Transgender Health Nurse Coordinator

This position is an expert in Transgender clinical care and plays a key role in the coordination of Amida Care’s Utilization Management and Care Coordination for members of transgender experience as well as serves as a resource for the community, Amida Care staff, providers, and transgender and gender nonconforming members.

ESSENTIAL FUNCTONS
Essential functions are job duties and responsibilities that must be performed to accomplish the purpose/ goals of the job.

• Coordinate, in conjunction with Clinical Services, Utilization Management determinations in accordance with Article 49-Utilization Review.
• Ensure pre and post-surgery care coordination is member driven and supports increased health outcomes.
• Liaison with community based organizations to strengthen and enhance referral mechanisms, design and schedule community outreach initiatives and community events for members of transgender experience
• Educate members and providers regarding Plan benefits, policies, and support services available to members
• Perform regular cases reviews and member rounds in accordance with Amida Care’s Model of Care.
• Provide direct services to members, including psychosocial reassessments, risk reduction activities, community outreach, and events targeting individuals of transgender experience living with HIV/AIDS.
• Oversee navigation services for transgender persons and strengthen the coordination and referral system for transgender members in need of clinical and social services
• Provide direct individual interventions including elements of case management and advocacy, referral and follow-up meetings in-person or by telephone
• Provide written and verbal harm reduction information on safer sex strategies, sex work, hormone and silicone use, substance use, disclosure and HIV, STI and Hepatitis transmission
• Engage members and providers when a need is identified that will support improved health outcomes for the behavioral and physical health of members of transgender experience.
• Develop policies and procedures for treatment of transition related member information including written and verbal language
• Conduct aftercare follow-up calls to providers to ensure/track member adherence with appointments post-discharge and record information in the appropriate electronic database.
• Review clinical documentation, claims/utilization data to ensure members are receiving appropriate care and implement strategies to address unmet needs as appropriate.
• Conduct needs assessments to determine appropriate referrals and supports
• Request and process eligibility verification for all TGNB members
• Provide support to the member services call center as it related to GIST needs.

OTHER RESPONSIBILITIES
Include other significant responsibilities needed to accomplish job purpose/goals that are performed on a daily or infrequent basis.

• Strengthen transgender programming across Amida Care including trans competency enhancement for employees
• Provide education on gender affirming procedures, hormone treatment and risk reduction strategies
• Conduct focus groups with members of transgender experience to increase quality of care and services delivered at Amida Care
• Attend continuing education seminars, staff in-services and stay current with relevant literature to maintain familiarity with trends in transgender services
• Ensure member confidentiality and adheres to Confidentiality and Health Insurance Portability and Accountability Act (HIPPA) policies and regulations.

MINIMUM REQUIREMENTS

• Registered Nurse or Nurse Practitioner
• Five (5) years’ experience working with the transgender community, strongly preferred
• Knowledge of transgender surgical procedures, preferred
• Two (2) years’ health care or managed care experience, preferred.
• Two (2) years’ HIV/AIDS, medical, or chronic care experience.
• Bilingual (English/Spanish) preferred
• Strong knowledge of Microsoft Office (Access, Word and Excel).
• Demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
• Demonstrate appropriate behaviors in accordance with the organization’s vision, mission, and values.

Position Description »