Client Services Case Manager

Harbor Health Services, Inc. • Boston, MA

39d • Hybrid

About The Position

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for a talented Client Services Case Manager to join our team at the Daniel Driscoll-Neponset Health Center. The Client Services Case Manager works as part of the Client Services Unit and provides ongoing case management, treatment adherence support and supportive referrals for patients Living with HIV/AIDS receiving care at the health centers affiliated with Harbor. The Case Manager assumes an important role working closely with the primary care providers, infectious disease providers, and other health center staff to coordinate medical and social services. The Case Manager is responsible for developing, implementing and evaluating case management needs and care plans to address psycho-social issues and the case management needs of patients living with HIV/AIDS receiving care at the health center. This position also requires regular on-site assistance in the Harbor Health Food Pantry on Tuesdays, once a month at the Daniel Driscoll Neponset Health Center. This is a hybrid position. This is a grant funded position.

Requirements

• Bachelor’s degree in Social Work, Human Services or related field required
• BLS (Basic Life Support for Healthcare Providers) Certification required
• License in Social Work (LSW) or LADC (License in Alcohol and Drug Counseling) or five years of experience in Case Management may be substituted for the BA/BS degree, Master’s Degree in Psychology, Human Services, Social Work, Education or closely related field may be substituted for professional experience
• One year of Case Management experience
• Ability to work independently and cooperatively as part of a multidisciplinary team
• Ability to prioritize, organize and schedule busy workdays
• Basic business writing skills
• Basic skills in effectively using Office 365 applications including Word, Excel and Outlook and Teams
• Required to travel to, and provide services in, client's residence as necessary; must be able to travel between Harbor and outside sites in a timely manner

Nice To Haves

• Bilingual/Bicultural Haitian Creole and/or Spanish highly desired.

Responsibilities

• Provides Intake, Assessment, Individual Service plans and ongoing case management for patients living with HIV/AIDS.
• Practices under DPH, HRSA HAB, and BPHC case management standards of care and periodically evaluates and ensures that standards are met.
• Regularly assesses case management services and identifies areas of growth and improvement.
• Coordinates health and social services for clients.
• Evaluates progress toward service plan goals & objectives and ensures eligibility requirements are met and documented.
• Assures that clients are connected to needed community services as well as financial benefits/entitlements.
• Empowers clients for self-advocacy as appropriate.
• Assists in operation of weekly Tuesday food pantry at Daniel Driscoll Neponset Health Center between 7:30 AM and 3:00 PM a minimum of once per month. Additional assistance required as needed with priority availability between the hours of 7:30 AM and 9:30 AM.
• Supports food access programs including coordinating meal delivery and tracking food access support services such as grocery store gift cards.
• Actively participates in assigned continuous quality improvement activities for case management program
• Conducts off-site client social services and health visits when appropriate.
• Establishes & maintains relationships with outside community agencies providing useful services for clients.
• Contributes to the collection and maintenance of demographic and service utilization data for grant and contract requirements as appropriate including monthly reporting.
• Collaborates with medical and other staff to develop and implement patient care plans via multidisciplinary case conferences and individual provider meetings.
• Timely and accurately records necessary and pertinent data in client’s medical record following HHSI policies and procedures.
• Engages patient to help manage appointments and referrals and maintains monthly outreach to patients for engagement. Attends monthly department meetings, mandatory and non-mandatory trainings, and conferences.
• Assists clients in accessing core and supportive services of medical transportation, mental health referrals, oral health care and nutrition.
• Participates in annual Part A BPHC Site Visits, and HRSA Site visits and contributes to preparations of audit.

Benefits

• Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level