Case Manager HIV

Southwest Healthcare•Santa Fe, NM

3d•Hybrid

About The Position

Southwest Care Center (SCC) is a non-profit healthcare organization that has been providing exceptional healthcare to people within our community for over 25 years. We provide services, including medical, behavioral healthcare, and community outreach, with health centers located in Santa Fe, and Albuquerque, NM. Southwest Care Center is an FQHC-LAL. SCC has an opportunity for a Case Manager to join our team of professionals serving patients in our Santa Fe and Albuquerque clinics. The ideal candidate must have a strong desire to make a difference in the community, embrace a team-oriented approach, and be comfortable working with and leading a team of medical support professionals. This role offers the opportunity to mentor others and participate in quality and process improvement initiatives.

Requirements

Must have a strong desire to make a difference in the community.
Must embrace a team-oriented approach and be comfortable working with and leading a team of medical support professionals.
Opportunity to mentor others, participate in quality and process improvement initiatives.
Following certification for Outreach HIV/HCV rapid testing and counseling programs.

Responsibilities

Collaborates and coordinates with health care team members to promote interdisciplinary treatment planning.
Conducts intake interviews, performs psychosocial assessment to identify psychosocial, economic or social risk factors, performs eligibility and referral services for patient and family to ascertain support service needs associated with adherence to medical treatment plan.
Assesses eligibility for and maintains eligibility in health insurance plans, patient assistance programs or other services that improve retention in care. Coordinates assistance by making appropriate referrals, following up with patient and agencies or services referred to, and monitoring and assisting with patient’s progress through the service delivery system. Provides consultation regarding financial planning, budget development and housing plans.
Links patient to a broad range of services, including, but not limited to medical care, behavioral health, substance abuse treatment, financial assistance, housing, food, financial entitlement, clothing, transportation, vocational training, and harm reduction services.
Monitors and accurately documents patients progress through individualized service planning that assesses level of functioning, adherence to medical treatment plan and access to service needs utilizing the Electronic Medical Record (EMR).
Within scope of practice, provides therapeutic interventions to patients by ensuring adherence to intervention plans, enlisting patient participation through education and supportive activities, monitoring adherence to medication regiments, follow-up appointments and utilization of enabling and supportive services.
Performs identified prior authorizations; collaborates with clinical staff and providers for necessary supporting documentation. (Pharmacy prior authorizations provided by Pharmacy Staff in Specialty Care clinics).
Maintains appropriate level of working knowledge regarding applicable grants and other program funds, regulatory requirements (such as FQHC, PCMH); patient counseling, guidance and all documentation are consistent with meeting such requirements.
Develops and maintains strong relationships with community resources to maintain up-to-date awareness of available resources.
Assist with Outreach HIV/HCV rapid testing and counseling programs (following certification).