Sherman Oaks, California30+ days ago
You will collaborate with the RNMCM and the providers to mutually develop and establish an integrated care plan with each client that identifies patient needs, goals, and a planned course of action to promote readiness for and adherence to complex HIV/AIDS treatments (i.e., counseling, special programs), and meets identified needs; monitor and document the changing needs of the client through personal contact and by reviewing the care plan at each monthly follow-up. For Ryan White contracts that combine psychosocial needs within Medical Care Coordination, you will understand mental health needs, addiction challenges, and basic needs such as housing, food, and clothing and develop relationships with programs and agencies serving those needs and facilitate referrals, support, and assistance for your patients who lack those services.