Social Worker 1

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About Us

Augusta University is Georgia's innovation center for education and health care, training the next generation of innovators, leaders, and healthcare providers in classrooms and clinics on four campuses in Augusta and locations across the state. More than 12,000 students choose Augusta for educational opportunities at the center of Georgia's cybersecurity hub and experiential learning that blends arts and application, humanities, and the health sciences. Augusta is home to Georgia's only public academic health center, where groundbreaking research is creating a healthier, more prosperous Georgia, and world-class clinicians are bringing the medicine of tomorrow to patient care today. Our mission and values make Augusta University an institution like no other.


Augusta University's distinct characteristics in education and research include real-world experiences and community engagement, as well as a culture of building community, corporate and government partnerships that address health, security, economic and societal concerns locally and across the state.


The University System of Georgia is comprised of our 26 institutions of higher education and learning as well as the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards. More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 8.2.18.1.2 and can be found online at


Additionally, USG supports Freedom of Expression as stated in Board Policy 6.5 Freedom of Expression and Academic Freedom found online at .


Location

Augusta University

Our Health Sciences Campus: 1120 15th Street, Augusta, GA 30912

Our Summerville Campus: 2500 Walton Way, Augusta, GA 30904


College/Department Information

The Medical College of Georgia (MCG) is one of the nation's largest medical schools by class size, with 304 students per class. The MCG educational experience is anchored by the main campus in Augusta, with regional clinical campuses for third- and fourth-year students across the state, and two four-year campuses located in Athens (in partnership with the University of Georgia) and in Savannah (in partnership with Georgia Southern University). MCG's expanding partnerships with physicians and hospitals across Georgia currently provide more than 350 sites where students can experience the full spectrum of medicine, from complex care hospitals to small-town solo practices. MCG and its teaching hospitals also provide postgraduate education to approximately 575 residents and fellows in 50 different Accreditation Council for Graduate Medical Education-approved programs. Our researchers and clinicians focus on what most impacts the health of Georgia's and America's children and adults, including cardiovascular biology and disease, cancer, neurosciences and behavioral sciences, public and preventive health, regenerative and reparative medicine, personalized medicine and genomics. Our physician faculty also share their expertise with physicians and patients at about 100 clinics and hospitals statewide.


Job Summary

The Clinical Case Manager (CCM) will provide clinical case management/coordination services and focused disease education to patients of the AU Ryan White Program.

The incumbent will promote coordinated, high quality, and cost-effective outcomes for assigned caseloads. The CCM develops individualized service plans (ISP) to facilitate self-monitoring and self-management skills of health conditions and improve function and quality of life. The ISP will consist of at minimum: Medical History/Physical Health Status, Medical Treatment Adherence and Appointments Adherence, Health Insurance, Family/Domestic Situation, Housing Status, Source of Income, Nutrition/Food, Mental Health, Substance Abuse, Personal and Community Support Systems, Disclosure, Risk Reduction, Legal Issues, Transportation, Cultural Beliefs and Practices/Languages, and any additional service needs. The ISP will be revised at least every six months. The incumbent will be an advocate for appropriate resources available in the community and across the continuum of care to best meet the needs of the client. This role will interact with all levels of personnel, medical staff, patients, community resources, providers and families. This role will include providing all necessary patient referrals both in-house and external.


Responsibilities

The responsibilities include, but are not limited to:

Initial screening and maintaining eligibility for RWHAP services residency, income, and insurance statuses continue to meet the grantee eligibility requirements and to verify that the RWHAP is the payer of last resort, annually. The recertification process includes checking for the availability of all other third-party payers. All indigent patients will be screened and enrolled into the hospital's indigent care program ICTF. All eligible Ryan White patients will be screened and enrolled into Georgia and South Carolins AIDS Drug Assistance Program ADAP and the Healthcare Insurance Continuation Program HICP. ADAP and HICP recertification will take place annually. All insured patients will be screened and offered enrollment into AU Ryan White 340B Program for co-pay and deductible assistance. Insured patients will also be screened for drug pharmaceutical co-pay assistance programs and the Patient Advocate Foundation (PAF).

Ability to effectively engage patients by telephone or direct contact in clinic/office settings to conduct thorough screening, physical and psychosocial assessments in a timely manner per policy. Consistently collaborates with patients and family, physicians and other health care team members to identify physical and psychosocial issues or barriers that affect health condition management. Implements a comprehensive patient-centered plan of care to proactively manage these issues and effect positive health outcomes. Prioritizes caseload to balance patient and departmental needs. Acts as a patient advocate and coordination link with other health care providers and community resources to positively impact outcomes. Advocates for the patient to overcome barriers and resolve benefit issues. Assist patients to navigate healthcare system and insurance benefits.

