New

HIV RN Case Manager

Sixteenth Street Community Health Centers
United States, Wisconsin, Milwaukee
1635 West National Avenue (Show on map)
Oct 13, 2026
Join our team committed to the highest quality healthcare! JOB RESPONSIBILITIES: Provide and coordinate care and treatment for new and existing SSCHC patients in the HIV program. Work collaboratively with the physicians, behavioral health providers, social worker/case manager, RN case manager, the prevention specialists and outreach specialists to assure the coordination of quality health care for the patients with HIV. For new patients: Perform intake and evaluate patients for medical, behavioral, social, and AODA issues. Order laboratory studies per HIV protocol and assign the new patient to a physician designated to treat HIV. Refer patient to HIV social worker/case manager for social intake and assistance with related issues. Following initial appointment with the physician, instruct patient as to MD's assessment and care plan. For existing patients: with assistance of the social worker, assure that each patient returns for quarterly appointments and services (as described in the Title III work plan and the HIV protocol) and see each patient at the time of their appointment. Provide direct nursing services to patients, as directed by the physician. Communicate with prevention specialists to assure that each patient attends an annual "Prevention for Positives" session. Appropriately document all patient encounter/interactions, including phone contacts, in EMR as well as in the HIV Database. Review patient's Progress Notes in Electronic Medical Record (EMR) for care plan and orders. e.g. in-house or external referrals, labs, x-ray etc. Review tasks in EMR throughout the day for new orders. Complete a "tracking superbill" for each patient and deliver to Coding Department at the end of every day. Coordinate and facilitate inter-agency communication regarding patient referrals and care plan. Provide ongoing patient education regarding medication compliance, HIV transmission and prevention, HIV progression, safer sex/safer IV drug use and confidentiality. Make patient home visits to facilitate compliance with health care plan and medication adherence. Triage HIV patient phone calls regarding need for clinic visit between quarterly appointments. Be available for patient office visits - by appointment or drop-in. Refer patients for appropriate off-site services, including scheduling appointments. Provide back-up to the other HIV nurse and social work HIV case manager. Participate in the management of all grants supporting the HIV programs by complying with the planning, implementation and reporting requirements. Participate in community HIV conferences and training opportunities. Attend MATEC conferences at SSCHC. Attend and participate in monthly Title III Clinical Planning Meetings. Attend and participate in monthly Quality Improvement Meetings. Attend and participate in monthly meetings with the Infectious Disease Specialist. Attend and participate in monthly meetings with Behavioral Health providers who treat HIV patients. QUALIFICATIONS: Registered Nurse with Wisconsin current license. Two years nursing experience *desired*. Experience in Community Health, Public Health or a community agency and direct experience to persons with HIV preferred but not required. Current BLS or ACLS certification. Ability to relate to people from diverse ethnic and cultural backgrounds. Valid Wisconsin driver's license, use of an automobile and current automobile insurance. Bilingual (Spanish/English required.)