LINKAGE ASSISTANT (Bilingual- English & Spanish or Creole)

Position Overview

High school Diploma/ GED required Must have a minimum of 1 year HIV/AIDS or outreach experience Some travel required Bilingual required ENG-SPAN or ENG-Creole

ESSENTIAL JOB RESPONSIBILITIES

• Communicate with service providers, including physicians and medical case managers to locate people without medical care or treatment and assist in engaging them back to care.
• Ensure that all referrals, including the Ryan White certified referrals are accurate and complete in order to process and initiate the outreach process.
• Ensure that consent forms and all required forms are assigned and accurate giving the outreach worker permission to contact a client.
• Ensure that referral letters for jail linkage or prison re-entry programs are accurate and complete in order to process individuals after release from jail and prison.
• Pick up referrals from the Department of Health if necessary.
• Demonstrate knowledge of the Ryan White Program requirements for loss of care, those at risk of losing care and the conditions for contacting a client.
• Conduct brief intake/orientation on the outreach process/agency procedures and the health care delivery system.
• Assess and document client barriers to accessing care.
• Accompany newly diagnosed, lost to care or unconnected clients to initial intake, medical case management or physician appointment and/or residential substance abuse facility in order to connect/enroll/reconnect the client to services.
• Accompany clients when necessary in order to assist them in obtaining required documents for entry into the health services delivery system.
• Make home visits to meet with clients in order to connect them to care and treatment.
• Locate clients for physicians in situations that require immediate medical attention.
• Collaborate with medical case managers on the progress of follow up or outreach visits and plan for continued outreach activities.
• Provide information and educational material on available care plans, treatment options and services.
• Coordinate and participate in planned outreach/testing events in cooperation with internal agency departments and external agencies and organizations.
• Conduct 30 and 60 day follow-ups for RW and non-RW clients from the date of initial appointment with a medical provider or medical case manager to ensure client remains connected to care.
• Help clients to schedule appointments, document assistance with referrals and follows up with providers to ensure clients attend appointments.
• Accompany clients to medical and dental appointments, as well as appointments with other providers as required.
• Provide educational support to clients and enhance their knowledge or understanding of medication protocols, side effects and adherence to medical treatment.
• Ensure that service providers in the referral network are active, and that formal Memoranda of Understanding and HIPAA Business Associates agreements are executed.
• Service Planning and Documentation Make accurate and complete service delivery documentation of all outreach activities in client's chart and Provide Enterprise.
• Enter all outreach billing accurately and in a timely manner in Provide Enterprise.
• Maintain record keeping requirements and assist with chart reviews for Q/A purposes as requested.
• Participate in staff training sessions and other meetings as required by the agency and/or the funding sources.
• Participate in agency developmental activities as requested.
• Other duties as assigned
• Administration, Compliance and QA Input client information using specific software as required. Support billing and budget activities as required. Attend appropriate training, case conferences, re-entry/health fairs, assigned committees and skill building activities. Adhere to agency procedures and protocols in provision of effective delivery of program services. Participate in audits, site visits and meetings as required by supervisor. Participate in Quality Assurance activities as required.
• Culture of Service: 3 C's Compassion Greets internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone and nonverbal language. Listens to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring and understanding of the request and providing appropriate options or resolutions. Competency Provides services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered Commitment Takes initiative and anticipates internal or external customer needs by engaging them in the process and following up as needed Safety Ensures proper handwashing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon the assigned role in Emergency Code System. Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP).

Contact Responsibility The responsibility for internal and external contacts is frequent and important.

Physical Requirements This work requires the following physical activities: constant talking in person, talking on the phone, hearing/ visual acuity. Frequent walking, sitting and bending. Occasional standing, driving and climbing may be required. Work is performed in office, or where clients or potential clients are located.

Other Participates in health center developmental activities as requested. Other duties as assigned.

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