Ryan White HIV Medical Case Manager

The Medical Case Manager will work closely with clients living with HIV/AIDS who have multiple psychosocial and/or health related needs. Medical Case Management services is a strength-based approach to service that includes treatment adherence counseling, coordination and follow-up of medical treatments, client advocacy, and assistance in obtaining housing, financial support, legal services, social support and any other needed service. The goals of Medical Case Management is to ensure that clients living with HIV/AIDS have timely access to comprehensive medical care and social services; prevent disease transmission and delay of HIV progression and to promote and support client independence and self-sufficiency. The Medical Case Manager will be supervised by the Lead Medical Case Manager.

Minimum education requirement is a bachelor’s degree in social work, Healthcare or related field. (Bachelor's Degree accepted in other field if candidate demonstrates sufficient relevant work experience), Ryan White service knowledgeable and/or two years' experience working with individuals living with HIV.

1. Collaborate and Consult with Clinical Staff to identify current and new clients who are in need of Medical Case Management services.

2. Works with agencies in the HIV/AIDS service system to engage individuals infected/affected with HIV.

3. Respond within 24 hours to requests for case management services.

4. Schedule a screening/intake within 2-5 days of the initial request.

5. Complete the screening/intake to determine eligibility for Medical Case Management services.

1. Provide an overview of Medical Case Management services including the role and responsibility of the Medical Case Manager and the client, the agency's grievance procedures.

2. Completion of the comprehensive assessment after screening/initial screening to determine the client's strengths, resources, needs and barriers to care.

3. Work with client to develop an Individualized Service Plan (ISP) which includes realistic, measurable and mutually acceptable goals that are based on the results of the assessment/Acuity Scale.

4. Identify action steps needed to achieve each goal, including target dates for accomplishment of the stated goals.

5. Provide continued patient education in regard to medication and lab values.

6. Identify referrals made to other providers/services in connection with action steps.

7. Obtain client and Medical Case Manager's signatures on ISP.

8. Provide clients with copies of agency documents as requested and file originals in client's file.

9. Maintain client files for eligibility and accuracy.

1. Have an effective working relationship with the agency Lead Medical Case Manager.

2. Attend and participate in HIV Collaborative Meetings as scheduled.

3. Enroll Medical Case Management clients in MASS, Inc.'s 340B pharmacy.

4. Identify and contact community-based organizations, primary care providers, housing services and other needed providers to establish referral agreements and to coordinate collaborative efforts with clients.

5. Complete all documentation to show evidence of the date and description of each Medical Case Management service.

6. Document progress made toward goals by writing notes in CAREWARE.

1. Face to face interaction with client, as required by level of needed support.

2. Complete review of ISP as indicated per Acuity Scale; making any changes, additions or deletions to current services.

3. Obtain client's signature indicating the agreement for continued contact and Medical Case Management services.

4. Develop intervention plan to re-engage client if face-to-face contact is not maintained and include the intervention in the ISP.

5. Document treatment adherence activities, and harm reduction counseling in client's file; these include keeping medical appointments, maintaining current labs (current = within 6 mos.), taking prescribed medication, refilling prescriptions, etc.

6. Complete Ryan White eligibility reassessment biannually and annually, including the development of a new ISP.

1. Other duties as assigned.

• Excellent customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, coworkers and families with diverse opinions, values, gender identities and religious and cultural ideals.
  
• Excellent verbal and written communication skills.
  
• Excellent computer skills using Microsoft software applications (e.g. Word, Access, Excel, Outlook,
  
• PowerPoint, social media apps).
  
• Experience with CAREWare a plus.
  
• Ability to interact with patients, staff and outside agencies appropriately.
  
• Ability to follow instructions, given either orally or in writing.
  
• Ability to work independently or with little supervision.
  
• Excellent organizational skills such as problem solving, decision making, priority setting, de-escalation and work delegation.
  
• Ability to complete assignments in a timely manner.
  
• Ability to work as a team member.
  
• Ability to maintain HIPAA compliance, corporate compliance and client confidentiality.
  

• Bachelor�s degree in social work, Healthcare or related field required (bachelor's degree accepted in other field if candidate demonstrates sufficient Ryan White relevant work experience.) Masters preferred.
  
• Knowledge of Word, Excel and PowerPoint required.
  
• Minimum 1 year experience providing Social Services assistance and with direct patient/client contact.
  
• Experience in medical setting or some clinical background preferred.
  

Job Type: Full-time

Pay: $50,000.00 - $60,000.00 per year

Benefits:

• Dental insurance
  
• Health insurance
  
• Life insurance
  
• Paid time off
  
• Retirement plan
  
• Vision insurance
  

Work Location: In person