Medical Case Manager

Park West Health System•Baltimore, MD

1d•$60,000 - $65,000

About The Position

The Medical Case Manager provides medical case management and treatment adherence services for The Hidden Garden Program. The role supports clients in meeting eligibility requirements, accessing primary medical care and related services, and progressing toward care plan goals. It also includes advocacy, crisis intervention, health education, support group facilitation, and liaison support to the Consumer Advisory Board. The employee is expected to provide courteous, responsive, service-oriented support; contribute to a respectful and welcoming environment; and work collaboratively toward organizational goals. Duties must be performed consistently with Park West Health System’s mission, vision, and values and in compliance with applicable regulations and organizational policies, including HIPAA, privacy, security, infection control, workplace safety, and risk management requirements. The role also participates in quality improvement, required training, staff meetings, and organizational initiatives, and performs other related duties as assigned.

Requirements

Master’s Degree in Social Work from an accredited graduate program.
Current Maryland licensure as an LMSW or LCSW-C.
Two years’ experience working in a social service environment.
Relevant background experience and sensitivity to HIV/AIDS-related issues and African-American and other minority community issues.
Awareness of local AIDS services and public and community-level resource providers.
Demonstrated leadership and team-building skills.
Strong communication skills across internal and external stakeholders.
Cultural competence, with special emphasis on HIV, LGBTQI+ and marginalized populations.
Ability to coordinate within complex care systems and community resources.
Advocacy skills and a client-centered care approach.
Adaptability and problem-solving ability.

Responsibilities

Confirm Ryan White eligibility and applicable documentation.
Receive outreach staff referrals and verify compliance with eligibility requirements, including HIV status, residency, income, insurance documentation, and client signatures on agency forms.
Refer clients to primary medical care for follow-up visits, laboratory work, and prescriptions.
Monitor initial assessments, care plans, and client encounters to ensure client needs, goals, and interventions are developed and updated with staff and client signatures, consistent with state and federal outcome indicators and standards of care.
Determine the level of case management assistance required and the frequency of visits.
Make appropriate internal and external referrals to core medical and other health and support services, and work with the Case Assistant until referrals are resolved.
Monitor completion of insurance applications.
Conduct and document face-to-face, telephone, home-visit, and other encounters with and on behalf of clients, including progress toward care plan goals.
Provide treatment adherence support, advocacy, consultation, and crisis intervention to clients and family members.
Provide monthly narratives identifying barriers and solutions to system and operational challenges.
Provide liaison support to the Consumer Advisory Board (CAB).
Facilitate a monthly health education session or support group.
Provide courteous, responsive, service-oriented support to patients, visitors, and colleagues and collaborate to support team and organizational goals.
Follow applicable regulations and organizational policies and procedures, including HIPAA, privacy, security, infection control, workplace safety, and risk management requirements.
Participate in quality improvement and performance initiatives, required training, staff meetings, and organizational initiatives; maintain job-related competencies and support operational needs.