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 Outreach Specialist is responsible for engaging and building trusting relationships with individuals affected by substance use, mental health disorders, HIV/AIDS and STIs, racial inequities and other risks. The Outreach Specialist recruits individuals at various community-based settings, conducts HIV and Hepatitis C (HCV) rapid testing, and engages individuals through individual and group interventions to promote access to healthcare services including medical care for HIV/HCV and PrEP.

Duties and Responsibilities

1. Conduct HIV and Hepatitis C (HCV) rapid testing at assigned offices, on the Mobile Testing Unit and during community-based outreach for population(s) of focus.
2. Provide counseling and education to testing participants about risk reduction activities and support referrals for individuals with both positive and negative test results.
3. Develop trusting relationships with clients served and act as an advocate for their healthcare needs.
4. Provide education to clients and the community with information about PrEP and how to receive services, coordinating with the HIV Prevention Coordinator and/or PrEP Case Manager.
5. Regular communication with other departments for continuity of care, linkage to care, and referrals.
6. Recruit, screen, and enroll individuals for health education programs.
7. Provide education around sexual health, HIV/AIDS, and biomedical HIV prevention services (e.g., PrEP and PEP) via presentations and tabling at local health fairs and other events in the community.
8. Develop and implement culturally relevant health education programs, materials, and events to teach people about HIV/HCV, PrEP and other health topics.
9. Plan and conduct innovative outreach events for rapid HIV and Hepatitis C testing in nonclinical settings, community education, and HIV/HCV awareness.
10. Identify and build relationships with business, venues and agencies that provide services to persons at risk of HIV and Hepatitis C, to encourage referrals to Thrive Alabama programs.
11. Expand the accessibility of testing services and a referral network through developing collaborative partnerships including with: nonprofit organizations, school systems, colleges and universities, churches and other gathering venues, community events, etc.
12. Provide tailored and culturally sensitive educational materials for youth, minorities and LGTBQ+ individuals.
13. Work collaboratively with other LGBTQ+, minority and allied agencies for outreach aimed at building organizational capacity.
14. Submit required forms within specified time frames and maintain accurate and up to date field notes and reports.
15. Submit program and staff reports to Director as required.
16. Attend regular Health Education and staff development meetings.
17. Works with supervisor on promotion of events and outreach materials.
18. Assist in other functions or duties in the department as needed.
19. Participate in continuous quality improvement initiatives.
20. All other duties as assigned.

Knowledge, Skills, and Abilities

• Knowledge of HIPAA privacy and security rules.
• Knowledge of the basics of HIV and Hepatitis C transmission, disease process and prevention.
• Ability to establish and maintain effective working relationships with others.
• Ability to communicate effectively, verbally and in writing.
• Ability to deliver public presentations.
• Ability to work independently and as part of a team.
• Ability to work with diverse populations.

• Ability to operate a vehicle and willingness to travel.

Software Access

• Microsoft Office
• CAREWare
• HADIS

 Minimum Qualifications

 A bachelor’s degree and at least one year experience in community engagement, human services, education, public health, communication, or social work.

OR

At least one-year experience in Human Services field providing outreach and supportive case management services to at-risk and/or homeless population (advocacy, housing placement, etc.), preferably working with HIV+ population and/or population(s) at high risk for HIV infection.

OR

A person with lived experience with HIV/AIDS, HCV, other communicable diseases, homelessness, substance use disorder, and/or another group impacted by healthcare disparities, who will utilize their experiences and knowledge to help inform community members about available healthcare and health promotion opportunities coordinated by Thrive Alabama.

 Equivalent experience or credentials will be considered.

 Bicultural Skills and Bilingual in English and Spanish strongly preferred; fluency required.

 Diverse candidates with marginalized/vulnerable population identities strongly encouraged to apply. Any combination of skills, experience and educational background will be considered.

 Special Note:  Must maintain a current Alabama Driver’s License.  Evening and weekend work is required.

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 Pediatric Physician position will be part of a collaborative team with physicians, other nurse practitioners and ancillary staff to provide acute and chronic healthcare services to pediatric patients of Thrive Alabama. 

Duties and Responsibilities

• Provide high quality comprehensive medical care to pediatric and adolescent patients.
• Perform and document HPI, physical exam, diagnostic testing, consultations, outside referrals and other necessary evaluation for diagnosis and treatment based upon Evidence Based Medicine.
• 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.
• 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 1 week after completion of encounter.
• 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.
• Provide telemedicine services as needed to improve access to care and continuity of care within scope of applicable state and federal regulations.
• Travel to satellite clinics to provide patient care as needed.
• Provide minor office-based procedures as applicable based upon privileging.
• 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.
• Work collaboratively with appropriate specialist(s) to review and treat complex patients and/or refer patients if not within your scope.
• Share in an on-call rotation for after-hours answering service and daytime point of contact.
• Screen and refer clients to other community service providers as appropriate.
• Lead patient care team meetings.
• Serve as Physician designee for pediatric vaccine programs and/or any other pediatric patient assistance programs.
• Work with clinical leadership to develop healthcare protocols, procedures, forms, and standing orders as appropriate to standardize and improve care.
• Assist the team to find ways to maximize practice efficiency by reducing waste and promoting quality and process improvement.
• Participate in Quality Improvement Committee and QI projects as assigned.
• Participate in Peer Review activities as assigned.
• Educate staff, patients and community on prevention, treatment, and interventions as it pertains to health conditions.
• Assist in precepting students and residents as needed.
• Ensure Thrive Alabama’s objectives regarding quality, patient engagement, documentation, coding, and billing are met.
• Promote the company’s services to patients and to local community.
• Adhere to all Thrive Alabama policies and procedures, including those related to grant and funding requirements.
• Maintain continuing education as required by the Alabama Board of Medicine and respective Family/Pediatric American Board, to ensure continued licensure, certification, and employment.
• Maintain active BLS certification.
• 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 considered part of Pediatric Medicine and primary care.
• Ability to maintain a posture of continual learning, accommodation to new information, and investment in externally established standards of care.
• Ability to effectively communicate with patients and caregivers about their health and develop a therapeutic relationship to encourage engagement in care.
• Ability to collaborate with patients, caregivers, and staff from diverse populations.
• Knowledge of HIPAA laws and commitment to protecting the privacy and confidentiality of our patients.
• 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 work with patients, caregivers, and staff from diverse populations.
• 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

