Medical Case Manager

One Community Health•Sacramento, CA

23d

About The Position

Medical Case Manager Under the direction of the Intensive Case Management Services Manager, the Medical Case Manager is responsible for the provision of quality, compassionate, timely and accurate medical case management services to individuals including individuals living with HIV. Provide client centered services that link clients with health care, psychosocial and other services to insure timely coordinated access to medically appropriate levels of health and support. Core Duties Conduct client needs assessment and acuity scale to determine immediate needs and linkage to medical and support services. Provide treatment adherence counseling to ensure that the client is ready for and adheres to HIV treatments. Develop a comprehensive, individualized care plan bi-annually, including client-centered goals and milestones. Provide therapeutic interventions regarding crisis situations, substance abuse, and medical illness. Provide timely and coordinated access to medically appropriate levels of healthcare and support services based on clinical and acuity status of the client. Participate in case conferencing through a formal meeting with the client's multidisciplinary care team that is appropriate to the needs of the client. Monitor client eligibility requirements to maintain Ryan White programs and services. Serve as a liaison and advocate between client, physician, and outside agencies. Participate in Departmental and Team huddles to discuss patient care and outcomes. Be able to support and problem solve without judging the client in the present or future based upon their current or past decisions. Conduct home visits when necessary. Maintain accurate and timely record keeping in electronic health records or additional tracking methodology. Adheres to all federal, state, local and Ryan White Service Standards and requirements.

Requirements

Bachelor's Degree in Social Work or a related field or three years of case management or comparable experience in social service setting.
Previous experience with the HIV community preferred.
Active CPR, BLS Certification.

Nice To Haves

Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.
Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices.

Responsibilities

Conduct client needs assessment and acuity scale to determine immediate needs and linkage to medical and support services.
Provide treatment adherence counseling to ensure that the client is ready for and adheres to HIV treatments.
Develop a comprehensive, individualized care plan bi-annually, including client-centered goals and milestones.
Provide therapeutic interventions regarding crisis situations, substance abuse, and medical illness.
Provide timely and coordinated access to medically appropriate levels of healthcare and support services based on clinical and acuity status of the client.
Participate in case conferencing through a formal meeting with the client's multidisciplinary care team that is appropriate to the needs of the client.
Monitor client eligibility requirements to maintain Ryan White programs and services.
Serve as a liaison and advocate between client, physician, and outside agencies.
Participate in Departmental and Team huddles to discuss patient care and outcomes.
Be able to support and problem solve without judging the client in the present or future based upon their current or past decisions.
Conduct home visits when necessary.
Maintain accurate and timely record keeping in electronic health records or additional tracking methodology.
Adheres to all federal, state, local and Ryan White Service Standards and requirements.