Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

The Care Manager-HIV Specialist monitors the health and utilization patterns of members living with HIV, providing support and assistance to those who need it. The HIV specialist is responsible for monitoring, tracking and reporting the viral load on all members identified with HIV. When viral load data is not available in CDPHP lab data, the specialist will research all alternative data available to find this information. A major responsibility of the HIV Specialist is to build relationships with local care providers and community partners and collaborate in lab data sharing to expand on what is available via claims. The HIV Specialist will act as the clinical resource for all HIV campaigns and related messaging and provide member/community education when appropriate. Outreach will include, but is not limited to, health education related to other chronic health conditions and member communication about gaps in care. The HIV Specialist is responsible and accountable for coordinating the care of CDPHP members who meet criteria for case management across the continuum of care; ensuring and facilitating the achievement of quality, clinical and cost outcomes; assessing the physical and social needs as well as coordinating services and resources needed by the member and when appropriate, arranges, coordinates, monitors, evaluates and advocates for services to meet the member’s needs.

Qualifications:

• Registered Nurse with a current New York State license or Masters in Social Work with a current New York State License and certification is required.

• Associate degree or two (2) years of equivalent experience required

• Certified Case Manager (CCM) certification preferred.

• Minimum of three (3) years’ clinical experience is required.

• HMO or managed care experience preferred.

• Case management experience preferred.

• Experience with chronic condition management required.

• Experience with infectious disease management/HIV care preferred.

• Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required.

• Demonstrated problem solving, organizational skills and ability to interact with providers and members to positively impact the quality of patient care.

• Demonstrated ability to provide case management for complicated members with multiple comorbidities and HIV diseases.

• Demonstrated ability to work collaboratively on a team.

• Demonstrated ability to communicate effectively with members with varying levels of education, health literacy and understanding.

• Demonstrated ability to work with a diverse population.

• Ability to navigate system applications with accuracy.

• Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.

• Demonstrated ability to interact with providers and members to positively impact the quality of patient care.

• Demonstrated ability to review health care delivery against established criteria.

• Demonstrated ability to manage multiple projects in conjunction with a frequently changing patient caseload.

• Demonstrated ability to work with and maintain confidential information.

• Demonstrated ability to work independently.

• Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.

• Excellent verbal and written communication skills.

• Flexibility to adapt to a changing and fast-paced environment.

• Ability to travel to a variety of sites across CDPHP service area, during regular business hours, evenings and possibly weekends may be required.

  CDPHP salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. In addition to cash compensation, CDPHP employees may be eligible for an incentive payment, a discretionary cash reward based on employee and company performance. Some roles may also be eligible for overtime pay.

  CDPHP compensation packages go far beyond just salary. The company offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work environment, and much more. Learn about all CDPHP employee benefits at https://www.cdphp.com/about-us/jobs/benefits .

  As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

  CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.