The Medical Director oversees the day-to-day operations of the clinical operations for Thrive Alabama and is responsible for planning and directing all aspects of the clinic’s medical policies and programs. The Medical Director ensures an efficient system by which quality of health standards is guaranteed to all patients by all providers. Additionally, the Medical Director is a practicing Clinic Physician providing high quality primary care services by diagnosing patient conditions using but not limited to, analyzing reports, test results, medical records, and immediate-family histories and including examinations to diagnose condition of patients and propose treatment options.

 Duties and Responsibilities

1. Responsible for designing, implementing, and evaluating the quality of care for all patients and maintains documentation of clinical procedures and protocols.
2. Provides comprehensive, high quality medical care to patients, regardless of age, sex, gender identification, income, national origin or language at a minimum of 16 hours per week, according to privileges.
3. Leads in Quality Assurance (QA) and Continuous Quality Improvement (CQI) activities,including regularly scheduled meetings, clinical audits and peer reviews; monitored by the Chief Executive Officer and jointly reported to the Board.
4. Works with the medical team to provide a cohesive and proactive environment in effort to enhance patient care.
5. In collaboration with COO, works to improve clinical efficiency and workflows.
6. Provides leadership within the clinic, offering advice and recommendations to the Chief Executive Officer.
7. Provides collaboration for nurse practitioners including consultations, case presentations, chart review, on-the-job training and peer review.
8. Assists in the provision of continuing education, on-the-job training, and the orientation of agency staff as requested.
9. Supervises, advises, counsels and disciplines all providers in conjunction with the Human Resources department. Approves leave for medical providers. 
10. Participates in recruitment/retention activities for medical team as needed. Participates in interviews with medical providers.
11. Participates in short- and long-term program planning for the medical team and the agency, including development of goals and objectives. 
12. Participates in the development of the medical budget, including staffing, support plan and equipment needs projection with on-going monitoring and evaluation. 
13. Participates in the development of medical department policies and procedures in accordance with accreditation requirements and professional standards. 
14. Works cohesively by assisting medical providers in completing their responsibilities as necessary, i.e. covering PTO and seeing patients, processing refill requests, follow up on referrals, covering telephone encounters and documenting jellybeans within EMR. 
15. Performs accurate, legible and timely chart documentation, following clinic policies, federal and state Medicaid and Medicare guidelines in the Electronic Health Records System, locking all charts within 72 hours of the visit. Uses only standard approved abbreviations. 
16. Maintains licensure requirements to include DEA certification and board certification. Fulfills and maintains requirements for credentialing, privileging internally at the agency and externally with payers and regulatory bodies. 
17. Adheres to department policies, procedures and objectives, ongoing quality improvement objectives and safety, environmental, and infection control standards. 
18. Travels and attends meetings as necessary to represent the agency and/or the medical team. 
19. Other duties as assigned by the Chief Executive Officer.

 Knowledge, Skills, and Abilities

• Knowledge base for the management of health issues generally considered part of primary care.
• Knowledge base for managing HIV and Hepatitis C and STI’s or willingness to acquire this knowledge.
• Ability to maintain a posture of continual learning, accommodation to new information, and investment in externally established standards of care.
• Knowledge of HIPAA laws and commitment to protecting the privacy and confidentiality of our patients.
• Ability to effectively communicate with patients about their health and develop a therapeutic relationship to encourage engagement in care.
• Ability to work with patients, caregivers, and staff from diverse populations.
• Ability to establish and maintain effective working relationships with administrative, fellow peers,  and other work related outside agencies. 
• Ability to organize, present, and offer education and training programs. 
• Ability to establish and maintain effective team relationships with other healthcare personnel (internal and external) and the public. 
• Ability to plan, organize and coordinate work assignments.
• Excellent communication and written skills.
• Detail oriented and able to multi-task effectively.
• Ability to work independently and as part of a multi-disciplinary team.
• Ability to work well under pressure analyzes and evaluates individual member’s needs, reach sound conclusions and make appropriate recommendations.

