Ryan White Program Case Manager Jobs in Florida (NOW HIRING)

OPS REGISTERED NURSE - 64856212

OPS Registered Nurse serves as the HUG - ME Nurse for Area 15 (St. Lucie, Martin, Okeechobee, and Indian River counties), providing family-centered care coordination to pregnant and postpartum women living with HIV and HIV-exposed or HIV-positive infants. Working under the Community Health Nursing supervisor, the OPS HUG- Me Nurse serves clients in homes, hospitals, clinics, provider offices, and community settings. Independent travel and use of a personal vehicle may be required. All FDOH confidentiality and information-security requirements apply.

Care Coordination and Case Management:

• Assess client and family needs and develop, implement, monitor, and evaluate individualized care coordination plans.
• Review clinical records and laboratory results and ensure timely follow-up, referrals, and linkage to medical and supportive services.
• Collaborate with Healthy Start, TOPWA, Ryan White, HIV Surveillance, DIS, hospitals, medical providers, laboratories, pharmacies, and community partners.
• Provide nursing consultation, education, crisis support, home and hospital visits, appointment assistance, case staffing, and other services needed for continuity and retention in care.

Maternal and Infant HIV Services:

• Educate women about HIV testing, treatment, viral suppression, prevention of perinatal transmission, medication adherence, prenatal and postpartum care, and family-planning services.
• Meet with mothers before hospital discharge when possible and link mothers and infants to specialty care, medication, laboratory services, transportation, and other supports.
• Coordinate care for HIV-exposed or HIV-positive infants through 18 months of age, including discharge medication, adherence, diagnostic testing, appointments, and specialty follow-up.
• Teach and support parents or guardians in safely caring for the infant and participating in ongoing care coordination.

Provider and Program Support:

• Educate obstetric, pediatric, hospital, public health, and community providers on current perinatal HIV guidance and serve as an Area 15 nursing resource.
• Co-chair monthly Mama Bear meetings or calls and participate in required meetings, trainings, client staffing, and outreach events.

Documentation and Reporting:

• Document services at the time of care, maintain required client files, and enter accurate and confidential data into HMS, Careware, EARs, and program tracking systems.
• Complete required weekly, monthly, quarterly, Ryan White, HRSA, and annual RSR reports and maintain Mama Bear and Baby Bear spreadsheets.

Administrative and Emergency Responsibilities:

• Maintain professional communication, current clinical and program knowledge, and confidentiality under DOHP 50-10-10 and assigned Security Level 3 requirements.
• Perform assigned emergency, shelter, disaster-preparedness, outreach, and other related duties, including work outside normal hours when required.

Required Knowledge, Skills, and Abilities:

• Knowledge of prenatal, intrapartum, postpartum, interconception, and HIV-exposed infant care in accordance with current HHS/NIH Perinatal HIV Clinical Guidelines and applicable Florida Department of Health policies and procedures.
• Knowledge of public-health nursing principles, family-centered care coordination, case management, confidentiality requirements, and community resources.
• Ability to review clinical information, establish priorities, coordinate multidisciplinary services, educate clients and providers, document accurately, and work independently in community settings.
• Computer proficiency sufficient to use HMS, Careware, spreadsheets, electronic records, communication platforms, and other required systems.

Qualifications:

• Minimum; current, valid Florida Registered Nurse license in accordance with Chapter 464, Florida Statutes.
• Current CPR certification.
• Valid Florida driver's license.
• Case Management Experience Preferred: One year Department of Health Experience.
• One year of Maternal Health Experience.

Location: Fort Pierce, Florida