Medical Case Manager - Full Time

Job Description Summary :

Job Description :

The responsibilities of the Center for Key Populations Ryan White Program Case Manager include the coordination of care of HIV-positive individuals.

The Case Manager provides a range of client-centered services to link clients in healthcare, including behavioral health, substance use health, and other community resources.

The Case Manager coordinates and follows up with the client regarding treatment to ensure timely delivery of services, coordination, and continuity of care.

The Case Manager’s goal with each client is to obtain viral suppression through a multi-team approach. The Case Manager will carry a caseload of up to 50 clients and provide comprehensive service planning, goal setting, and resource identification on a regular basis as mandated by the RWB grant.

The Case Manager will work in collaboration with community partners to identify resources and connect individuals to services as needed and in alignment with their service plan.

ROLE AND RESPONSIBILITIES

Consistently monitor the goals and objectives of the RWB grant and implement changes as necessary to ensure the project's success.

Client assessment of service needs : Assess motivation, strengths, medication adherence, and education and understanding of HIV disease.

Identify any barriers to medication / treatment adherence.

Create and monitor a comprehensive, individualized care plan.

Maintain ongoing contact and follow-up with clients.

To provide ongoing patient education relevant to each individual client's healthcare goals and as a complement to PCP / HIV Provider treatment goals.

Timely and coordinated access to medically appropriate levels of health and support services, and continuity of care.

To provide medical case management for up to 50 clients according to the guidelines of the RWB grant and the HRSA / HAB standards of care.

To establish and maintain a strong network of community partners and collaborations that will assist the team in enhancing the resources for patients.

To work with the team to operationalize all project activities, including but not limited to HIV testing events, social media campaigns, community outreach, promotion of services, research, and dissemination.

Actively participate in all CKP staff meetings, Quality Management and Quality Improvement projects, program-specific meetings, and organization meetings, as well as any community or other meetings as directed by the supervisor.

Working hours may include evenings and weekends as directed by the supervisor.

Special assignments, projects, and other duties as assigned by the direct supervisor.

QUALIFICATIONS

• Associate Degree, preferably in Human Services or Community Health Worker Certification.
• Bilingual : Fluent in English and Spanish language
• Maturity, flexibility, compassion, and the ability to work well with vulnerable populations.
• Understanding of and ability to access community resources.
• Work experience in healthcare settings and community resources experience.
• Effective communication skills, both oral and written, as well as excellent interpersonal skills and organizational skills.
• Preferred experience providing crisis intervention, coordination of services, advocacy, and community outreach in working with individuals and families.
• Excellent PC skills with experience in Microsoft Office Suites.
• Knowledge of HIV / AIDS and Ryan White services, preferred.
• Understanding the Federally Qualified Health Center (FQHC) is a plus.
• Knowledge of HIPAA and other state and federal regulations governing healthcare practices.
• Must have a valid driver’s license and a reliable vehicle a plus.
• Expected to drive a company van.
• Ability to travel to community events / activities and CHC sites outside of home location
• Ability to manage multiple tasks in a fast-paced, driven environment
• Strong attention to detail and excellent organizational skills required

PHYSICAL REQUIREMENTS / WORK ENVIRONMENT

At times, staff will enter organized and supportive housing environments and are required to climb up and down stairs. Most of the time, staff is expected to be in the office or at community agencies doing collateral work with or on behalf of the consumer.

Community events are also a requirement of this position. Travel time by foot or automobile is required.

Confidentiality of Information

Confidentiality of business information is a requirement. Confidentiality must be maintained according to CHC policies.