Medical Case Manager
About The Position
The Medical Case Manager provides confidential, client-centered services that connect clients with medical, dental, mental health, substance use, and supportive services, including legal assistance, medical transportation, emergency financial assistance, food, and housing. The role aims to support viral suppression by addressing barriers that prevent clients from accessing care and becoming undetectable. The Medical Case Manager also provides treatment adherence counseling to support readiness for and adherence to complex HIV/AIDS treatments, and screens and enrolls eligible clients in the 340B program. The position conducts assessments and reassessments, develops care plans based on clients’ identified needs, and verifies service eligibility before services are provided. It supports linkage and re-engagement in care, including for older adults, and conducts outreach and field visits as needed for RW and HOPWA clients who have disengaged from care. The Medical Case Manager makes referrals, helps clients access income supports and entitlements, completes eligible emergency financial assistance applications, and processes payment requests for copays and other out-of-pocket costs. The role documents client encounters in the designated database accurately and promptly, builds professional relationships with social service, health, and governmental agencies, and participates in quality improvement, supervision, team meetings, training, and conferences. The Medical Case Manager may also assist with agency-wide activities, protects confidential information, and performs other assigned duties. There are no supervisory responsibilities.
Requirements
- Associate degree in any human services field.
- Four or more years of case management experience.
- Exceptional time-management skills.
- Strong attention to detail.
- Ability to present to large groups and comfort with presentations.
- Strong customer-service orientation.
- Ability to work independently and make decisions within the position’s span of control.
- Dependability and reliability.
- Knowledge of HIPAA and ability to comply with HIPAA regulations.
- Ability to recognize and solve problems positively and sustainably.
- Dependable transportation to conduct field visits.
- A driver’s license and car insurance may be required.
- Physical ability to operate a vehicle may be required.
Nice To Haves
- Bachelor’s degree in any human services field.
- Bachelor’s degree in any non-human-services field with at least two years of case management experience.
- Bilingual Spanish proficiency, including ability to read, write, and speak Spanish proficiently.
Responsibilities
- Conduct face-to-face assessments and annual reassessments.
- Create care plans that address clients’ identified needs.
- Ensure that clients referred to services are eligible before the date of service.
- Provide care-service linkage and re-engagement support, including to older adults.
- Conduct field visits as needed to RW and HOPWA clients who have disengaged from care.
- Conduct outreach services as needed.
- Refer clients to services identified in their care plans.
- Screen clients for income supports, benefits, and entitlements, and advocate on their behalf.
- Complete emergency financial assistance applications for eligible clients.
- Complete payment requests for copays and other out-of-pocket costs as needed.
- Document client encounters accurately and promptly in the designated database.
- Develop and maintain professional relationships with social service, health, and governmental agencies.
- Participate in continuous quality improvement efforts.
- Participate in regular supervision meetings, team meetings, in-house training sessions, and conferences as needed.
- Assist with agency-wide activities as directed, including the Annual Meeting and AIDS Run & Walk.
- Protect confidential information and help manage organizational risk.
- Perform other duties as assigned.
- Provide treatment adherence counseling for complex HIV/AIDS treatments.
- Screen and enroll eligible clients in the 340B program.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
