Medical Case Manager

Housing Works • New York, NY

7d

About The Position

The Medical Case Manager (MCM) will provide all aspects of care coordination for the AIDS Institute (AI) Advancing Access Case Management clients: complete initial enrollment (all required AI and program forms/assessments), develop care plans, promote compliance with appointments and treatment regimens, and encourage self-sufficiency. The MCM will assist clients to access services, such as primary care, substance use treatment, mental health counseling, transportation, intensive care management, housing, and vocational/educational resources, through phone calls to clients and providers, and home visits when needed. In this role, the MCM will serve as a community-based advocate when meeting the client needs. The MCM will also participate in outreach events as needed.

Requirements

• Bachelor’s Degree required, plus 2 years of case management experience preferred

Responsibilities

• Provide supportive case management to AI clients, with a focus on providing access to and support for those who are out of care and/or have an unsuppressed viral load.
• Provide care coordination on an ongoing basis with other service providers, and participate in medical case conferences to promote integrated care.
• Serve as the primary point of contact for clients, ensuring seamless coordination and communication between healthcare providers, social services, and community organizations.
• Assist clients in accessing and adhering to medical treatment, including antiretroviral therapy (ART), laboratory tests, and specialist consultations.
• Follow up with the client and the referral provider to ensure that appointments are kept and that the patient is re-engaged in care and referred to needed treatment/prevention.
• Conduct Hep C testing as needed
• Perform various administrative duties, including updating the client list and outreach logs; assisting with outreach calls, and scheduling intakes and follow-ups.
• Maintain essential data for reporting and program evaluation in eICare, including program enrollment, progress notes, care plans, referral activity, and updating contact information.
• Complete UND enrollments and coordinate referrals for mental health services, substance abuse treatment, housing assistance, legal aid, and other support services.
• Provide comprehensive education on HIV/AIDS, treatment options, prevention strategies, and healthy lifestyle choices.
• Promote sexual health and wellness through the use of risk-neutral approaches and evidence-based interventions.
• Build and maintain resource lists for external services and emergency services (i.e., housing, domestic violence, food pantry)
• Participate in scheduled supervisory sessions with the Assistant Program Director and other Departmental Leaders as needed
• Participation in youth community events, such as kiki balls, LGBT events, testing events, etc.
• Attend IDT meetings and daily huddles and complete updated info by due date in preparation for meeting.
• Facilitate groups and EBIs and complete documentation within 48 hours.
• Document all client interactions, interventions, and progress notes in accordance with program guidelines.
• Participate in recurring interagency meetings, as well as external community meetings, to improve integrated care and maintain relationships with community partners
• Participate in department activities such as new staff onboarding, YPS Pride Committee, CQI efforts, etc
• Participate in Housing Works advocacy events (minimum 3 in person per year, 4 via other mode July-June)
• Perform other duties as assigned

Benefits

• Three comprehensive healthcare plans to choose from
• Housing Works covers most of the healthcare plan cost
• Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year
• Educational benefit available for tuition loan reimbursement, tuition costs, and text books

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees