Medical Case Manager

JOB SUMMARY:

Assess the needs of clients and provide services to individuals diagnosed with HIV/AIDS. Provide linkage to health care, psychosocial, and other services to improve overall health of clients.

DUTIES AND RESPONSIBILITIES:

• Develops, manages, and evaluates an appropriate service plan for each client.
• Advocates and works with clients to complete goals and objectives on individual service plans within allotted time.
• Maintains working relationships and involvement with area hospital and clinic social workers.
• Access and follow-up on referrals to community resources in an appropriate amount of time.
• Participates in medical/educational curriculums implemented related to medical issues. (Adherence, understanding labs)
• Works closely with the clients by fostering medical adherence through education and interaction with medical team.
• Able to complete paperwork accurately and thoroughly document in progress notes.
• Provides a minimum of determined billable units of service per day.
• Ensures client charts are complete, legible, and up to date while maintaining at least a 90% or better quarterly chart review score.
• Ensures submission of required paperwork in a timely manner (log sheets, CERV, ISPs, case openings/closings/transfers, Medicaid forms, etcetera)
• Adheres to office protocol. (Sign in/out sheets, work hours, voicemail, staff meetings, etcetera)
• Interacts with clients, providers, and staff in a professional, courteous, and responsible manner.
• Completes 40 hours of continuing education hours/Ryan White training per year.
•  Performs other duties as directed by your supervisor.

REQUIREMENTS:

• Bachelor’s degree required or master’s preferred in a human service-related field with 1 (one) year post-degree providing direct service to HIV target population.
• Must have sound interviewing and assessment skills and the ability to work effectively with clients of all socioeconomic and ethnic backgrounds.
• Ability to schedule work production to meet timelines with attention to detail.
• Must have a current driver’s license, reliable transportation, and proof of car insurance to travel throughout the community as required.

SKILLS AND ABILITIES:

• Support current organizational initiatives and exhibits creativity and flexibility in times of change
• Seeks experiences and formal and independent learning activities to maintain and develop clinical/administrative and professional skills and knowledge.
• Promotes, models, mentors, and leads customer service excellence.
• Communicates consistently with Clinic Manager and other providers on operational and oversight issues.

SUPERVISORY RESPONSIBILITIES:

• None

QUALIFICATIONS:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

LANGUAGE SKILLS:

• Ability to read, write, speak, and comprehend written documents fluently.

MATHEMATICAL SKILLS:

• Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

REASONING ABILITY:

• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

CERTIFICATIONS/LICENSES/REGISTRATION:

• No professional certifications, licenses or registration required.  All candidates will be required to submit a criminal background check as a part of pre-employment.

WORK ENVIRONMENT:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
• This job description includes the major duties and responsibilities of the job but is not inclusive of every task inherent to the job. In addition, it may be occasionally necessary for employees to be assigned tasks not specifically covered by their permanent assignment. Employees will be expected to comply with reasonable requests from their supervisor.

PHYSICAL DEMANDS:

• PHC will comply with the Americans with Disabilities Act, including the Americans with Disabilities Act Amendment Act, and all other Federal, State, and local legislative requirements. PHC will ensure that reasonable accommodations are made to enable a qualified individual with a disability to perform the essential functions of that position.

Priority Health Care is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ethnicity, citizenship status, religion, age, gender identification, pregnancy, marital or familial status, gender or sexual orientation, veteran or military status, physical or mental disability, genetic information, or on the basis of any other status protected by law, and in compliance with applicable federal, state and local laws.