Medical Case Manager

Positive Impact Health Centers INC • Decatur, GA

14h

About The Position

Positive Impact Health Centers (PIHC) is a community provider of HIV prevention, care, and treatment services. Its model connects people with HIV to medical, pharmacy, dental, behavioral health, and social services. The Medical Case Manager provides medical case management to eligible adult clinic patients in accordance with applicable funding guidelines and best-practice care models, as an integral member of an interdisciplinary care team. The position description is not exhaustive, and the employee may be assigned other job-related duties.

The role includes assessing patients’ psychosocial needs, developing and monitoring individualized service plans, supporting care adherence and retention, coordinating referrals, and connecting patients with community resources. The Medical Case Manager documents services and activities in the agency’s electronic medical record and related reporting software and follows applicable confidentiality, HIPAA, and agency requirements.

The position requires a social service or nursing degree from an accredited university program and at least one year of experience in a service-delivery setting coordinating or developing supportive services. Licensure, or eligibility for licensure as applicable to the degree, is required. BSW or MSW credentials, medical-setting experience, HIV-related experience, EMR experience, and Spanish fluency are preferred to varying degrees as described in the posting. The work involves frequent sitting and talking or hearing, occasional walking, computer and hand use, reaching, and occasional lifting or moving of up to 30 pounds.

Requirements

• A social service or nursing degree from an accredited university program.
• At least one year of experience in a service-delivery setting, emphasizing locating, coordinating, and developing supportive services for clients across a broad psychosocial continuum.
• Licensure, or licensure eligibility as applicable to the degree (for example, LMSW or LCSW for an MSW holder).
• Strong social work, nursing, or case management skills, including the ability to complete comprehensive psychosocial assessments and help adult clients develop individualized service plans.
• Excellent interpersonal skills and the ability to communicate effectively in a multicultural setting with target populations, volunteers, agency staff, and agency Board members.
• Proficient computer skills for word processing, data entry, documentation, and internet navigation.
• Ability to adapt work style to solitary and collaborative tasks.
• Ability to work independently without close supervision.
• Excellent time-management techniques.
• Consistent follow-through to complete assigned tasks.

Nice To Haves

• BSW or MSW in social work.
• Comprehensive and up-to-date knowledge of HIV medical and case management fundamentals.
• Professional experience working in a medical setting.
• At least one year of previous professional experience working with adults living with HIV.
• Previous professional experience documenting in an Electronic Medical Record (EMR) system.
• Written and verbal fluency in Spanish.

Responsibilities

• Stay current on practice issues related to HIV/AIDS, related medical diagnoses, and medical case management.
• Provide medical case management to clinic patients in accordance with HRSA/Ryan White and Metropolitan Atlanta HIV Health Services Planning Council guidelines.
• Complete biopsychosocial assessments with new and returning patients using required screening tools.
• Manage an average caseload of 70 patients by developing comprehensive Individualized Service Plans, monitoring their effectiveness, and coordinating services to meet plan goals.
• Periodically reevaluate and revise or adapt service plans.
• Provide adherence and retention counseling to help patients maintain health care.
• Identify gaps in core and supportive services, including medical care, mental health, substance abuse, housing, nutrition, and transportation resources.
• Coordinate referrals and follow-up for medical and non-medical services.
• Participate in an interdisciplinary care team to assess patient needs and coordinate service referrals.
• Assist patients with applications and continued eligibility for medication access programs, including ADAP and pharmaceutical assistance programs, as needed.
• Assist self-managed patients with social service questions and related needs.
• Develop a network of additional community resources.
• Document patient information, activities, referrals, and consultations accurately and promptly using the agency’s electronic medical record system and related reporting software.
• Follow state and federal laws and agency policies concerning confidentiality and HIPAA.
• Assist agency administration with long-range planning, including goals and objectives, as directed by the supervisor.
• Follow agency policies and procedures, including the conflict-of-interest policy.
• Perform additional duties as assigned.

Benefits

• One Health Wellness day per quarter.
• Parental leave.
• Free parking at locations and bus-line accessibility.
• Competitive salary and benefits.
• Automatic 3% Safe Harbor and 2% profit sharing through the retirement program.
• Benefit elections allocated at 100% for employees and 50% for employees’ spouses or dependents.
• Credit union.

What This Job Offers

• Job Type: Full-time