 Software Access

• Microsoft Office
• eClinical Works

Training and Experience or Minimum Qualifications

• Must hold MD or DO degree from an accredited medical school.
• Ten (10) years of experience working with a community clinic is highly desirable.
• At least (5) years within a leadership and/or executive role.
• Must hold a valid Alabama State License with the ability to be a collaborative physician.
• Must be Board Certified or Board eligible in Family Practice or Internal Medicine or other full scope Primary Care Specialty.
• Current DEA license. 
• Current CPR certification and ACLS certification required. 
• Demonstrated experience in the delivery of primary care.

This position will be part of a collaborative team with other physicians, nurse practitioners and ancillary staff to provide acute and chronic primary healthcare services, including comprehensive medical care to patients living with HIV.

Duties and Responsibilities

1. Provide high quality comprehensive medical care to adolescents and adults, primarily, and pediatrics patients, occasionally (if applicable based upon specialty). Clinical care will include general primary care, including primary care for the LGBTQI+ community, as well as medical management of Hepatitis C, HIV, HIV prevention, and STI testing and treatment.
2. Perform and document HPI, physical exam, diagnostic testing, consultations, outside referrals and other necessary evaluation for diagnosis and treatment based upon Evidence Based Medicine.
3. Ensure that diagnostic testing results (labs, imaging, and procedures) and specialty consultation notes are reviewed in a timely manner, and appropriate treatment and follow-up is completed.
4. Document all findings and pertinent data in EMR, and lock all charts in a period, determined by the CFO, COO, and CMO (or designee), not to exceed 72 hours after completion of encounter.
5. Work collaboratively with team of providers and clinical staff to achieve an evidence-based practice, while creating an open and mutually supportive atmosphere for exchange of knowledge and information.
6. Provide telemedicine services as needed to improve access to care and continuity of care within scope of applicable state and federal regulations.
7. Travel to satellite clinics to provide patient care as needed.
8. Provide minor office-based procedures and EKG review, as applicable based upon privileging.
9. Work collaboratively with appropriate specialist(s) to review and treat complex patients and/or refer patients if not within your scope.
10. Serve as a collaborating physician for mid-level practitioners according to the Alabama Board of Medical Examiners standards. Complete all requirements related to the Collaborative Practice Agreement.
11. Serve in on-call rotation for after-hours answering service and daytime point of contact.
12. Screen and refer clients to other community service providers as appropriate.
13. Lead patient care team meetings, including daily huddles.
14. Serve as Physician designee for patient medication and vaccine programs and other patient care programs.
15. Ensure Thrive Alabama’s objectives regarding quality, patient engagement, documentation, coding, and billing are met.
16. Promote clinic’s services to patients and the local community.
17. Assist the team to find ways to maximize practice efficiency by reducing waste and promoting quality and process improvement.
18. Work with clinical leadership to develop healthcare protocols, procedures, forms, and standing orders as appropriate to standardize and improve care.
19. Participate in Quality Improvement Committee and QI projects as assigned.
20. Participate in Peer Review activities as assigned.
21. Educate staff, patients, and community on prevention, treatment, and interventions as it pertains to health conditions.
22. Compliance with agency compliance standards, including Standards of Conduct, as well as compliance policies and procedures. Such compliance will be an element considered as part of regular performance evaluations.
23. Assist in precepting students and residents as needed.
24. Adhere to all Thrive Alabama policies and procedures, including those related to grant and funding requirements.
25. Maintain continuing education as required by the Alabama Board of Medical Examiners and Medical Licensure and respective American Board of Family/Internal Medicine to ensure continued licensure and certification.
26. Maintain active BLS certification.
27. Assume all other responsibilities that are assigned by Chief Medical Officer (or Designee) or Chief Operating Officer.

Knowledge, Skills, and Abilities

• Knowledge base for the management of health issues generally considered part of primary care.
• Knowledge base for managing HIV and Hepatitis C and STI’s or willingness to acquire this knowledge.
• Ability to maintain a posture of continual learning, accommodation to new information, and investment in externally established standards of care.
• Knowledge of HIPAA laws and commitment to protecting the privacy and confidentiality of our patients.
• Ability to effectively communicate with patients about their health and develop a therapeutic relationship to encourage engagement in care.
• Ability to work with patients, caregivers, and staff from diverse populations.
• Ability to effectively, respectfully, and professionally communicate with management, staff, colleagues, and the public.
• Ability to organize, present, and offer education and training programs.
• Ability to establish and maintain effective team relationships with other healthcare personnel (internal and external) and the public.
• Ability to plan, organize and coordinate work assignments.

