Medical Care Manager

AIDS Healthcare Foundation•Miami, FL

11h•Onsite

About The Position

A Medical Care Manager contributes to AHF by utilizing their experience, skills, and education and thoroughly understanding the Ryan White Care Act Program within their specific area. With a caring and knowledgeable focus, you will work with our providers and Healthcare Center team so that every Ryan White client receives the support they require and access to available resources. This will include providing education and assistance so that eligibility for the program is understood. Working directly within the Healthcare Center, you will meet with clients and complete Needs Assessments, develop Action/Care Plans, and provide ongoing education to patients so that they understand their diagnoses and their medications. You will reengage clients who dropped out of care or provide support to new patients determined to be at high risk of dropping out based on risk factor assessments, missed appointment data, and service utilization data. For Ryan White contracts that combine psychosocial needs within Medical Care Management, you will understand mental health needs and basic needs such as housing, food, and clothing and develop relationships with programs and agencies serving those needs and facilitate referrals, support, and assistance for your patients who lack those services. You will also conduct ongoing retention calls to ensure no gap in retention efforts and to uphold radical cooperation across divisions. A Medical Care Manager enhances the reputation of AHF by utilizing your case management experience, you will meet our clients where they are, identify strengths and opportunities for growth, and assist them with realistic goal setting. With your skills of collaboration and engagement, you will coordinate care for people living with HIV (PLWH) eligibility and ensure they achieve and maintain viral load (VL) suppression and retain medical care. You will also bring the essence of the Ryan White Care Act - the safety net for uninsured HIV/AIDS patients - to our most vulnerable population. By establishing Needs Assessments, Action/Care Plans, referrals, and support, your work will directly contribute to AHF’s success in meeting the deliverables of our Ryan White contract. Beyond the scope of the contract, your work contributes to measures established by the HIV/AIDS Bureau (HAB) Measures and the Department of Health and Human Services. You will assure the coordination, follow-up, and completion of medical treatments and/or care plan interventions so that these services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care through ongoing assessment of the client’s and other key family members’ needs and personal support systems. You will verify the client’s eligibility for the ACA (Affordable Care Act) program and enroll those who qualify to ensure broader access to healthcare services. You will be a passionate advocate for our top initiatives. To be successful as a Medical Care Manager it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees. AHF has a collaborative organizational structure where staff are accountable to multiple leaders. The Medical Care Manager will work as a part of a close-knit team to improve health care outcomes, support clients taking all their medications as prescribed, and address barriers to care and treatment. You will provide brief interventions focused on a long-term achievable goal, the client and the MCM work together each step towards viral suppression, better health outcomes, and quality of life. You will collaborate with providers to mutually develop and establish an action or individual service plan with each client that identifies patient needs, goals, and planned course of action to promote readiness for and adherence to complex HIV/AIDS treatments (i.e., counseling, special programs), and meets identified needs; monitors and documents the changing needs of the client through personal contact and by reviewing the care plan at least every six months.

Requirements

Minimum Bachelor's level degree in a social science or health discipline required.
Minimum of 3 years of Case Management experience is preferred.
Knowledge of Ryan White Services is preferable.
Knowledge of community resources.
Competence in Cultural and linguistic Diversity.

Nice To Haves

Master’s degree in Social Science, Social Work, or Human Services preferred.

Responsibilities

Utilize experience, skills, and education to understand the Ryan White Care Act Program.
Work with providers and Healthcare Center team to ensure Ryan White clients receive support and access to resources.
Provide education and assistance regarding program eligibility.
Meet with clients, complete Needs Assessments, develop Action/Care Plans, and provide ongoing patient education on diagnoses and medications.
Reengage clients who dropped out of care or provide support to new high-risk patients.
Understand mental health and basic needs (housing, food, clothing) and develop relationships with relevant programs and agencies.
Facilitate referrals, support, and assistance for patients lacking basic services.
Conduct ongoing retention calls.
Meet clients where they are, identify strengths and opportunities for growth, and assist with realistic goal setting.
Coordinate care for people living with HIV (PLWH) eligibility.
Ensure clients achieve and maintain viral load (VL) suppression and retain medical care.
Establish Needs Assessments, Action/Care Plans, referrals, and support.
Assure coordination, follow-up, and completion of medical treatments and/or care plan interventions.
Ensure timely and coordinated access to medically appropriate health and support services.
Ensure continuity of care through ongoing assessment of client and family needs and support systems.
Verify client eligibility for the ACA (Affordable Care Act) program and enroll those who qualify.
Act as a passionate advocate for top initiatives.
Work as part of a close-knit team to improve health care outcomes.
Support clients in taking medications as prescribed.
Address barriers to care and treatment.
Provide brief interventions focused on long-term achievable goals.
Collaborate with providers to develop and establish action or individual service plans.
Monitor and document changing client needs through personal contact and by reviewing the care plan at least every six months.