Clinical Case Manager I - Peds ID
About The Position
Conducts needs assessment of clients with HIV/AIDS in the outpatient and hospital setting for clients to receive comprehensive medical, social and community resources on an ongoing basis or at least every 6 months. Conducts home visits as needed to ensure timely access to and coordination of medical and psychosocial services. Conducts psychosocial assessments, developing, implementing and revising individualized plan of care, family support plan and discharge plan on an ongoing basis. Educates, links and refers clients to follow-up medical care and community resources to address needs in collaboration with other Ryan White Network Providers. Advocates for client’s unmet needs, providing clinical intervention (counseling, support) as needed. Is familiar with appropriate sources of referral for mental health, substance abuse, home care, food, transportation and other support services for people living with HIV/AIDS. Provides referral assistance with above in addition to insurance issues, Medicaid, Medicare, and other public assistance services. Develops therapeutic relationships with clients, maintaining ongoing connection with clients and families during times they are not accessing services. Assure client awareness of all Ryan White programs and available community services; advocate for accessibility for all services. Provide linkages to agency, community and government services and monitor referral completion including state insurance continuation programs, ADAP, medication patients assistance programs (PAP), benefits/health coverage programs such as PAC Waiver, SSI, SSDI, Medicaid, Medicare, housing programs, etc. Provides documentation of Ryan White service units and assists with monthly and quarterly reports for internal and external grant sources. Maintains and updates client records and notes utilizing a database system designed for tracking of progress notes and other required information reporting as defined by agency standards, including electronic medical record and/or CAREWare. Attends weekly clinical staffing providing input regarding patient medical case management needs. Attends other divisional meetings, as required, including weekly research meeting, monthly Case Management Co-Op meetings, monthly division meetings, and other meetings as required. All other duties as assigned. Attends educational activities, trainings and events as required, including monthly HIV Grand Rounds, Annual HIV Conferencing, Medical Case Management training and other trainings as required. Actively participates in community awareness and testing events including National HIV/AIDS Awareness, World AIDS Week and other awareness events.
Requirements
- Master's degree in an appropriate area; or a bachelor's degree in an appropriate area and two years of relevant experience.
Nice To Haves
- Degree in a relevant discipline such as social work, nursing, public health or public administration.
- HIV/AIDS, hepatitis and substance abuse prevention or service coordination experience with the target population preferred.
Responsibilities
- Conducts needs assessment of clients with HIV/AIDS in the outpatient and hospital setting for clients to receive comprehensive medical, social and community resources on an ongoing basis or at least every 6 months.
- Conducts home visits as needed to ensure timely access to and coordination of medical and psychosocial services.
- Conducts psychosocial assessments, developing, implementing and revising individualized plan of care, family support plan and discharge plan on an ongoing basis.
- Educates, links and refers clients to follow-up medical care and community resources to address needs in collaboration with other Ryan White Network Providers.
- Advocates for client’s unmet needs, providing clinical intervention (counseling, support) as needed.
- Is familiar with appropriate sources of referral for mental health, substance abuse, home care, food, transportation and other support services for people living with HIV/AIDS.
- Provides referral assistance with above in addition to insurance issues, Medicaid, Medicare, and other public assistance services.
- Develops therapeutic relationships with clients, maintaining ongoing connection with clients and families during times they are not accessing services.
- Assure client awareness of all Ryan White programs and available community services; advocate for accessibility for all services.
- Provide linkages to agency, community and government services and monitor referral completion including state insurance continuation programs, ADAP, medication patients assistance programs (PAP), benefits/health coverage programs such as PAC Waiver, SSI, SSDI, Medicaid, Medicare, housing programs, etc.
- Provides documentation of Ryan White service units and assists with monthly and quarterly reports for internal and external grant sources.
- Maintains and updates client records and notes utilizing a database system designed for tracking of progress notes and other required information reporting as defined by agency standards, including electronic medical record and/or CAREWare.
- Attends weekly clinical staffing providing input regarding patient medical case management needs.
- Attends other divisional meetings, as required, including weekly research meeting, monthly Case Management Co-Op meetings, monthly division meetings, and other meetings as required.
- All other duties as assigned.
- Attends educational activities, trainings and events as required, including monthly HIV Grand Rounds, Annual HIV Conferencing, Medical Case Management training and other trainings as required.
- Actively participates in community awareness and testing events including National HIV/AIDS Awareness, World AIDS Week and other awareness events.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