Software Access

• Microsoft Office
• eClinical Works

Training and Experience or Minimum Qualifications

• D. or D.O. with a specialty in Internal Medicine or Family Medicine
• Current board certification by the American Board of Family Medicine (ABFM), the American Osteopathic Board of Family Medicine (AOBFM), American Board of Internal Medicine (ABIM) or American Osteopathic Board of Internal Medicine (AOBIM)  
• Eligible for DEA registration and Qualified Alabama Controlled Substances Certificate
• Eligible as a Physician Collaborator in Collaborative Practice Agreements
• BLS certified

The HR generalist performs human resources-related duties at the professional level and may carry out responsibilities in some or all of the following functional areas: employee relations, training, employment, labor relations, affirmative action and employment equity programs.

Duties and Responsibilities

• Maintains all employee and applicant documentation as directed.
• Manages and tracks all employee disciplinary action.
• Coaches, counsels and guides managers before executing employee disciplinary actions.
• Maintains and processes all Unemployment Notices of Entitlement and potential charges in a timely, efficient manner. Attends unemployment hearings when necessary.
• Assists with recruitment tasks as needed (reviews applications, interviews).
• Acts as an employee relations specialist.
• Monitors tardy and absenteeism reports and ensures proper documentation is issued on employees who have excessive tardiness or absenteeism problems.
• Maintains, updates and distributes the employee phone list.
• Ensures compliance with USCIS Form I-9 Employment Eligibility Verification; periodically audits Forms I-9.
• Distributes and monitors employee performance evaluations and ensures they are done in a timely manner (i.e., three months, six months, one year and yearly thereafter).
• Reports, maintains and monitors all workers' compensation case files; follows-up on open cases.
• Monitors employee eligibility for benefits plans. Reviews benefits with employees and processes enrollment, cancellation or changes. Verifies benefit billing accuracy and processes for payment.
• Administers COBRA for group health plans.
• Acts as payroll and time clock backup for Director.
• Maintains and coordinates employee recognition programs.

Knowledge, Skills, and Abilities

• Knowledge of HR principles and practices
• Knowledge of employment law
• Ability to use Microsoft Office programs and other relevant software.
• Ability to communicate orally and in writing
• Ability to maintain effective relationships with all levels of staff.
• Ability to plan, organize and coordinate work assignments
• Ability to be discrete and ethical
• Ability to manage employee conflicts and solve problems
•  

Software Access

Microsoft Office

Cabinet

Minimum Qualifications

Associates Degree and two years HR experience; or six years of HR experience can substitute for the required education and training experience.

The Family Nurse Practitioner position will be part of a collaborative team with other physicians, nurse practitioners and ancillary staff to provide acute and chronic primary healthcare services, including comprehensive medical care to patients living with HIV. This is a full-time position.

 Duties and Responsibilities:

