Hep C Care Coordinator

TRILLIUM HEALTH INCCity of Rochester, NY
$20 - $29Onsite

About The Position

The Hepatitis C Care Coordinator works collaboratively with Trillium Health staff and outside agencies to promote linkage, retention, and treatment adherence for patients infected with hepatitis C, supporting Trillium Health’s patient-centered, integrated medical and behavioral model within the Hepatitis C Program. The Hepatitis C Care Coordinator provides education, testing, treatment adherence services, and overall care coordination for patients with hepatitis C.

Requirements

  • Experience in community health settings with direct patient care interaction required.
  • Excellent communication and teaching skills.
  • Proficiency in word‑processing and spreadsheet software required.
  • Valid driver’s license and reliable transportation required.
  • High school diploma and five (5) years of related experience; or
  • Associate’s degree and three (3) years of related experience; or
  • Bachelor’s degree in Public Health, Psychology, Science, Health Education, Social Work, or a related field.

Nice To Haves

  • Experience in a community health role related to hepatitis C and familiarity with general health guidelines preferred.
  • Bilingual preferred.

Responsibilities

  • Ensure individuals who screen preliminary positive for hepatitis C are linked to medical care and receive confirmatory testing.
  • Provide intake to medical care including opening charts in the EMR, completing releases, assessing barriers to linkage and retention, coordinating records requests, and scheduling appointments.
  • Accept and coordinate internal and external referrals for hepatitis C management.
  • Orient patients to available services within Trillium Health and to the organization’s mission.
  • Meet with all hepatitis C patients prior to treatment initiation to provide disease‑specific education, review treatment options, and outline program expectations.
  • Meet with patients completing treatment to provide education on hepatitis C and risk‑reduction counseling to prevent reinfection.
  • Deliver opioid overdose prevention training and facilitate access to naloxone.
  • Meet with all hepatitis C patients prior to treatment to provide adherence education and assess readiness to engage in treatment.
  • Meet with patients on treatment to provide continued adherence education and support.
  • Complete quantitative assessments of antiviral adherence for patients receiving treatment.
  • Provide telephone support to remind patients of appointments or medication schedules.
  • Assist patients with pillbox setup when needed.
  • Collaborate with internal and external pharmacies to ensure medication is available when needed.
  • Ensure patients are scheduled for all appointments required by the Hepatitis C Program.
  • Collaborate with hepatitis C providers to ensure laboratory tests and referrals are ordered and completed.
  • Follow up with patients who miss appointments or other program requirements.
  • Provide referrals to appropriate internal and external resources, including insurance navigation, care management, partner notification, health education, housing, and harm‑reduction services.
  • Assist patients with applications for coverage of medical visits, laboratory fees, and medications (e.g., NYSHepCAP, Trillium Health Sliding Fee Scale, patient assistance programs, and prior authorizations through third‑party payers).
  • Serve as liaison with internal staff, pharmacies, home care services, and community agencies to promote linkage, retention, and treatment adherence.
  • Provide rapid hepatitis C testing and dried blood spot confirmatory testing when necessary.
  • Discuss risk‑reduction strategies and assist clients in developing practical, client‑centered risk‑reduction plans.
  • Connect clients to services and care.
  • Provide condoms and other risk‑reduction supplies.
  • Demonstrate developing knowledge of HIV, HCV, STIs, substance use‑related factors, health disparities, and other health‑related issues relevant to Trillium Health’s mission and vision.
  • Document testing services as required by funders.
  • Present culturally competent educational and risk‑reduction programming and hepatitis C prevention and treatment education to clients, patients, staff, volunteers, and community members.
  • Ensure hepatitis C prevention is integrated into outreach and programming activities.
  • Distribute current and appropriate educational and service materials during outreach, one‑on‑one encounters, and programming.
  • Demonstrate developing knowledge of hepatitis C, priority populations, and related health issues.
  • Learn and implement Evidence‑Based Interventions and structured programming.
  • Serve as an ambassador of all Trillium Health and The MOCHA Center services during community‑based outreach, education, and testing.
  • Document all services provided in accordance with funder and program protocols.
  • Enter, compile, and report program data as required by program and funders.
  • Maintain inventory of tools, patient education materials, and incentives.
  • Participate in a minimum of 30 hours of training and continuing education annually.
  • Prepare for and participate in monthly meetings to review caseload and quality data with the hepatitis C team.
  • Participate in Hepatitis C QAPI meetings and complete quality improvement initiatives as assigned.
  • Assist the Manager with tasks requested by Trillium Health leadership and/or the AIDS Institute, including monthly narratives and required documentation.
  • Requires the ability and commitment to respect and support patients, other employees and visitors with various lived experiences.
  • Requires individual demonstration of commitment to the mission, vision, One Trillium values, behaviors and modeling them in the organization.
  • Responsible for maintaining confidentiality of all patient, client, employee, protected and proprietary information.
  • Employees are accountable for meeting the performance standards of their departments and must participate as requested in compliance audits and quality improvement plans.
  • Required to participate in continuous improvement of job responsibilities and organizational or work processes to advance the organization or department.
  • Other specific duties as assigned.
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