Medical Case Manager

JOB SUMMARY

The Medical Case Manager will provide a range of client-centered, confidential services that link clients with care services including medical, dental, mental health, substance use, and supportive care services including legal, medical transportation, emergency financial assistance, food, and housing services. The goal of medical case management is to ensure viral suppression by taking care of any barriers to care services preventing a client from being undetectable. The Medical Case Manager will provide treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. The Medical Case Manager will screen and enroll eligible clients in the 340B program.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Assessments & Service Plans

· Conduct face-to-face assessments and reassessments on an annual basis

· Create care plans that match the identified needs of the client

· Ensure that all clients referred to services are eligible prior to the date of service

Client Service

· Provide care services linkage and re-engagement support to clients, including older adults.

· Conduct field visits as needed to RW and HOPWA clients who have disengaged from care.

· Conduct outreach services as needed

· Refer clients to appropriate services highlighted in the care plan

· Screen for income supports for benefits and entitlements to advocate on behalf of client

· Complete emergency financial assistance applications for eligible clients

· Complete payment requests as needed for copays and other out of pocket costs

· Document encounters using designated client database accurately and in a timely manner

· Develop and maintains professional relationships with social service, health, and governmental agencies

· Participate in continuous quality improvement efforts

· Participate in regular supervision meetings, team meetings, in house training sessions (12) and conferences as needed

Other

· Assist with agency-wide activities as directed, including Annual Meeting, AIDS Run & Walk, and others

· Protect organization's value and manage risk by keeping information confidential

· Perform other duties as assigned

The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in this class. The omission of an essential function does not preclude management from assignment of duties not listed herein if such functions are a logical assignment to the position.

SUPERVISORY RESPONSIBILITIES

None

EXPERIENCE AND EDUCATION

Minimum Qualifications

· Associate degree in any human services field

· Four years or more of Case management experience

Preferred Qualifications

· Bachelor’s degree in any human services field

· Bachelor’s degree in any non-human services field with at least 2 years of case management experience

· Bilingual and able to read, write and speak Spanish proficiently

KNOWLEDGE, SKILLS, AND ABILITIES

· Exceptional time management skills

· Strong attention to detail

· Ability to present to large groups, and a comfort level with presentations generally

· Strong customer service orientation

· Ability to work independently and make decisions within span of control

· Dependable and reliable

· Knowledge of HIPAA and ability to comply with HIPAA regulations

· Ability to recognize and solve problems positively and sustainably

REQUIRED CERTIFICATES, LICENSES, REGISTRATIONS

None

WORK ENVIRONMENT AND PHYSICAL DEMANDS

Dependable transportation to conduct field visits. A drivers license, and car insurance may be required. Physical ability to operate a vehicle may be required. The field environment may contain ADA noncompliant spaces.

The work environment is representative of that found in a general office environment. Tasks involve the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (up to 10 pounds.) Tasks may involve extended periods of time at a keyboard or workstation and on the telephone.