Medical Case Manager

Housing Works•New York, NY
•$23 - $26

About The Position

The Medical Case Manager (MCM) provides care coordination for AIDS Institute (AI) Advancing Access Case Management clients. The role includes completing initial enrollment forms and assessments, developing care plans, supporting appointment attendance and treatment adherence, and encouraging client self-sufficiency. The MCM helps clients access primary care, substance use treatment, mental health counseling, transportation, intensive care management, housing, and vocational or educational resources through contact with clients and providers and, when needed, home visits. The position also serves as a community-based advocate and participates in outreach events. The MCM coordinates with healthcare providers, social services, and community organizations; documents services and client progress; provides education on HIV/AIDS, treatment, prevention, and healthy lifestyles; and supports referrals to health and social services. The role includes participation in meetings, groups, evidence-based interventions, community events, outreach, and program evaluation activities.

Requirements

  • Bachelor’s degree required.
  • Two years of case management experience preferred.

Nice To Haves

  • Two years of case management experience.

Responsibilities

  • Provide supportive case management to AI clients, focusing on access and support for people who are out of care or have an unsuppressed viral load.
  • Coordinate care on an ongoing basis with other service providers and participate in medical case conferences to promote integrated care.
  • Serve as the primary client contact and coordinate communication among healthcare providers, social services, and community organizations.
  • Help clients access and adhere to medical treatment, including antiretroviral therapy (ART), laboratory tests, and specialist consultations.
  • Follow up with clients and referral providers to confirm appointments, support re-engagement in care, and refer clients to needed treatment and prevention services.
  • Conduct Hep C testing as needed.
  • Perform administrative duties, including updating client lists and outreach logs, making outreach calls, and scheduling intakes and follow-ups.
  • Maintain program data in eICare for reporting and evaluation, including enrollment, progress notes, care plans, referral activity, and contact information.
  • Complete UND enrollments and coordinate referrals for mental health services, substance abuse treatment, housing assistance, legal aid, and other support services.
  • Educate clients about HIV/AIDS, treatment options, prevention strategies, and healthy lifestyle choices.
  • Promote sexual health and wellness using risk-neutral approaches and evidence-based interventions.
  • Build and maintain resource lists for external and emergency services, including housing, domestic violence, and food pantry resources.
  • Participate in scheduled supervisory sessions with the Assistant Program Director and other departmental leaders as needed.
  • Participate in youth community events, including kiki balls, LGBT events, and testing events.
  • Attend IDT meetings and daily huddles and prepare updated information by the meeting due date.
  • Facilitate groups and evidence-based interventions and complete documentation within 48 hours.
  • Document client interactions, interventions, and progress notes according to program guidelines.
  • Participate in recurring interagency and external community meetings to improve integrated care and maintain community partner relationships.
  • Participate in department activities such as new staff onboarding, the YPS Pride Committee, and CQI efforts.
  • Participate in Housing Works advocacy events, with a minimum of three in-person events per year and four events via other modes from July through June.
  • Perform other duties as assigned.

Benefits

  • Three healthcare plans to choose from, with Housing Works covering most of the plan cost and employees paying a salary-based portion.
  • Accrual of up to 30 days of paid time off in the first year, beginning immediately.
  • Educational benefit that may be used for tuition loan reimbursement, tuition costs, and textbooks.
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