1. Provide high quality comprehensive medical care to adolescent and adult patients. Clinical care will include general primary care, including primary care for the LGBTQI+ community, as well as medical management of Hepatitis C, HIV, HIV prevention, and STI testing and treatment.
2. Perform and document HPI, physical exam, diagnostic testing, consultations, outside referrals and other necessary evaluation for diagnosis and treatment based upon Evidence Based Medicine.
3. Ensure that diagnostic testing results (labs, imaging, and procedures) and specialty consultation notes are reviewed in a timely manner, and appropriate treatment and follow-up is completed.
4. Document all findings and pertinent data in EMR, and lock all charts in a period, determined by the CFO, COO, and CMO (or designee), not to exceed 72 hours after completion of encounter.
5. Work collaboratively with team of providers and clinical staff to achieve an evidence-based practice, while creating an open and mutually supportive atmosphere for exchange of knowledge and information.
6. Provide telemedicine services as needed to improve access to care and continuity of care within scope of applicable state and federal regulations.
7. Travel to satellite clinics to provide patient care as needed.
8. Provide minor office-based procedures and EKG review, as applicable, based upon privileging.
9. Work with collaborating physician according to the Alabama Board of Medical Examiners and Alabama Board of Nursing standards and regulations. Work with the collaborating physician to review complex patients and quality of care based on evidence based and/or medically validated clinical practices as well as completeness of care.
10. Work collaboratively with physician collaborator and/or appropriate specialist(s) to review and treat complex patients and/or refer patients if not within your scope.
11. Share in an on-call rotation for after-hours answering service and daytime clinic point of contact.
12. Screen and refer clients to other community service providers as appropriate.
13. Lead patient care team meetings, including daily huddle.
14. Assist the team to find ways to maximize practice efficiency by reducing waste and promoting quality and process improvement.
15. Work with clinical leadership to develop healthcare protocols, procedures, forms, and standing orders as appropriate to standardize and improve care.
16. Participate in Quality Improvement Committee and QI projects as assigned.
17. Participate in Peer Review activities as assigned.
18. Educate staff, patients and community on prevention, treatment, and interventions as it pertains to health conditions.
19. Compliance with agency compliance standards, including Standards of Conduct, as well as compliance policies and procedures. Such compliance will be an element considered as part of regular performance evaluations.
20. Assist in precepting students and residents as needed.
21. Ensure Thrive Alabama’s objectives regarding quality, patient engagement, documentation, coding, and billing are met.
22. Promote the company’s services to patients and to the local community.
23. Adhere to all Thrive Alabama policies and procedures, including those related to grant and funding requirements.
24. Maintain continuing education as required by the Alabama Board of Nursing to ensure continued licensure and employment.
25. Maintain active BLS certification.
26. Assume all other responsibilities that are assigned by Chief Medical Officer or Chief Operating Officer.

 Knowledge, Skills, and Abilities

• Knowledge base for the management of health issues generally considered part of primary care.
• Knowledge base for managing HIV, Hepatitis C and STI’s or willingness to acquire this knowledge.
• Knowledge of nurse practitioner principles, practices and techniques.
• Ability to maintain a posture of continual learning, accommodation to new information, and investment in externally established standards of care.
• Knowledge of HIPAA laws and commitment to protecting the privacy and confidentiality of our patients.
• Ability to effectively communicate with patients about their health and develop a therapeutic relationship to encourage engagement in care.
• Ability to work with patients, caregivers, and staff of diverse populations.
• Ability to effectively, respectfully, and professionally communicate with management, staff, colleagues, and the public.
• Ability to organize, present, and offer education and training programs.
• Ability to establish and maintain effective team relationships with other healthcare personnel (internal and external) and the public.
• Ability to plan, organize and coordinate work assignments.

Software Access

•         Microsoft Office
•         eClinical Works

 Training and Experience or Minimum Qualifications

• Certified Family Nurse Practitioner in compliance with Alabama Board of Nursing
• Minimum experience of 2 years as an actively practicing nurse practitioner
• Obtain and maintain Collaborative Practice Agreement
• Eligible for DEA registration and Qualified Alabama Controlled Substances Certificate
• BLS certified

This position is responsible for managing patient appointments, patient information and payment processing through accurate and timely data entry. This position will have dual supervision when working in a satellite clinic: time and attendance will fall under the Clinic Manager and all duties below will fall under the Patient Access Manager.

Duties and Responsibilities.

