Medical Case Manager

Job Description

Job Description

POSITION SUMMARY

This position is an integral part of the medical case management team that provides support for individuals who are living with HIV / AIDS.

Works closely with the primary health care providers, state, and local agencies. This position will connect clients to necessary services including, but not limited to : Ryan White programs, housing and patient assistance, dental services, transportation, and more.

This position delivers HIV prevention education to clients as well as administers HIV rapid testing and counseling services.

This position is funded through Ryan White program grants as well as through the Medical Practice Association.

ESSENTIAL FUNCTIONS

Case Management

Enrolling Clients into Services

• Provides patients basic information about Ryan White programs (Parts B, C and D), ACA, patient assistance programs, housing, dental care, food banks, Medicaid and Medicare benefits, and other supportive services.
• Assists clients with enrolling into Affordable Care Act.
• Performs complete social service needs evaluations as indicated, including financial resources, support programs, transportation, nutritional assessments, etc.
• Maintains accurate and complete records of case management activities.
• Other duties as assigned.

Referral Services

• Provides referrals based on evaluations on clients as indicated, including financial resources, support programs, transportation, nutritional assessments, etc.
• Accesses pharmaceutical patient assistance programs and coordinates appropriate patient pharmaceutical care.
• Coordinates services with local, state, and federal agencies.
• Other duties as assigned.

Ryan White Part B Standards of Care

• Communicates eligibility status to clients and external providers in a timely and accurate manner.
• Documents all interactions with clients in a timely and accurate manner.
• Updates eligibility of all clients at least annually or as needed.
• Adheres to Kansas Department of Health and Environment case management standards of care
• Attends state and local meetings as necessary.
• Remains compliant with HIPAA regulations regarding patient confidentiality.
• Other duties as assigned.

HIV Counseling and Testing

• Provides updated prevention education information to clients.
• Provides HIV testing and counseling as requested.
• Other duties as assigned.

Collaborative Efforts

• Works collaboratively with other members of the Ryan White Program and external partners
• Participates in community health fairs and other events.
• Serves on committee related to Ryan White Program, KU, MPA, Midtown Clinic, KDHE or others, as required by position or through volunteer initiatives.

Such events may include World AIDS Day, patient holiday celebrations, community outreach activities, educational and training programs, or fundraising efforts.

Reliable Attendance and Punctuality

POSITION QUALIFICATIONS

Certificates & Licenses :

Will be required to be certified as an HIV / AIDS Counselor and Educator (training provided).

Education :

Bachelor’s degree in social work, counseling, psychology, or other health related area. Relevant experience may be substituted for formal education.

Experience :

• One to two years related experience (may include internships and / or volunteer work)
• Experience working with multi-stressed or socioeconomically disadvantaged populations
• EHR experience preferred (we use eClinicalWorks)

Microsoft Office experience a plus