The Nurse Practitioner (NP) / Physician Assistant will assist in the provision of medical care for clients of the Ryan White Care Coordination Program. The NP will facilitate coordination of seamless medical support for program clients and provide individualized care planning as part of a multi-disciplinary treatment team designed to improve overall functioning and health outcomes. The NP will complete medical evaluations, formulate diagnoses, conduct medical assessments, and prescribe treatment as appropriate within scope of practice. The NP will also provide support for individuals in need of Modified Directly Observed Therapy (mDOT) to promote medication adherence and help support HIV viral suppression, while ensuring continuity of care across the continuum of behavioral health and medical care. 

Essential Job Functions 

The Nurse Practitioner/ Physician Assistant will be responsible for the following duties: 

Clinical Assessment & Treatment 

• Complete medical evaluations for clients presenting with acute and non-acute symptoms. 
• Formulate diagnoses based on interpretation of medical, psychological, social, and substance use history and diagnostic tests, as appropriate. 
• Conduct medical assessments and prescribe treatment within scope of practice and in alignment with clinical standards and agency protocols. 
• Assess medical needs of clients and refer to appropriate internal services, external providers, and support services as needed. 

HIV Care Coordination, ART Management, & mDOT 

• Evaluate clients for immediate antiretroviral therapy (iART) and support continuity of HIV medical care and treatment. 
• Provide medication administration, observation, and ongoing antiretroviral therapy (ART) medication management, as appropriate. 
• Provide mDOT services in coordination with the care team, including symptom monitoring, medication adherence support, and client education. 
• Identify barriers to medication adherence and engagement in care and collaborate with the care team to implement strategies that support viral suppression and retention in care. 

Integrated Care Planning & Team Collaboration 

• Participate in multidisciplinary case conferences and support updates to care plans and integrated service plans, as appropriate. 
• Work collaboratively with program staff to ensure an integrated service plan is in place and supported to address the continuum of behavioral health and medical care. 
• Develop, in coordination with Care Coordinators, additional medical and primary care referral sources and linkages to strengthen continuity of care. 
• Support referral and enrollment coordination activities, including identifying appropriate clients for program services and ensuring warm handoffs when needed. 

Documentation & Professional Practice 

• Provide all required documentation and program-related statistics accurately and in a timely manner. 
• Maintain confidentiality and comply with applicable privacy and ethical standards related to protected health information. 
• Participate in required trainings, team meetings, and clinical coordination activities as assigned. 
• Perform other duties as assigned. 

Special Skills and Knowledge

Required 

• Excellent written, verbal, and organizational skills, with strong attention to documentation timelines. 
• Excellent communication and interpersonal skills, including the ability to engage clients who may be medically or emotionally vulnerable. 
• Demonstrated ability to work effectively as part of an interdisciplinary treatment team. 
• Familiarity and ease with harm reduction and recovery-based models of care. 
• Experience providing clinical care and care coordination support for clients with co-occurring medical and behavioral health needs, including the ability to assess risk, support de-escalation, and coordinate referrals and follow-up. 
• Trained and experienced in supporting clients impacted by domestic violence, trauma, psychosis, and co-occurring disorders, including substance use. 
• Demonstrated knowledge of and experience working with HIV/AIDS, POC, and LGBTQ-identified adults and community needs 
• Ability to work in a fast-paced environment, manage competing priorities, and work independently within scope of practice. 
• Proficiency in computer systems and comfort using electronic documentation tools. 

Preferred 

• Prior work with nonprofit agencies or work on behalf of LGBTQ+ communities and/or people living with HIV is highly desirable. 
• Experience working with other historically marginalized communities (in a professional or volunteer capacity) is desirable. 
• Demonstrated knowledge of and experience working with HIV, communities of color, and LGBTQ-identified adults and community needs. 
• Trained to handle issues such as domestic violence, trauma, psychosis, and interactions among co-occurring disorders in substance-using populations. 
• Bilingual in English and Spanish. 

Education and Certification 

Required 

• Master’s degree in Nursing 
• Licensed to practice as a Nurse Practitioner in the State of New York 
• Must be certified to practice in general/internal medicine 
• At least two (2) years of clinical experience working with internal medicine and HIV/AIDS diagnoses. 

Preferred 

• Experience providing structured adherence support models, including mDOT. 
• Experience working in community health or integrated care settings. 

Technical Skills 

The ideal candidate should have the following technical competencies to effectively manage case documentation, reporting, and client services: 

• Proficiency with electronic health record (EHR) systems for data entry, charting, and reporting. 
• Strong documentation and compliance skills, ensuring accurate and timely completion of clinical notes, medication management documentation, and care plan updates aligned with agency policy and adherence to HIPAA and DOHMH regulatory standards. 
• Consistent application of clinical protocols aligned with evidence-based practices and agency policy. 
• Proficiency with electronic health record (EHR) systems for data entry, charting, and reporting. 
• Confidentiality and compliance with HIPAA, 42 CFR Part 2, and other legal and ethical protections, as applicable. 

Work Environment & Schedule 

This is a hybrid position that includes: 

• Onsite responsibilities such as client appointments, medication management, interdisciplinary collaboration, and participation in clinical team meetings. 
• Telehealth appointments may be made available to clients based on program needs and clinical appropriateness. 
• Flexibility in scheduling may be necessary to meet client needs, including occasional early evening hours. 
• Participation in the annual AIDS Walk New York event is mandatory for all GMHC staff. 

Physical Demands 

While carrying out the responsibilities of this role: 

• Travel & Mobility: Occasional movement around the office is required for in-person sessions, meetings, and collaboration. 
• Physical Activity: May occasionally be required to lift or carry files, laptop equipment, or small supplies up to 10 pounds. 
• Sitting/Standing: Ability to sit for extended periods for documentation and telehealth visits and to stand intermittently during in-person clinical work. 
• Communication: Ability to communicate effectively with clients, colleagues, and external providers, including active listening and clear verbal communication. 
• Documentation: Ability to complete timely and accurate clinical documentation, which requires sustained focus and manual dexterity to write or type for prolonged periods. 
• Emotional Demands: The role involves direct interaction with clients who may be medically or emotionally vulnerable, requiring a high degree of empathy, patience, and emotional resilience to provide compassionate and effective support. The NP must be able to remain calm and grounded during crisis interventions or emotionally charged client interactions. The role involves direct interaction with clients who may be medically or emotionally vulnerable, requiring a high degree of empathy, patience, and emotional resilience to provide compassionate and effective support. The NP must be able to remain calm and grounded during crisis interventions or emotionally charged client interactions. This role may include supporting clients experiencing acute stress, trauma-related concerns, or complex psychosocial needs. 

GMHC is deeply committed to fostering an inclusive, racially and gender-diverse workplace. We believe that a wide range of perspectives and lived experiences contributes to a stronger, more compassionate organization and improves our ability to serve diverse communities.

Working at GMHC requires a demonstrated commitment to equity, inclusion, and social justice, as well as an understanding of the issues impacting the full breadth of the communities we serve.