Thoroughly assesses each patient's eligibility for needed resources Identifies barriers or gaps in treatment. And refers to the appropriate team member to address the need as indicated to holistic care and positive outcomes. Stays abreast of community resources and refers the patient for services and assistance when appropriate. Willingly collaborates with health care team members to formulate an individualized care plan and goals that best meet the needs of the family/patient. Utilizes motivational interviewing techniques to engage patients in goals setting. Updates care plan to articulate current short-term and long-term goals as well as when these goals are met and /or revised. Consistently documents accurate and timely information in Electronic Medical Record as per policy. Consistently communicates with the health care team members to ensure patient care needs are addressed in a timely manner. Communicates care coordination and key elements to provider per department requirements.

Utilize a variety of approaches to effectively educate patients/families as well as other members of the health care team regarding community resources, health care benefits, insurance and managed care issues. Provides health education to patients and family members to assist in disease management and the development of coping skills. This includes information on disease processes, medications, treatment plans and preventive measures, and advanced directives. Follows-up to evaluate the effectiveness of education provided and documents. Participates in multidisciplinary patient care conferences as needed. Consistently and accurately document health education activities in the documentation systems per department requirements. Appropriately updates department leadership with necessary information.

Proactively identifies barriers to adherence and acts promptly to revise the treatment plan to improve patient adherence and outcomes. Takes prompt action when issues involving the appropriate and cost-effective utilization of resources are identified, collaborating with appropriate health care team members. Confers with the patients/families, physicians and other care providers and insurance carriers in the role of patient advocate, as need to resolve benefit issues and secure necessary services.

Consistently documents all care management activities in the Electronic Medical Record(s) and or software application using the established format in a timely and accurate manner per department requirements. Promptly sends reports and communications to physicians and other providers as per department requirements and as needed to relay pertinent findings. Actively participates in program improvement activities.

Performs other job duties and responsibilities as required.


Required Qualifications

Bachelor's degree from accredited college or university in Social Work, Nursing, Public Health, or related field from an accredited college or university is required.


Knowledge, Skills, & Abilities

ABILITIES
Ability to adapt effectively to changing priorities; care and manage various populations without applying one's own personal values; and work with minimal supervision within scope of practice.

Ability to maintain confidentiality; successfully articulate the process of attaining goals and outcomes of medical case management; apply clinical knowledge in a medical case management role; engage and collaborate with the patients and significant others in the medical case management process; and apply HIPAA during the medical case management process.

KNOWLEDGE
Proficient in Microsoft Office and other computer software/databases.

Knowledge of medical case management concepts along the care continuum, Medicare benefits, and HIPAA.

Understand and comply with regulations and recommendations of outside regulatory bodies with regard to providing case management role.

SKILLS
Excellent interpersonal, verbal, and written communication skills.

Detail-oriented with strong organizational, prioritization, critical-thinking, analytical and multi-tasking skills.


Shift/Salary/Benefits

Shift: Days/M-F

Pay Band: B10

Salary Minimum: $25.24/hour

Salary to be commensurate with qualifications of the selected candidate within the established range (generally minimum-midpoint) of the position.

Recruitment Period: 4/27/26 - Until Filled

Augusta University offers a variety of benefits to full-time benefits-eligible employees and some of our half-time (or more) employees.

Benefits that may be elected could include health insurance, dental insurance, life insurance, Teachers Retirement System (or Optional Retirement Plan), as well as earned vacation time, sick leave, and 13 paid holidays.

Also, our full-time employees who have been employed with us successfully for more than 6 months can be considered for the Tuition Assistance Program. Consider applying with us today!


Conditions of Employment

All selected candidates are required to successfully pass a Background Check review prior to starting with Augusta University.

If applicable for the specific position based on the duties: the candidate will also need to have a credit check completed for Positions of Trust and or approved departmental Purchase Card usage.

Motor vehicle reports are required for positions that are required to drive an Augusta University vehicle.

For Faculty Hires: Final candidates will be required to provide proof of completed academic degree(s) as well as post-secondary coursework in the form of original transcript(s). Those candidates trained by a foreign institution will also be required to provide an educational/credential evaluation.

All employees are responsible for ensuring the confidentiality, availability, and integrity of sensitive [patient, student, employee, financial, business, etc.] information by exercising sound judgment and adhering to cybersecurity and privacy policies during their employment and beyond.


Other Information

This position is also responsible for promoting a customer-friendly environment and providing superior service to our patients, students, faculty, and employees. "Augusta University is a patient-and family-centered care institution, where employees partner every day with patients and families for success."

Augusta University is a tobacco-free environment, and the use of any tobacco products on any part of the campus, both inside and outside, is strictly prohibited.


Equal Employment Opportunity

Augusta University is proud to be an equal opportunity employer welcoming applicants from underrepresented groups, including individuals with disabilities and veterans.


How To Apply

Consider applying with us today!

Applicants are encouraged to tailor their resumes to the position of interest by clearly highlighting relevant work experience and skills gained from previous employment. Resumes should reflect how your background aligns with the qualifications and responsibilities of the role.

Select University Faculty & Staff > External Applicants if you are a candidate from outside the university

Select University Faculty & Staff > Internal Applicants if you are a current university employee

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