MCC Patient Retention Specialist
Job Details
APLA Health Center, Mid-Wilshire - Los Angeles, CA
Full Time
High School
$21.70 - $25.82 Hourly
Up to 25%
Health Care


Under the direct supervision of the Patient Care Manager II, The MCC Patient Retention Specialist (MCC PRS) is responsible for planning, coordinating, implementing and evaluating patient retention activities to reengage patient living with HIV/AIDS (PLWHA). The PRS collaborates with the MCC team members to identify patients who are eligible for MCC services; will work with the MCC team to promote improved health outcomes for PLWHA.



  • Plan, coordinate, implement and evaluate a patient retention intervention aimed at finding out of care PLWHA.
  • Work with the MCC team in locating out of care patients by conducting outreach services to PLWHA that have fallen out of HIV medical care.
  • Schedules follow-up appointments and conducts follow-up activities to ensure patients return for follow-up visits.
  • Assist in the coordination and delivery of patient-centered activities that focus on addressing health status, engagement and retention in care.
  • Connect patients to services that assist with resolving socioeconomic challenges.
  • Assist the medical care manager (MCM) and the patient care manager (PCM) with patient monitoring, following up service linkages.
  • Assist the MCM and PCM in updating care plan results, following-up with patients and tracking outcomes.
  • Networks, develops strong, productive relationships of transparency and trust with community agencies and organizations, and key stakeholders to establish referral linkages.
  • Enters and maintains program data, including clinical documentation and reporting forms.
  • Tracks and reports monthly patient service delivery data using Casewatch in a timely manner and prepare other demographic and statistical reports as required by the funding agency and Program Manager.
  • Tracks engagement and retention in medical care.
  • Document steps taken to help the client maintain access to HIV medical care.
  • Responds to patient inquiries in a prompt manner.
  • Provide HIV education, inclusive of treatment education.
  • Enter progress notes in client-level database systems regarding disposition of clients, referrals, changes of address, telephone information, case manager assignment, etc.
  • Assure client confidentiality as defined by APLA policy and procedures.
  • Contact appropriate professionals to assist in the determination of need and/or eligibility for services.
  • Monitor referrals and follow-up on those requiring additional advocacy.
  • Attends staff meetings, MCC meetings (to review and evaluate program services, and make recommendations for program improvement), case conferencing and other meetings as required.
  • Attend regularly scheduled in-services, as well as outside conferences, and workshops to expand capacity to meet program goals and objectives.
  • Provide written and statistical reports as needed.






  • Bachelor's Degree; or AA degree with equivalent work experience of at least 2 years in health care, or health education conducting outreach to vulnerable populations with the aim of improving health outcomes OR a license as a vocational nurse (LVN)
  • Experience in a nonprofit environment and specific training/experience working with people living with HIV/AIDS preferred.
  • Minimum 2 years’ experience working in outreach or in the community with people who have medical and behavioral health conditions, social and interpersonal complexities impacting their lives
  • Bilingual English/Spanish is preferred.
  • Experience in working with culturally diverse communities with the ability to be culturally sensitive and appropriate.
  • Strong interpersonal skills and the ability to relate to individuals who may not share basic commonalities, including value systems and behavior norms.
  • Ability to provide service to individuals with diverse economic, social, racial, and cultural backgrounds.



Knowledge of:

  • Knowledge of local community resources, health and social service systems in the local community, and skill in establishing working relationships with community partners with appropriate support
  • Interviewing techniques, such as motivational interviewing
  • Psychosocial and mental health factors affecting quality of life; data management
  • HIV/AIDS prevention, care and treatment and substance use disorders
  • Health education principles and program evaluation


Ability to:

  • Identify and implement outreach and engagement strategies
  • Respond effectively to client crisis situations
  • Interview and assess needs of clients
  • Communicate effectively, both written and verbally
  • Work well under tight deadlines
  • Coordinate multiple tasks
  • Learn specific systems quickly and thoroughly
  • Communicate effectively with a diverse population
  • Identify and update community resources;
  • Operate standard office equipment including Microsoft Office (Word, Excel, PowerPoint); and meet assigned deadlines.




This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper. This position will be required

to work in the field and in the office when providing linkage to care services.



Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. Available for weekend and evening hours as needed. COVID Vaccination and booster required or medical/religious exemption.


Equal Opportunity Employer: minority/female/transgender/disability/veteran