1. Conduct insurance eligibility and intake process to include financial assistance interviews. After collecting all required documentation, explain insurance benefits, copay obligations, service fee requirements per sliding fee scale to patients: collect copays/fees post to patient EMR account.
2. Schedule/cancel/reschedule all appointments according to patient request and/ or scheduling guidelines including those requested through Healow or EMR portal.
3. Ensure that all required patient demographic information is entered and updated as required in both EMR and CAREWare. Enter all medical encounters into CAREWare. Obtain photo ID, insurance cards and take patient photos using the kiosk for medical record.
4. Ensure that Release of Information (ROI), HIPPA and Patient Consent are obtained on all patients, updated as needed and scanned in the patient’s Electronic Medical Record (EMR). Scan all medical records and lab documents into EMR for clinic.
5. Answer multiline telephones, route calls and mail/correspondence to appropriate depts. Document patient communication and assign telephone encounters from answering service messages from the day prior.
6. Ensure services provided are in accordance with HRSA designation standards.
7. Assist in collecting structured data for UDS reporting
8. Arrange for special patient needs prior to the appointment date/time; interpreter, wheelchairs, transportation, etc.
9. Ensure patients are greeted in a professional manner.
10. Enroll all patients in patient portal, Healow app and instruct patient on Kiosk use.
11. Ensure patient has received all services scheduled for before checking out.
12. Ensure that Ryan White funds are the payer of last resort while fulfilling the needs of the clients.
13. Review patient appointments for the following clinic day, make reminder calls.
14. Respond to questions/issues related to patient insurance and bills.
15. Obtain patient satisfaction survey on all patients
16. Explain patient policy and procedures to patient for no shows, payment plans, etc.
17. Reconcile cash drawer to ensure accuracy and prepare the drop at end of each day.
18. Travel is required to attend meetings, seminars and to cover satellite clinics as needed.
19. Fax all medical records requests and follow-up to ensure receipt of requested records.
20. Participate in quality improvement projects as directed by manager.
21. Attending team meetings.
22. All other duties assigned by supervisor

Knowledge, Skills, and Abilities

• Knowledge of HIPAA laws.
• Knowledge of Ryan White or other grant requirements.
• Knowledge of basic bookkeeping
• Knowledge of the procedures and practices for receiving, disbursing and depositing cash.
• Ability to deal with the public in a tactful and courteous manner.
• Knowledge of the basics of HIV transmission, disease process and prevention.
• Ability to communicate effectively.
• Ability to establish and maintain effective working relationships with others.

Software Access

• Microsoft Office
• eClinical Works
• CAREWare
• Healow Agent
• Adobe Reader
• Join Me

 Minimum Qualifications

• A high school diploma and one year of clerical experience in a medical environment.
• A GED may substitute for the required high school diploma

Duties and Responsibilities

1. Perform triage of patients with documentation to include, but not limited to, HPI, medication reconciliation, medical history, family history, social history, vital signs and preventive medicine.
2. Administers medications, immunizations and therapeutic injections as ordered by the provider while following 340b and ADAP guidelines.
3. Assist Provider(s) with examinations, refilling medications, reviewing lab results, in house procedures, facilitating referrals and prior authorizations with appropriate documentation.
4. Review daily charts with providers to address patient preventive healthcare maintenance, immunization schedule, potential risk factors and CDSS alerts.
5. Report any significant patient conditions or reactions to medications or procedures immediately to the provider or supervisor.
6. Provide coverage for late clinic as scheduled by supervisor.
7. Assist in the evaluation of patient encounters in regards to coding in the EMR for procedures to optimize billing.
8. Notify patient of lab results, procedure results and referral appointments.
9. Explain ordered procedures or treatments to patients.
10. Assist SW staff with required refills for ADAP, PAP or Curant programs.
11. Input patient data into EClinicalWorks and Careware.
12. Sanitize and restock supplies used in exam rooms as needed.
13. Set up AV equipment for Telemedicine and assist Provider(s) in seeing patients via Telemedicine.
14. Participate in team meetings.
15. Participate in Quality Improvement projects as directed by the Quality Manager.
16. Maintain active CPR certification.
17. Other responsibilities assigned by Director of Nursing.

 Knowledge, Skills, and Abilities

• Knowledge of HIPAA laws.
• Knowledge of HIV transmission, prevention and disease process
• Ability to work independently with minimum supervision.
• Basic computer literacy skills including but not limited to EMR, MS, Excel and CAREWare.
• Ability to work with patients, significant others and staff from diverse populations.
• Ability to effectively communicate with staff and patients.

Software Access

• Microsoft Office
• eClinical Works
• CAREWare

 Minimum Qualifications

A Certificate, Diploma or Associates degree in Medical Assistant. Certification as a Medical Assistant or as a Certified Clinical Medical Assistant (CCMA) by the National Health Career Association (NAH), 0-5 years of experience, bilingual preferred

Special Note:  Every two years, successfully complete 10 C.E.U.s in medically related courses.

