Medical Case Manager - Housing

Affinity Health Center • Rock Hill, SC

17d • Hybrid

About The Position

Under the supervision of the Case Management Supervisor, the Medical Case Manager (MCM) - Housing is responsible for supporting team members and delivering services that lead to satisfactory health outcomes for people living with HIV/AIDS in Affinity Health Center’s (AHC) service area. This role involves researching and maintaining a list of housing programs, developing and maintaining relationships with landlords and partners, and providing referrals when appropriate. The MCM will also provide information to clients, other MCMs, and partners on housing resources, eligibility, and budgeting. A key part of the role is providing direction to the MCM team on patient eligibility, ensuring documentation is compliant and correct in patient charts, and researching landlord/tenant law. The position also assists with chart audits, reviews data entry in EMR for accuracy and compliance, and works with the Data Quality Team to run reports and review metrics related to housing. The MCM will write monthly and/or quarterly reports for funders and partners, and collaborate with the Accounting Team to ensure documentation and subsidy payments are correct. Direct communication with patients and MCM staff is required to obtain necessary documentation and ensure patient charts are up-to-date and accurate. The Medical Case Management duties include managing a caseload of up to 50 patients per year, conducting comprehensive assessments of patient needs, goals, and eligibility for state and federal programs like ADAP and HMAP. The role involves building relationships with patients, developing individualized action plans, advocating for services, and coordinating with internal/external providers. Support is provided for patients completing applications for various state and federal programs, and education is given on eligibility requirements and insurance coverage. Ongoing evaluation and support are provided to ensure patient retention in medical care, with semi-annual and annual reassessments. Documentation of intakes, data, and service plans is done using electronic health records and databases like Provide Enterprise, ensuring services align with Ryan White guidelines. Participation in Continuous Quality Improvement (CQI) activities is also expected.

Requirements

• Bachelor’s or Master’s Degree in Social Work
• 2 Years’ experience in Case Management
• Valid Driver’s license and reliable transportation
• Ability to multi-task, adhere to timelines, maintain detailed documentation and manage caseload of up to 50 patients per year
• Ability to learn and utilize database software including AHC electronic health record and Provide Enterprise

Nice To Haves

• Experience supporting people living with HIV/AIDS
• Experience working under federal and state benefits and/or assistance programs (e.g., Ryan White, Medicaid/Medicare, SNAP, SSDI, SSI, etc.)
• Experience working in housing benefits (i.e., tenant law, working with landlords, providing education on eligibility, options, timelines, supporting application, etc.)

Responsibilities

• Research and maintain a list of housing programs; develop and maintain relationships with landlords and partners, provide referrals when appropriate
• Provide information to clients, MCMs and partners on housing resources and eligibility, budgeting and more
• Provide direction to MCM team on patient eligibility, ensure documentation is compliant and correct in patient charts (i.e., income information, demographic information, IDs, etc.)
• Researches and understands landlord/tenant law
• Assist with chart audits in Provide Enterprise, review data and document entry in EMR to ensure accuracy and compliance with program eligibility
• Work with Data Quality Team members and Case Management Leadership to run reports and review metrics across all patients and MCMs related to housing, ensure data are correct
• Write monthly and/or quarterly reports for funders and partners
• Partner with the Accounting Team to ensure documentation is up to date and accurate and subsidy payments are correct
• Communicate directly with patients and MCM staff to obtain required documentation, ensure patient charts, supporting documentation and income information are up to date, accurate, and complete
• Manage a caseload of up to 50 patients per year
• Conduct comprehensive assessments of patient needs/goals
• Conduct comprehensive assessments of patient eligibility for state and federal programs including, but not limited to, the SC AIDS Drug Assistance Program (ADAP) and NC HIV Medication Assistance Program (HMAP)
• Build relationships with patients and connect regularly for appointments in-person at AHC, by phone, and occasionally in-person in the community or at patients’ homes
• Develop comprehensive, individualized action plans to meet patient needs/goals
• Advocate for services and resources to reach patient goals, coordinate internal/external providers and social benefit referrals
• Support patients in completing applications for state and federal programs including, but not limited to, SNAP, SSDI, SSI, Medicaid/Medicare
• Provide education to patients on eligibility requirements, assist with insurance enrollment and coverage
• Provide ongoing evaluation and support to ensure patient retention in medical care
• Conduct semi-annual and annual reassessments of patient needs and eligibility
• Document intakes, along with data and patient service plans using electronic health records, state reporting, and patient documentation databases - such as Provide Enterprise
• Ensure services are delivered in accordance with the SC Ryan White Part B Case Management and Ryan White Part A guidelines
• Participate in Continuous Quality Improvement (CQI) activities and the AHC Performance Management System

Benefits

• Fully funded health insurance
• Paid-Time Off
• Group Health /Life/Dental/Vision/Disability
• 403B Retirement Plan with 3% match
• 12 Paid Holidays
• Training and continuing education opportunities provided, including leadership development

What This Job Offers

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