• M.D. or D.O. with a specialty in Pediatric medicine
• Current board certification by the American Board of Pediatric Medicine (ABP)
• Eligible for DEA registration and Qualified Alabama Controlled Substances Certificate
• Eligible as a Physician Collaborator in Collaborative Practice Agreements
• 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

The Integrated Behavioral Health Counselor is responsible for providing evidence-based behavioral healthcare services to diverse populations, for a variety of emotional and psychiatric problems. As part of an integrated behavioral health and primary medical care practice, they provide initial patient screenings, assessments, crisis intervention, brief individual counseling, short-term group therapy, care coordination, case management, and follow-up. This professional provides a combination of brief, targeted interventions, and short-term outpatient counseling to individuals across the lifespan and shares responsibility for ensuring adequate coverage of intakes and crisis intervention within the primary care setting.

 Duties and Responsibilities:

1. Deliver short-term individual, group, and family therapy; crisis assessment and intervention; case management; behavioral health psychoeducation; and referral services onsite, co-located with medical providers.
2. Complete risk assessments of individuals in crisis, including those experiencing suicidality and homicidality, using evidence-based tools to assist with safety planning
3. Provide crisis intervention, crisis management, and follow-up to maintain safety of patients and others.
4. Conduct patient-centered, strengths-based, culturally and linguistically sensitive mental health status examinations, DSM-IV-TR diagnostic screenings, and psychosocial assessments.
5. Use evidence-based tools to detect patients at high risk of specific issues and outcomes and use results to inform brief treatment that prevents further psychological deterioration.
6. Collaborate with patients to develop individualized treatment plans, based on measurable patient-centered goals, objectives, and intervention strategies.
7. Provide brief behavioral health interventions using evidence-based techniques and treatments, as appropriate to the individual patient achieve optimal wellness.
8. Determine ongoing behavioral healthcare services based on level of clinical ability, medical, and psychosocial complexity of patient needs, and when needed, refer those with complex needs to other behavioral health providers for longer-term treatment.
9. Assist in providing comprehensive team-based care to achieve the highest level of recovery and wellness possible for patients, including assisting the team, when requested, in recognizing and treating mental health disorders and the impact of these issues on patient readiness to change, motivation, and adherence to care.
10. As a member of the multidisciplinary team, participate in clinical meetings, consultation, team huddles, quality assurance, and pre-appointment planning activities.
11. Identify the need for and assist in development, implementation, and evaluation of issue-specific short-term treatment groups.
12. Complete documentation of all patient encounters in the Electronic Medical Record. (EMR) system in a timely manner, following best practices and agency policies.
13. Participate in a comprehensive quality improvement process, including peer review of other counselors’ documentation.
14. Provide case management and referrals to needed behavioral health resources and services external to the agency.
15. Maintain licensure and certifications, complying with all requirements of licensure boards and certifying bodies.
16. Other duties and/or special projects as assigned.

Knowledge, Skills, and Abilities

• Knowledge of the concepts and principles of assessment and treatment in individual, group, and family counseling and short-term treatment, including evidence-based techniques, tools, and therapies.
• Knowledge of ethics, ethical obligations, laws, and legal duties in behavioral healthcare.
• Knowledge and skills regarding diversity, cultural competency, and cultural humility.
• Knowledge and skills regarding human development and behavior across the life span, family development and family life cycles, and stages of group development.
• Knowledge and skills regarding crises, crisis prevention, and crisis intervention, including crises involving harm or violence to self or others.
• Knowledge and skills of trauma-informed care for survivors of trauma or violence.
• Knowledge and skills regarding effective use of telehealth services in behavioral health.
• Ability to establish and maintain effective relationships with team members, other healthcare professionals, community stakeholders, and the public.
• Strong verbal and written communication skills.

 Software Access

•  Microsoft Office                      
•  eClinical Works (eCW)

 Minimum Qualifications

•  Licensed Independent Clinical Social Worker (LICSW) or Licensed Professional Counselor (LPC).
• Minimum 3 years employment in behavioral healthcare
• Ability to be credentialed by CMS and insurance providers
• Two (2) years work experience in a medical setting preferred
• Ability to speak Spanish preferred