Medical Case Manager

Job description:

Under the supervision of the Director of Client Services, this position provides an assessment of eligibility, health systems navigation, case management and education to clients seeking HIV care services through Quality Comprehensive Health Center (QCHC) who are Ryan White eligible. Patient Navigation/Case Management services will support QCHC to better serve those disproportionately at risk for or living with HIV by improving their access to medical care.

Essential Duties and Responsibilities (other duties may be assigned):

• Provide patient navigation.
• Coordinate patient scheduling for all providers.
• Coordinate appropriate patient referrals to both internal and external agencies after patient appointments.
• Assist patients as they move through the service delivery system.
• Assist with the elimination of barriers including, but not limited to, insurance, financial and transportation.
• Educate patients and others about HIV disease process and prevention.
• Coordinate and maintain an active caseload of HIV patients.
• Conducts intake interviews, performs psychosocial assessment to identify psychosocial, economic or social risk factors, performs eligibility and referral services for patient to ascertain support service needs associated with adherence to medical treatment plan.
• Utilizes Motivational Interviewing techniques to identify client motivation and address barriers to change.
• Links patient to a broad range of services, including, but not limited to medical care, behavioral health, substance abuse treatment, financial assistance, housing, food, financial entitlement, clothing, transportation, vocational training, and harm reduction services.
• Completes all required documents for client services according to agency policies and funding source contracts under supervisor's direction. Monitors and accurately documents patients progress through individualized service planning that assesses level of functioning, adherence to medical treatment plan and access to service needs utilizing the Electronic Health Record (EHR) within defined time frame.
• Act as a liaison between patient and all relevant professionals, programs, and resources to facilitate interdisciplinary care.
• Monitors the progress of each need area as identified in the care plan and facilitate achievement of the service plan goals. Demonstrates initiative in maintaining contact with clients to update service needs assessments.
• Develops and maintains strong relationships with community resources to maintain up-to date awareness of available resources.
• Adheres to agency, state and federally (HIPAA) mandated regulations regarding confidentiality of HIV/AIDS care and services.
• Attends/participates in all mandatory case management training and meetings.
• Attends additional training opportunities as agency budget allows or as directed.
• Stays informed about trends and developments in HIV service delivery, treatment, and substance use research.
• Assist with, and coordinate, community education and outreach initiatives as requested.
• Perform effectively within the organization and interpersonally with co-workers.
• Develop positive working relationships with other social service, medical and mental health providers.
• Other duties as required.

Skills Required:

• Previous Ryan White experience preferred.
• Experience using CAREWare preferred.
• Experience assisting clients with Medicaid applications preferred
• Strong organizational skills to manage caseload independently required
• Basic knowledge of HIV, STIs, PrEP and other prevention methods
• Experience working in a clinical setting
• Proactive problem solver who works well in multi-disciplinary setting
• Ability to communicate well with medical providers and support staff
• Strong verbal and written communication skills
• Strong socio-cultural identification or work experience with MSM and LGBTQ+ preferred
• Comfort discussing sexual health and risk reduction strategies
• Proven organizational skills with high attention to detail
• Intermediate to advanced level experience using Microsoft Office Suite
• Ability to work well with diverse populations
• Ability to work well within the organizational structure

Minimum Qualifications:

Bachelors or Masters Degree in Social Work or Health/Human Services required

2+ years case management experience required

EMR experience preferred.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Required)

Experience:

• Ryan White: 2 years (Preferred)
• Case management: 2 years (Required)

Work Location: In person