Job Description

General Summary of Position
(RN) Infection Disease Research Case Manager (Remote)
We are looking for compassionate Registered Nurse with the desire to connect with their community while meeting the needs of a diverse low-income patient population living with HIV. The ideal nurse would:

• 3-4 of diverse clinical experience
• Identifying patients that need the program
• Assist with treatment coordination/ treatment education

• Assist patients to identify resources to meet their social needs, such as Medicaid programs, housing assistance, discount medication programs, and food programs.
• Be willing to work some weekend outreach events in the LBTQIA+ communities.
• Work with HIV positive pregnant women and Trans community.
• Have familiarity with the Ryan White Grant.
• Have the ability to collect and monitor vital data.

Operating hours are generally, Monday-Friday 8 am to 5pm, however there are occasional weekend community events that the nurse in this role would be required to attend.
Join our team to make a difference! Apply today!
Primary Duties and Responsibilities

• Consistently demonstrates support for compliance in the performance of job duties and responsibilities by a) developing and maintaining knowledge of, and performing job functions in compliance with, rules, regulations, policies, and statutes that affect his/her job; b) maintaining knowledge of and performing job functions in compliance with MedStar Health and MedStar Health Research Institute policies and procedures; and c) reporting compliance concerns in an appropriate and timely manner.
• Acts as a community liaison.
• Assists in the identification of potential Case Management candidates through clinical review, selected diagnoses, etc. and makes appropriate referrals.
• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
• Initiates contact with providers to obtain clinical and prescribing information to facilitate care or pending of pre-certification requests and pharmacy management issues. Recommends use of appropriate in network/ formulary benefits.
• Coordinates patient intake, ordering, receipt, and administration of medications.
• Develops a standardized process/workflow for identifying patients and simplifying medication ordering through individual insurer collaboration for both public and private insurance carriers.
• Interacts with assigned community populations of limited volume. Interaction is designed to improve patient access to care, and education regarding the disease and support services.
• Maintains current knowledge of insurance benefits and enrollment issues in order to accurately coordinate services.
• Maintains timely and accurate documentation in the EHR system per Case Management policy.
• Tracks number of patients seen, noting pertinent information regarding treatment outcomes. Extrapolates data as needed to complete reports.
• Participates in staff meetings, Care Management meetings, Pharmacy and Therapeutics Committee, work groups, etc. as assigned. Provides input, completes assignments, and shares new findings with staff.
• Processes pre-authorizations for medical necessity, LOC, covered benefits, and participation of the provider.
• Actively participates in Quality Improvement initiatives.
• Assists in outpatient clinic as available, meeting with identified patients and developing a plan of treatment for adherence issues. Refers patients as needed for other services such as peer coordinator or mental health.
• Attends weekly clinic rounds to identify patients in need of services.
• Collaborates with the interdisciplinary team to achieve patient and program goals.
• Conducts home visits with identified patients, coordinating telemedicine oversight with providers.
• Coordinates all aspects of the project and serves as the primary contact for the sponsor.
• Performs other duties as assigned.

CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM
Minimum Qualifications
Education

• Graduate from an accredited School of Nursing required and
• BSN preferred

Experience

• 3-4 years Diverse clinical experience required

Licenses and Certifications

• Current license as a Registered Nurse in the District of Columbia. required

Knowledge, Skills, and Abilities

• Basic math skills.
• Verbal and written communication skills.
• Basic computer skills.

This position has a hiring range of $87,318 - $157,289

Skills Required