Medical Case Specialist

External•Brooklyn, NY

1d•$32•Hybrid

About The Position

Will provide clinic- and field-based health education and skill building services to the patients. Accompanies patients to primary care appointments and other social service encounters as warranted. Coordinates ongoing logistical support for appointment keeping, reminders, transportation and childcare arrangements. Responsible for tracking the patient's progress through the health education curriculum. Effective use of self. Ability to involve family/significant other of client in making related plan of care. Communication skills necessary to interpret age specific response to treatment. Knowledge of appropriate resources. Utilizes resources appropriate to patient needs. Ability to prioritize; manage and work independently on caseloads. Assessment of pertinent psycho-social factors. Positive and respectful interaction with patients, co-workers, providers and outside providers. Ability to problem solve outside routine area of coverage. Provides coaching to patients. Effective use of self and knowledge of appropriate resources. Conducts patient Intakes and follow up progress notes and documents encounters in appropriate Retention Adherence Program (RAP) records and databases. Conducts Treatment adherence education with the patients, Identification of barriers to Adherence and documents all encounters in chart. Maintains active caseload of assigned clients and completes needs assessment, client service plans, reassessments, progress notes and follow-up call/letter in a timely manner. Responsible for entering patient encounters and service delivery data into program-specific databases in a timely manner. Coordinates scheduling/follow-up appointments and referrals. Works with ID medical provider to identify patients that need treatment adherence. Ability to assess patients insurance needs and assist with enrolling the patient with insurance/benefits services (ADAP, HASA, Medicaid). Provide case management services (Case load of 35+ HIV/AIDS adults). Coordinates all medical care and service for assigned caseload and identifies and addresses barriers to adherence and engagement in care. Actively participates in weekly Interdisciplinary Case conferences and documents the outcome of the meeting in the patients charts. Uses evidence based Interventions such as Motivational Interviewing, DEBI's etc to motivate positive change in patient behavior. Other duties as assigned.

Requirements

Minimum formal education of Associate Degree or certification equivalent.
Minimum of 3 years of job-related experience.
Strong socio-cultural identification with the target population.
Must strongly discourage the hiring of actively enrolled patients from the program or partner medical provider to protect patient confidentiality.

Nice To Haves

A minimum plus 2-3 years experience in HIV and medical coordination.

Responsibilities

Provide clinic- and field-based health education and skill building services to patients.
Accompany patients to primary care appointments and other social service encounters.
Coordinate logistical support for appointments, including reminders, transportation, and childcare.
Track patient progress through the health education curriculum.
Involve family/significant others in the plan of care.
Interpret age-specific responses to treatment.
Utilize appropriate resources for patient needs.
Prioritize, manage, and work independently on caseloads.
Assess pertinent psycho-social factors.
Interact positively and respectfully with patients, co-workers, providers, and outside providers.
Problem-solve outside routine areas of coverage.
Provide coaching to patients.
Conduct patient intakes and follow-up progress notes.
Document encounters in Retention Adherence Program (RAP) records and databases.
Conduct treatment adherence education and identify barriers to adherence.
Maintain an active caseload and complete assessments, service plans, reassessments, progress notes, and follow-up in a timely manner.
Enter patient encounter and service delivery data into program-specific databases.
Coordinate scheduling of appointments and referrals.
Identify patients needing treatment adherence with the ID medical provider.
Assess patient insurance needs and assist with enrollment in insurance/benefits services (ADAP, HASA, Medicaid).
Provide case management services for a caseload of 35+ HIV/AIDS adults.
Coordinate medical care and services for assigned caseload.
Identify and address barriers to adherence and engagement in care.
Participate in weekly Interdisciplinary Case Conferences and document outcomes.
Use evidence-based interventions such as Motivational Interviewing and DEBI's to motivate positive behavior change.