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 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

This position’s responsibilities relate to Thrive’s intensive outpatient substance use treatment program (Den IOP), including co-facilitating treatment groups, providing basic case management case management, and conducting outreach education to community agencies on behalf of the program and department. Then IOP program is currently held in the evenings three days a week. 

Duties and Responsibilities

1. Conduct substance use and mental health screenings (e.g., ASSERT/SBIRT, ACES, GPRAs) and complete intake paperwork (e.g., consent to treatment, notification of client rights and responsibilities) for the individuals in the admission process for Den IOP.
2. Co-facilitate groups in the intensive outpatient substance use treatment program (Den IOP), with the Project Coordinator, or other assigned staff, using the Matrix Model, and ensure all areas used during groups are immediately cleaned and returned to original layout.
3. Increase the visibility of the department and Den IOP in the community by performing outreach activities at venues relevant to the priority populations, and document outcomes of activities.
4. Provide basic case management (referrals, linkage to resources, transportation) for Den clients, including attending drug and mental health court as needed for court-mandated participants.
5. Effectively communicate substance use, co-occurring disorders, HIV, Hepatitis C and other health-related needs to individuals from priority populations and to community partners, using language readily understood by the intended audiences.  
6. Facilitate the scheduling, implementation, and follow-up of random drug screenings (urinalyses) and breathalyzer tests for Den clients.
7. Offer HIV and Hepatitis C prevention education, testing and referral for treatment for clients, or potential clients, for Den IOP and department clients and at community outreach events.
8. Assist with discharge planning for Den IOP clients, including aftercare planning.
9. Document all services provided to Den IOP clients in a timely manner, using clear writing and following clinical documentation protocols, based on program and agency guidelines.
10. With approval by the Substance Use Manager and Project Coordinator, assist with planning and coordinating events to benefit Den participants, including Den IOP graduation.
11. With approval of the Director, collaborate with local organizations, universities, and community partners to organize speakers for Den IOP, Den graduation, and other department events.
12. Provide insight to staff and clients related to recovery from substance use, trauma, and/or mental illness, including the role of stigma as an obstacle to recovery, and offer insight to enhance competency, such as strategies for effective communication with priority populations of the Den.
13. Attend weekly staff meetings to provide input about clients’ progress in treatment and record outcomes of meetings, in accordance with departmental policies and procedures.
14. Transport Den IOP and behavioral health clients to and from the agency for treatment, supportive services and agency-sponsored events, and when feasible, transport clients and to and from recovery-related appointments at other agencies.
15. Complete all assigned tasks, documentation, and Relias continuing education training in a timely manner, following departmental and agency guidelines.
16. All other duties as assigned.

Knowledge, Skills, and Abilities

• Knowledge and skills related to treatment of substance use and co-occurring disorders, including harm reduction strategies, stigma as an obstacle in treatment, and the roles of self-help and community support in facilitating substance use recovery.
• Strong desire to work with people from individuals from underserved populations, including racial and ethnic minorities, people who identify as LGBTQIA, and men who have sex with men (MSM).
• Knowledge of the concepts and principles of effective event planning, community organization and case management for populations served by Thrive Alabama.
• Ability to communicate and maintain effective working relationships with people from diverse backgrounds.
• Understanding of HIPAA standards and practices regarding confidentiality in healthcare, along with understanding confidentiality in substance use treatment, including 42 CFR Part II.
• Basic understanding of trauma-informed care, case management and community resources, cognitive-behavioral therapy, and motivational interviewing applied to substance use treatment.
• Knowledge and skills related to HIV and Hepatitis C prevention education and referral for testing and treatment.
• Working knowledge and skills regarding software and computer use, including Microsoft Office, Excel databases, and use of electronic medical records for documentation.
• Ability to operate a vehicle and willingness to travel throughout a 12-county service area.
• Ability to lift and carry a minimum of 30 pounds, sit for extended periods of time, and walk between office buildings.

Software Access

•  Microsoft Office
• eClinical Works

 Minimum Qualifications

Qualified applicant must have:

1. Bachelor’s degree in social work, psychology, or related field (licensure preferred)
2. One (1) year of experience in substance abuse/mental health treatment (2 preferred; certification as Alcohol and Drug Counselor preferred)
3. Lived experience related to substance use recovery, with certification as a Peer Support Specialist preferred.
4. Valid Alabama Driver’s license

The incumbent in this position serves as a vital member of the healthcare team by utilizing phlebotomy skills to obtain samples from patients for analysis.

Duties and Responsibilities

• Obtain blood specimens by established venipuncture and capillary techniques (adult and pediatric), as well as urine or other samples as ordered by the clinician.
• Process, package, and route specimens to the appropriate laboratory while maintaining specimen integrity by approved laboratory methods.
• Run routine CLIA-waived in-office tests (e.g., urine pregnancy, strep A, influenza, urine dipstick). Ensure Quality Control is performed and documented.  Troubleshoot if QC is out of acceptable range.
• Ensure safe handling of blood products and proper disposal of hazardous waste.
• Assist in compliance with OSHA standards and AAC policies and procedures for infection control by maintaining a clean and sterile environment, including daily cleaning of the lab and emptying of biohazard bags.
• Maintain Temperature logs twice a day on the laboratory refrigerator, freezer and room temp. Troubleshoot if temperatures are out of range.
• Inventory control of laboratory supplies.
• Review pending labs and investigate if any are missing.
• Report equipment or lab deviations to lab supervisor, take action to remediate.
• Collaborate with providers and Director of Nursing to discuss updates on clinical lab tests and specimen collection.
• Conducts investigation into receiving lab or collection discrepancies. Presents resolutions to supervisor.
• Participate in Quality Improvement Project.
• Provide coverage at other Thrive Alabama facilities as needed.
• Maintain Phlebotomy certification.
• All other duties as assigned.

Knowledge, Skills, and Abilities

• Knowledge of basic concepts of HIV transmission, prevention, and disease process.
• Knowledge of specific laboratory solutions, materials, and media necessary to perform duties.
• Knowledge of HIPAA confidentiality requirements and commitment to safeguarding client information. 
• Basic computer literacy for data entry, including Microsoft Excel and EMRs.
• Ability to prioritize needs and plan work assignments accordingly.
• Ability to work with patients, significant others and family members from diverse populations.
• Ability to communicate effectively and maintain working relationships with others. 
• Ability to lift and carry a minimum of 30 pounds, sit for extended periods of time, and walk between office buildings.

Software Access

Microsoft Office
eClinical Works
CAREWare

Minimum Qualifications

High school diploma and at least one (1) year of laboratory experience.
Certification in Phlebotomy from an accredited college or technical school may substitute for the required experience.