Non-Medical Case Manager

Prisma Community Care • Phoenix, AZ

5d

About The Position

The Non-Medical Case Manager provides various levels of case management assistance to those living with HIV, many of whom seek help with chemical dependency, mental illness, housing instability, food insecurity, and other issues that impact their ability to maintain care and viral suppression. As an advocate for the client, the Non-Medical Case Manager will be assigned clients in their caseload, performing regular reassessments for clients established in the Ryan White Case Management Program at Prisma Community Care. This position ensures clients are linked to the necessary resources to accomplish a curated care plan and will work heavily with internal and external programs and resources to ensure clients are able to achieve self-management in their healthcare needs. The Non-Medical Case Manager position demands a high level of cultural competency to serve the unique needs of the 2SLGBTQIA+ community, communities of color, and other marginalized and/or vulnerable populations, with specific consideration for those living with HIV.

The Non-Medical Case Manager supports the Prisma Community Care mission of providing affirming and inclusive services to promote well-being and advance health equity for diverse communities and all those seeking compassionate care - especially people of color, 2SLGBTQIA+ and Queer individuals, and those affected by HIV.

What your day will look like at Prisma Community Care:
You will conduct comprehensive psychosocial and program / service eligibility assessments and reassessments of case management clients, showcasing timely and coordinated access to medically appropriate levels of health and supportive services, as well as continuity of care for those living with HIV, as indicated by the Ryan White Program managed within Maricopa County, Arizona.
You will curate and complete individualized service plans with clients to set goals and strategies to overcome barriers to maintaining medical care, which could include but is not limited to mental health, chemical health, housing stability, or criminal history. Service plans will include continuous client monitoring to assess the efficacy of the care plan, with re-evaluation every six months and adaptations as necessary, and the primary objective to become self-managed in their care.
You will close gaps in medical care through effective guidance and support that empowers clients to attend medical and wellness visits, ensuring access, follow-up, and adherence to treatments and other requirements, including supportive services that can enhance harm reduction, behavior change, and maintenance.
You will manage an active caseload of approximately 50 - 80 individuals that require case management services, ensuring a productivity level of at least 60% of time spent is billable to the Ryan White Program.
You will demonstrate culturally appropriate and culturally reactive engagements with all individuals within the community, performing services, documenting records and referrals, as well as communicating with clients via telephone, email, and in-person.
You will provide clear, understandable, current, and accurate information to clients, community members, and volunteers. Provide prevention and harm reduction information in a way that shows respect, listening skills, empathy, and patience in a status-neutral approach.
You will record all contacts and activities into all system databases and EMR within 24 hours of the encounter, completing and submitting all relevant information in accordance with state policy, including documentation into appropriate databases and reporting systems, and finalizing all documentation within 72 hours of actions being completed.
You will submit billable units from each previous calendar month into the appropriate state database by the third day of every month.
You will provide information and referrals for other partnering agencies that provide additional support and services to include social and medical needs that cannot be met by Prisma.
You will eliminate barriers to care through insurance navigation and enrolling patients in qualifying patient assistance programs that increase access to care. Insurance navigation includes assisting patients in the processes of enrolling in State Medicaid (AHCCCS).
You will stay informed, engaged, and current with emerging research, trends, and best practices in the field of sexual health and wellness, gender identity, intersectionality, and wellbeing of all.
You will work collaboratively with other teams to further develop and evolve the needs of the department and organization, including but not limited to, policy reformation, cross-training, and identifying opportunities for growth and improvement within teams.
You will work directly with the department leadership with other program-related tasks.

Requirements

• You have earned your Bachelor’s degree in social work or comparable health or human services field, OR a minimum of three (3) years of relative experience with a high school diploma or equivalent.
• You have demonstrated the ability to establish rapport and maintain effective communication with culturally diverse populations from a wide range of life circumstances and backgrounds.
• You have the ability to showcase knowledge of issues and community resources related to HIV, chemical dependency, mental health, housing, health insurance and other barriers that prevent access to care.
• You demonstrate a sound understanding of gender identity, gender expression, gender presentation, sex, and sexual orientation etc. This includes a strong grasp of local and national resources (medical, mental health, social etc.) for those that are transgender or gender non-conforming.
• You possess a valid driver’s license, have an insurable driving record, and have access to a reliable personal vehicle for work-related activities.
• You are proficient in Microsoft Office (Teams, Word, Excel, Outlook, PowerPoint) software applications and competent in using electronic medical records and information systems in providing effective documentation of client care, with a full understanding of HIPAA and protecting patient confidentiality.
• You demonstrate an understanding of basic medical terminology.
• You are a highly organized self-starter with excellent problem-solving skills and ability to multi-task effectively and is willing to learn.
• You have the ability to work in fast paced environment with changing deadlines and priorities while maintaining a positive attitude and managing stress in a proactive manner.
• You must demonstrate excellent written and verbal communication, exemplifying professionalism, flexibility, and compassion while exhibiting a congenial and sensitive attitude towards clients and patients, with the ability to de-escalate tense situations.
• All organization employees must be able to work effectively in a mission-driven organization whose clients and staff exhibit significant diversity with respect to race, ethnicity, sex, gender identity, sexual orientation, socio-economic status, nationality, and religion.
• Currently have, or be able to obtain within 90 days of employment, a valid Fingerprint Clearance Card
• Currently have, or are able to obtain within 7 days of employment, a clear TB test
• Currently have, or are able to obtain within 7 days of employment, a current flu vaccination
• Currently have, or are able to initiate within 7 days of employment, a Hepatitis-B primary vaccination series
• Currently have, or are able to obtain within 14 days of employment, a CPR certification

Nice To Haves

• You have demonstrated an understanding of sexual health and wellness and its correlation to HIV care, PrEP, PEP, and gender-affirming care.
• You are bilingual in Spanish and English.
• You have experience with eClinical Works (eCW), Ryan White (RW), and CAREWare.

Responsibilities

• Conduct comprehensive psychosocial and program / service eligibility assessments and reassessments of case management clients
• Curate and complete individualized service plans with clients to set goals and strategies to overcome barriers to maintaining medical care
• Close gaps in medical care through effective guidance and support that empowers clients to attend medical and wellness visits
• Manage an active caseload of approximately 50 - 80 individuals that require case management services, ensuring a productivity level of at least 60% of time spent is billable to the Ryan White Program.
• Demonstrate culturally appropriate and culturally reactive engagements with all individuals within the community, performing services, documenting records and referrals, as well as communicating with clients via telephone, email, and in-person.
• Provide clear, understandable, current, and accurate information to clients, community members, and volunteers.
• Record all contacts and activities into all system databases and EMR within 24 hours of the encounter
• Submit billable units from each previous calendar month into the appropriate state database by the third day of every month.
• Provide information and referrals for other partnering agencies that provide additional support and services to include social and medical needs that cannot be met by Prisma.
• Eliminate barriers to care through insurance navigation and enrolling patients in qualifying patient assistance programs that increase access to care.
• Stay informed, engaged, and current with emerging research, trends, and best practices in the field of sexual health and wellness, gender identity, intersectionality, and wellbeing of all.
• Work collaboratively with other teams to further develop and evolve the needs of the department and organization
• Work directly with the department leadership with other program-related tasks.

Benefits

• 200 hours of PTO per year
• Up to 13 paid holidays per year
• Medical, dental, and vision insurance
• Basic life, short-term, and long-term disability insurance paid by Prisma Community Care
• Employee Assistance Plan (EAP)
• Retirement saving

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level