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Philadelphia FIGHT, Philadelphia – Care Coordination Nurse

We are seeking a passionate and motivated nurse to provide clinical and administrative nursing services at Philadelphia FIGHT’s John Bell Health Center for adults. Philadelphia FIGHT, initially founded in 1990 as a comprehensive AIDS service organization, is now a Federally Qualified Health Center with three clinical sites, providing access to state-of-the art, culturally competent primary care, advocacy, social services, consumer education, and outreach for all patients in need. Our program offers a team-centered, multi-disciplinary approach that, in addition to clinical care, prioritizes access to behavioral health and substance abuse services. This care is offered in accordance with Philadelphia FIGHT’s mission to reduce health disparities for vulnerable populations – including, but not limited to formerly incarcerated persons, those living with HIV and those at high risk, homeless and transient youth, members of the LGBTQ community, , and low income members of the community.

Job Responsibilities

The Care Coordination Nurse role is primarily an administrative role, however clinical responsibilities will be particularly emphasized two sessions/week and when the nurse manager is absent from clinic
1. Clinical (0.25 FTE)
a. Triage sick/emergency walk-ins and sick calls, new patients (take full medical history and determine urgency of illness)
b. Communicate normal and abnormal labs to patients
c. Assist with one-on-one management and teaching of complicated patients with multiple diagnoses, complicated medical regimens, and/or complex social needs
d. Work in collaboration with the PrEP (Pre-Exposure Prophylaxis for HIV) team, to provide HIV prevention to at-risk patients and the Hepatitis C team to provide access to Hepatitis C evaluation and treatment for infected patients.
f. Identify and advocate for patients needing urgent or ongoing behavioral health services and/or substance abuse treatment via collaboration with the primary provider and/or onsite Behavioral Health Consultant.
g. Administer therapeutic injections and vaccinations and perform phlebotomy when needed
h. Perform clinical tasks: i.e. EKG, oxygen set-up, blood glucose monitoring, urine dipsticks and pregnancy testing
i. Perform CLIA related tasks such as running of controls
j. Work as a team with medical receptionists, health information specialists, medical assistants, benefits coordinators, and behavioral health specialists
k. Demonstrate commitment to clinical care and confidentiality
2. Administrative (0.75 FTE)
a. The Care Coordination Nurse role is primarily an administrative role
b. Assist providers and nurse manager with obtaining urgent reports from diagnostic exams, specialist consults, and hospitalizations
c. In conjunction with an MA, assist providers and nurse manager, in the scheduling of imaging studies and procedures, particularly those requiring prior authorization
d. Assist providers and nurse manager in making specialist appointments for patients who need additional assistance
e. Assist providers and nurse manager with prior authorizations for medications including specialty medications such as Hepatitis C treatments and Vivitrol (an injectable opiate blocking agent)
f. Organize daily clinical huddle with providers, nurses and other support staff
g. Track high risk and complex patients using excel spreadsheets (i.e., patients on Coumadin or Vivitrol etc)
h. Order and coordinate delivery for durable medical equipment
i. Report and assist in communicating appropriate information on reportable diseases to oversight bodies, e.g., Public Health Department, AIDS Activities Coordination Office
j. Coordinate ordering of clinical supplies, including monitoring for expiration of supplies and maintenance of clinic medical equipment (e.g., medical supplies and prescriptions)
k. Participate in monthly Continuous Quality Improvement committee
l. Interact closely with the other clinicians in the practice, Practice Coordinator, Administrative Director and JBHC Program Director, by participating in regular meetings for purposes of addressing management issues and quality assurance.
m. Assist and support outreach and recruitment initiatives, in addition to educational programs as necessary.
n. Alongside other JBHC staff, participate in regular cultural competency trainings to best serve our diverse patient population.

Coordination of Care – Provide consultation and coordinate care of patients with clinic staff.

Charting – Complete all charting and documentation as needed and required by contracted funding sources, including assessments, progress notes, and administrative documentation.

Billing- Complete all billing documentation as needed and required by contracted funding sources, including billing codes and required documentation.

Supervision – Attend all JBHC team meetings, attend FIGHT case conference weekly with all clinicians. This position is supervised by Nurse Manager, Kate Cerrone RN BSN at John Bell Health Center.

Education: Bachelor’s Degree
1. Registered Nurse
2. Within 30 days of hire, complete training in Blood borne pathogens, Post exposure prophylaxis, and HIPAA regulations.
a. Prior to shipping blood specimens, complete IATA training for shipping of hazardous substances, if applicable
3. General knowledge base in science, medicine, and the running of a medical clinic. Demonstrate the ability to understand the overall purpose of clinical care and importance of support staff.
4. Excellent interpersonal skills and ability to work collaboratively with primary care staff, patients, and other behavioral health counselors. Must be able to demonstrate judgment, patience, integrity, organization, and prioritization in multi-task environment. Needs to have attention to detail, dependability and flexibility.

Salary: Competitive

Physical Demands:
• Ability to continuously stand, walk or sit.
• Ability to bend, climb stairs frequently.
• Ability to lift up to 10 pounds infrequently.
• Ability to squat occasionally.

Work Environment:
• Generally works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting.
Note: Initial probationary period is three months. Benefits including health benefits as per employee handbook begin on the first day of work.



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