MEDICAL CASE MANAGER

The Centers • Cleveland, OH

8d

About The Position

Provides direct services to clients enrolled in the Early Intervention Program. The Medical Case Manager provides case management, advocacy, limited supportive counseling, case-plan development, case conferences, recordkeeping, and service-statistic reporting. The role collaborates with clinical, medical, and dental staff to coordinate treatment and case planning and meet Ryan White standards of care.

The position supports HIV patients by coordinating appointments and transportation, conducting program intakes, arranging volunteer medical-provider schedules, preparing records, labs, and referrals, facilitating scheduled lab tests and medication pickup, and completing OHDAP and other patient-assistance applications. The employee networks with Ryan White providers and service representatives, maintains patient files in compliance with Ryan White Part A guidelines and Circle Health Services protocols, prepares documentation for new patients, audits, and quarterly quality-assurance reviews, and makes appointment reminder calls.

The Medical Case Manager also attends Ryan White monthly meetings and serves on at least one committee, participates in staff meetings and organizational decision-making, works collaboratively with coworkers and volunteers, and attends community fairs and collaborates with other agencies to identify referral sources and distribute information about Circle Health Services. Other related duties may be assigned. The position does not supervise other employees.

Requirements

• Valid driver’s license and insurance coverage with limits of $300,000; must provide a complete copy of the insurance policy for review of exclusions.
• Professional II Case Manager: bachelor’s degree in social work and Licensed Social Worker (LSW).
• Professional III Case Manager: master’s degree in social work and Licensed Social Worker (LSW).
• Professional IV Case Manager: master’s degree in social work and Licensed Independent Social Worker (LISW).
• Clinical license must be in good standing with the State of Ohio.
• Two or more years of related work experience.
• Willingness to work with the HIV-positive population.
• Ability to communicate clearly and adapt language to the audience.
• Ability to express ideas clearly in writing, organize notes, summarize messages, and provide sufficient information.
• Ability to perform and make sound decisions under pressure, focus on essentials, and meet deadlines.
• Developed knowledge of mental illness, substance-use disorders, therapeutic modalities, and related community resources; strong intervention skills; ability to maintain accurate documentation and a nonjudgmental attitude.
• Self-awareness, attentive listening, people-oriented approach, cultural intelligence, awareness of bias, respect for divergent viewpoints, and sensitivity to cultural diversity.
• Ability to speak and hear; frequently sit for extended periods, stand, walk, use hands and fingers, and reach with hands and arms; lift files, open filing cabinets, and bend or stand on a stool as needed.
• Ability to travel and work outside normal hours when required for meetings, presentations, trainings, and other events.

Responsibilities

• Provide case management assistance, advocate for assigned clients, and offer limited supportive counseling.
• Develop case plans and participate in case conferences.
• Maintain client case records and report service statistics.
• Collaborate with clinical staff to coordinate treatment and case planning.
• Transport patients to and from appointments and provide linkage to care.
• Conduct intakes for the Early Intervention Program.
• Attend monthly Ryan White meetings and serve on at least one committee.
• Collaborate with medical and dental staff to meet Ryan White standards of care.
• Coordinate schedules and provide support for volunteer medical providers.
• Prepare patient records, lab information, and referrals for volunteer providers.
• Facilitate scheduled lab tests and medication pickup, including coordination with CVS/ProCare pharmacy.
• Network with Ryan White providers and service representatives.
• Complete OHDAP and other patient-assistance applications.
• Ensure patient files comply with Ryan White Part A guidelines and Circle Health Services protocols.
• Provide required documentation in patient charts and prepare for new patients, audits, and quarterly quality-assurance reviews.
• Attend community fairs and collaborate with agencies to gather referral-source information and distribute Circle Health Services information.
• Promote effective communication and teamwork within and between departments.
• Attend departmental and Circle Health all-staff meetings and participate in organizational decision-making.
• Work effectively and positively with coworkers and volunteers.
• Assist with scheduling medical appointments for HIV patients and make reminder calls.
• Perform other related duties as assigned.

What This Job Offers

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