This position provides mental health counseling to Thrive Alabama clients who qualify.

Duties and Responsibilities:

1. Provide evidence-based individual mental health counseling to adults receiving services at Thrive Alabama (TA), including those at risk of or living with HIV and other chronic diseases; the effects of trauma and violence; substance use; grief and loss; and life transitions.
2. Provide evidence-based group treatment to individuals coping with similar life stressors (e.g. depression, anxiety, trauma, grief, HIV or GAT).
3. Use a variety of evidence-based therapies in collaboration with clients, dependent upon clients’ assessed needs and progress, including cognitive-behavioral therapies, behavioral therapies, and trauma-focused therapies.
4. Collaborate with mental health counselors, social workers, substance use counselors and staff, nurses, laboratory technicians, health education staff, medical providers, managers, and other staff, to ensure quality, comprehensive client care.
5. Plan and facilitate treatment and/or support groups in Huntsville and satellite clinics when there is an appropriate number of people for who express a commitment to participate in a particular group (e.g., HIV, grief, and loss; trauma-recovery; coping with anxiety, GAT).
6. Provide evidence-based individual counseling at all satellite clinics, as assigned, either face-to-face or through telehealth.
7. Provide clinical supervision of interns if assigned by Director of Behavioral Health.
8. Coordinate and integrate mental health services with other agency services by actively participating in weekly interdisciplinary team meetings (ITM) as assigned.
9. Document services and other contacts in a timely manner, per current policies and procedures, using electronic medical software and complete any reports assigned by the department director.
10. Create, implement, and update individualized treatment plans, based on a biopsychosocial assessment of individual clients and discharge clients when treatment goals are met per policies and procedures.
11. Complete daily, weekly, monthly, biannual, and/or other requested reports in a timely manner, including peer reviews of other counselors’ client documentation.
12. Provide crisis intervention services as assigned by Director of Behavioral Health. 
13. Assist the director with revision of counseling-related policies and procedures, forms, in accordance with agency, state and federal policies and counseling best practices.
14. Collaborate with the Director of Behavioral Health on quality improvement or enhancement of department activities.
15. Perform duties consistent with agency, state of Alabama, regulatory bodies, and federal policies, procedures, and statutes.
16. Complete responsibilities associated with any assigned grant-funded activities.
17. All other duties as assigned by Director of Behavioral Health.

 Knowledge, Skills, and Abilities

1. Knowledge of the concepts and principles of assessment and treatment in counseling and behavioral healthcare, including evidence-based techniques, to provide appropriate care for clients with identified mental health needs, including any related to trauma, grief and loss and substance use.
2. Strong knowledge of ethics and legal duties regarding mental health counseling with individuals, families, and groups.
3. Knowledge and skills regarding provision of evidence-based individual and group therapy.
4. Knowledge and skills regarding diversity, cultural competency, and cultural humility.
5. Knowledge and skills regarding human development, family life cycles, stages of group development.
6. Knowledge and skills regarding crisis intervention, suicide prevention and intervention, and violence prevention.
7. Knowledge and skills regarding human behavior across the lifespan, from cradle to grave.
8. Knowledge and skills regarding trauma-informed care for survivors of trauma and violence.
9. Knowledge and skills regarding effective and ethical use of telehealth services in behavioral health.
10. Ability to interact effectively with clients and families from diverse populations.
11. Strong desire to work with stigmatized populations, including men who have sex with men (MSM), persons living with HIV/AIDS, and persons identifying as LGBTQ.
12. Ability to establish and maintain effective relationships with team members, other healthcare professionals, Thrive stake holders, and the public.
13. Strong verbal and written communication skills.
14. Ability to operate a vehicle and willingness to travel to satellite locations as needed.

 Software Access

      Microsoft Office

     eClinical Works (eCW)

 Minimum Qualifications

• Candidate must be a Licensed Independent Clinical Social Worker (LICSW), with Private Independent Practice (PIP) certification preferred,
• or a Licensed Professional Counselor (LPC).
• Certification(s) in trauma focused therapy, grief, and loss, and/or substance use preferred.
• Spanish or American Sign Language preferred.
• Maintain LPC or LICSW licensure in accordance with Alabama law.