Key Performance Areas:

PrEP, ART, and PEP Service Delivery

• Provide comprehensive PrEP, ART, and PEP services to MSM and TG clients in outreach and facility-based settings in accordance with national guidelines.
• Screen clients for PrEP eligibility, initiate PrEP, provide adherence counselling, manage side effects, and conduct routine follow-up and monitoring.
• Initiate, manage, and monitor antiretroviral therapy (ART) under NIMART, including baseline assessments, regimen selection, re-scripting, and management of stable patients.
• Provide PEP services, including risk assessment, timely initiation, adherence support, follow-up testing, and completion counselling.
• Monitor PrEP, ART, and PEP clients for adverse events, treatment response, and retention in care, escalating complex cases as per referral protocols.
• Interpret relevant laboratory investigations (e.g. HIV tests, creatinine, VL, CD4, HB, LFTs) to inform PrEP, ART, and PEP clinical decisions.
• Support U=U messaging, risk-reduction counselling, and differentiated service delivery models tailored to MSM and TG populations.

Clinical Services and Outreach Support

• Perform routine blood draws and ensure correct labelling, handling, storage, and transportation of specimens in line with laboratory and biosafety standards.
• Monitor and record patient vital signs, including blood pressure, weight, temperature, and random glucose levels, and respond appropriately to abnormal findings.
• Provide on-site clinical support during outreach and facility-based consultations, including sexual health screening and syndromic management of STIs.
• Support HIV Testing Services (HTS) teams with clinical oversight, HIV and TB health education, and reinforcement of infection prevention and control (IPC) practices.
• Collaborate with Programme staff and Department of Health (DoH) colleagues in TB screening, diagnosis, and implementation of TUTT and LF-LAM protocols.

Quality Assurance, Data, and Compliance

• Ensure adherence to Standard Operating Procedures (SOPs), NIMART guidelines, occupational health and safety requirements, and infection prevention and control standards.
• Maintain accurate, complete, and confidential clinical records, registers, and specimen collection logs in accordance with data quality and confidentiality requirements.
• Identify and report clinical, environmental, and operational risks, and implement or recommend corrective actions where required.

Multidisciplinary Collaboration and Reporting

• Participate in multidisciplinary case management meetings to support continuity of care for MSM and TG clients with complex clinical or psychosocial needs.
• Compile and submit accurate monthly clinical statistics, narrative reports, and ad hoc reports as required by programme management and funders.
• Strengthen collaborative relationships with health facilities, referral institutions, community-based organisations, and MSM & TG community partners.

Representation and Administration

• Perform general administrative and programme-related duties as delegated to support effective outreach service delivery.

Qualifications 

• Bachelor of Clinical Medical Practice (BCMP) degree/Clinical Associate and current registration with HPCSA or other relevant bodies as applicable or
• Professional nurse (PN) with NQF 7 qualification in Primary Health Care (PHC) plus dispensing licence.
• NIMART trained and certified PN.
• License and current registration with the South African Nursing Council (SANC).
• Current registration with SANC. 

Experience

• Minimum of 5 years’ nursing experience with a focus on HIV prevention, counselling, and management. 
• Experience in HIV/AIDS, TB, public health, and health systems strengthening. 
• Strong knowledge of DoH systems and HIV guidelines. 
• Understanding of biomedical and behavioural HIV prevention interventions. 
• Valid South African driver’s licence. 
• Experience working with key populations is an advantage. 

Competencies

• Excellent verbal and written communication skills in English. Command of other official local languages (multilingual) would be an added advantage.
• HR management and capacity development skills incl. solid understanding of SA labour laws.
• Sound problem solving and decision-making skills
• Effective time management, organising and coordination skills.
• Competent in Microsoft Office Suite and project management tools.

Travel Requirements

Local travel is inherent to the position.