• Registered Nurse (RN) with valid Georgia license
• BSN required
• MSN preferred
• Case Manager certification required
• Minimum of 2 years case management experience required.
• Minimum of 2 years clinical experience required.
• Active BLS certification required
• Must have working knowledge of the nursing process as well as in depth knowledge of therapeutic, physical, psychosocial, spiritual, cultural, and developmental needs for a select category of patients
• Good communication skills, both written and verbal
• Experience in HEDIS/UDS and quality improvement preferred
• eClinical Works experience is a plus
• Available to work in-office/onsite, Monday - Friday from 8:00 a.m. to 5:00 p.m.
• Must have excellent interpersonal and communication skills to promote optimal patient care
• Bilingual fluency is a plus but not required

At Avita Care Solutions, compassionate care is at the heart of everything we do. Join Avita and get inspired to be the care that unlocks the full potential of health for all. We’re committed to promoting health equity by providing comprehensive, integrated access to pharmacy services, clinical care delivery and digital health through our individualized and culturally competent LGBTQ , HIV, PrEP, and sexual wellness care. Avita is a proud member of the U.S. Business Action to End HIV and has been recognized multiple times by the Human Rights Campaign Foundation as a Best Place to Work for LGBTQ Equality. Avita is an Equal Opportunity Employer dedicated to building a diverse, inclusive, and authentic workplace. We welcome everyone by recruiting, hiring, and promoting individuals without regard to their sex, race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, veteran status, or any other status protected by applicable law. Avita also provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and any other state or local laws.

Pay range: $91,000 - $111,000 per year, based on credentials and geographic location.

Avita Care Solutions offers a comprehensive benefits package:

Healthcare benefits (medical, dental, vision) for eligible team members and their families, along with additional company paid and voluntary benefit offerings.

Six company paid holidays and three personal floating holidays, paid time off (PTO), paid leaves - two weeks paid parental leave, bereavement, sick leave, time to vote and jury duty, award recognition program, professional learning and development opportunities.

Company paid benefits – basic life and AD&D, Maven and Health Care Advocate Work/Life Balance Program, health/dependent flexible spending.

Voluntary benefits – long and short-term disability, pet insurance, legal, accident, hospital indemnity, critical illness, whole and supplementary life insurance, identity theft protection, 401(K) retirement savings plan with company match.

All benefits are subject to the applicable plan terms.