Linkage Case Manager I

Chase Brexton Health Care• Baltimore, MD, US, MD
•$52,058 - $68,833

About The Position

The Linkage Case Manager I provides case management and outreach services to CBHC patients and families. Services include referrals and linkage to primary and supportive care, care planning, monitoring, crisis intervention, adherence counseling, and coordination with other care team members. The role serves patients with complex needs who require moderately intensive monitoring and follow-up. The position also conducts community- and clinic-based outreach; provides rapid infectious disease counseling, testing, and referrals; delivers infectious disease education and prevention, including PrEP screening and navigation; and links newly diagnosed HIV patients to medical care. The case manager completes assessments and documentation, supports patients and families in accessing community resources, collaborates with clinicians and providers, and participates in HIV testing and PrEP activities.

Requirements

  • High school diploma.
  • At least five years of related experience in a health setting, community social work, case management, or outreach.
  • Certification in a Testing, Linkage, and Care HIV testing course within 60 days of hire; training is provided.
  • Knowledge of available community resources and ability to make effective referrals and follow up.
  • Decision-making skills for setting priorities and responding to emergency situations.
  • Advanced psychosocial assessment and interviewing skills.
  • Supportive counseling skills and ability to work effectively with patients and families.
  • Ability to work with a diverse population.
  • Strong advocacy and organizational skills.

Nice To Haves

  • Bachelor’s degree in social work, public health, human services, or a related field.

Responsibilities

  • Assess patients’ and families’ needs and provide services to address problems affecting physical and mental well-being.
  • Assess structural barriers to care and develop action plans to address and eliminate them.
  • Counsel patients and families about community resources and assist with referrals and linkages.
  • Meet regularly with patients to conduct and document psychosocial needs assessments.
  • Partner with clinicians to connect patients to medication assistance programs.
  • Perform comprehensive intake assessments and complete required documentation.
  • Conduct initial needs assessments and make referrals for newly diagnosed HIV-positive patients and people at high risk of HIV acquisition.
  • Complete referrals, assigned triage, and clinic duties accurately and in a timely manner.
  • Educate providers, the healthcare team, and the community about case management services.
  • Participate in internal and external HIV testing and PrEP activities, including special events and routine community activities.
  • Coordinate health prevention presentations for community partners.
  • Maintain legible, timely documentation and complete monthly reports.
  • Coordinate with team members and the Project Manager to maintain testing supplies and datasheets.
  • Provide community- and clinic-based outreach, rapid infectious disease counseling and testing, infectious disease education and prevention, PrEP screening and navigation, and linkage to medical care for new HIV patients.
  • Coordinate care and services with other members of the care team, including care planning, monitoring, crisis intervention, and adherence counseling.
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