Medical Case Manager

Positive Impact Health Centers INC • Duluth, GA

18h

About The Position

Positive Impact Health Centers (PIHC) is a community provider of HIV prevention, care, and treatment services. Its care model connects patients with medical, pharmacy, dental, behavioral health, and social services. The Medical Case Manager provides case management to eligible adult clinic patients in accordance with applicable funding guidelines and best-practice care models, working as part of an interdisciplinary team that may include medical providers, behavioral health clinicians, medication access specialists, clinical pharmacists, and supportive-services staff.

The role includes assessing patient needs, developing and monitoring individualized service plans, supporting care adherence and retention, and coordinating referrals to medical and non-medical resources. The position description is not all-inclusive; additional job-related duties may be assigned. The employee must be able to perform essential functions with or without reasonable accommodation. Where permitted by law, applicants must have received or be willing to receive the COVID-19 vaccine by the date of hire, unless already employed by PIHC.

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 eligibility for licensure, as applicable to the degree (for example, LMSW or LCSW for an MSW).
• Strong social work, nursing, or case-management skills, including conducting comprehensive psychosocial assessments and helping adult clients develop individualized service plans.
• Excellent interpersonal skills and ability to communicate effectively in a multicultural setting with target populations, volunteers, agency staff, and Board members.
• Computer proficiency in word processing, data entry, documentation, and Internet navigation.
• Ability to adapt work style to both independent and collaborative tasks.
• Ability to work independently without close supervision.
• Excellent time-management skills.
• Consistent follow-through on assigned tasks.

Nice To Haves

• BSW or MSW in social work.
• Comprehensive, 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 in accordance with HRSA/Ryan White and Metropolitan Atlanta HIV Health Services Planning Council guidelines.
• Complete biopsychosocial assessments for new and returning patients using required screening tools.
• Manage an average caseload of 70 patients; develop comprehensive Individualized Service Plans (ISPs), monitor their effectiveness with patients, and coordinate 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 care resources, mental health, substance abuse, housing, nutrition, and transportation.
• Coordinate referrals and follow-up for medical and non-medical services.
• Participate in an interdisciplinary care team to assess patient needs and coordinate referrals.
• Assist patients, as needed, with applications and ongoing eligibility for medication access programs such as ADAP and pharmaceutical assistance programs.
• 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 and related reporting software.
• Comply with state and federal laws and agency policies concerning confidentiality and HIPAA.
• Assist agency administration with developing long-range plans, 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 and 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.
• 100% allotment for employee benefit elections and 50% allotment for spouse/dependent benefit elections.
• Credit union.

What This Job Offers

• Job Type: Full-time