Medical Case Manager - HIV/AIDS Program- Physician Practice

Medical Case Manager

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Provides clinical care coordination in conjunction with the healthcare providers and other support staff Promotes prevention and health insurance in an ambulatory care environment. Performs psycho-social assessments of the EIP patients and his/her family to determine and assist in resolving social, emotional and economic problems of the patient and the family.

By providing assessment and treatment to patients ranging from adolescent, adult, to geriatrics, each job responsibility and competency measurement includes the requirement that employees in this position competency maintain and are evaluated on the skills to obtain and interpret information. Knowledge of growth and development and an understanding of the range of treatment needed as appropriate to the ages of those patients Age/Patient Population(s) served Adolescent(13-17 years) Adult(18-64 years) Geriatric(65years and older) Patient under isolation precautions Patient at end of life Patient with developmental delays Patient with exceptional communication needs Bariatric Patients:BMI greater than 40, or greater than 35 weight related comorbidities

Ideal candidate will have experience in Hospital/clinic setting. Experience working with vulnerable populations such as, low-income, LGBTQ+ communities, substance abuse, Trauma, HIV/AIDS Services

A day in the life of a Medical Case Manager at Hackensack Meridian Health includes:

• The individual must be able to fulfill the functions of medical case management as specified by the US Department of Health and Human Services, HIV/AIDS Bureau, and the Health Resources Service Administration(HRSA). Based on these guidelines, duties shall include the following:
• Initial assessment of health and related needs and development of a comprehensive, individualized service plan focused on health outcomes for each patient
• Involvement in the coordination and follow up of medical care in order to ensure timely and coordinated access to medically appropriate levels of health and support services and continuity care.
• This shall include:
• Scheduling appointments for various treatments and referrals such as labwork, screenings, medical specialist appointments,mental health, oral healthcare and substance abuse
• Ensuring that patients are notified regarding appointments or rescheduling as needed
• Ensuring that patients have appropriate understanding of tests and/or procedures, documentation and transportation
• Ability to navigate the pre-certification process for tests and/or procedures independently
• Encouraging open dialogue with medical healthcare providers
• Provision of treatment adherence counseling and specialized health education in order to ensure readiness for, and adherence to, complex antiretroviral therapy regimens for the treatment of HIV/AIDS
• Monitoring to assess the efficacy of service plans and periodic re-evaluation and adaptation of service plans as necessary
• Case Management Responsibilities: Performs psycho-social assessment of both patient and his family. Acts as Case Manager for a minimum of 40 HIV+patients
• Interviews patient/family/significant other to evaluate non-health care needs
• Actively collaborates with all team members to identify patient/family needs
• Assures timely documentation on the patients' clinic chart all clinical issues and the psychosocial chart of all interventions, referrals, and entitlement efforts
• Submits thorough monthly reports describing all activities and problems to the department head by the 5th of each month
• Serves as an educational resource to both RBMC employees and community agencies. Promotes culturally and linguistically appropriate educational programs to patients and community.
• Assist in the planning and implementation of community education and training programs
• Serves as an active member of community task forces, coalition, and committees dealing with HIV/AIDS and its impact on the community
• Assumes responsibility for self-improvement and maintains current knowledge of trends and new developments in HIV/AIDS
• Attends hospital-based continuing education and programs on HIV/AIDS and other pertinent subjects
• Attends training and programs offered by outside agencies
• Attends and maintains CPR certification. Attends updates and refresher programs as required to keep certifications active
• Additional duties include:
• Assisting with data collection and participation in quality assurance programs within the clinical care program
• Active participation in weekly multidisciplinary meetings
• Routing medication related issues or inquiries to PharmD
• Facilitating non-emergency appointments e. Assisting with billing
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Education, Knowledge, Skills and Abilities Required :

• Bachelor's degree in related field and/or four years of clinical experience with individuals with HIV infection in either the acute care or ambulatory care setting
• Must be able to manage difficult or emotional customer situations; should be able to focus on solving conflicts and problem resolution

Education, Knowledge, Skills and Abilities Preferred :

• English/Spanish speaking

Licenses and Certifications Required :

• NJ State Professional Registered Nurse License

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Compensation Minimum rate of $44.30 Hourly HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, disability, marital status, liability for military service, or status as a protected veteran.