Case Manager, Ryan White Medical

POSITION SUMMARY

Medical case management is a collaborative process that involves the assessment, planning, coordination, and monitoring of health care services for individuals with complex medical needs. The goal of medical case management is to optimize the health and well-being of individuals by ensuring they receive appropriate and timely medical care, support services, and resources.

REPORTING RELATIONSHIPS

This position reports to the Manager of HIV Medical Case Management. This position does not supervise any other position.

ESSENTIAL JOB DUTIES AND FUNCTIONS

While living and demonstrating our Core Values, the Ryan White Medical Case Manager will:

• Conduct thorough assessments of clients' medical, psychosocial, and financial situations to understand their individual needs.
• Conduct intake assessments, reassessments, recertifications, budgets, acuity scales, and all other relevant case management documentation.
• Develop individualized care plans, also called service coordination plans, based on assessment findings, outlining specific health care goals, interventions, and strategies.
• Collaborate with health care providers, specialists, and other professionals to coordinate and facilitate access to medical care, including antiretroviral treatment and other necessary health care services.
• Support clients in adhering to prescribed medical treatments and medications, providing education on the importance of treatment adherence.
• Assist clients in navigating the health care system and accessing available resources, including, but not limited to, financial assistance, housing support, and transportation services.
• Advocate on behalf of clients to ensure they receive appropriate medical care, social services, and support, addressing any barriers to care.
• Maintain accurate and up-to-date client records, documenting all interactions, assessments, and interventions in compliance with program requirements and confidentiality standards.
• Collaborate with health care professionals, social service agencies, and community organizations to ensure a coordinated and holistic approach to client care.
• Demonstrate cultural competence and sensitivity in working with diverse populations, recognizing and respecting individual differences and unique needs.
• Participate in interdisciplinary team (IDT) meetings on a weekly basis as well as the weekly CM huddle and bi-weekly compliance huddle
• Participate in quality management initiatives to address identified needs for the overall program.
• Maintain client computer-based (CAREWare and Electronic Medical Records).
• Enter all notes within five business days or by the third business day of the following month, whichever comes first.
• Maintain a list of organizations that referrals can be made to the client.
• Attend conferences, meetings and trainings to maintain a high-level of clinical prevention/public health knowledge.
• Demonstrate flexibility when responding to change
• Demonstrate professionalism to other staff members.
• Perform other duties as assigned.

Requirements

• Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
• Buy in and experience working in the EOS® model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
• Bachelor’s degree in social work, psychology, sociology, or other related field or bachelor’s degree in a non-similar field; or any combination of relevant education and experience.
• Knowledge of HIV preferred
• Basic Life Support (BLS) certification required
• Excellent verbal and written communication skills
• Demonstrated cultural competence and sensitivity in working with diverse populations, recognizing and respecting individual differences and unique needs, especially in the context of HIV/AIDS.
• Ability to advocate on behalf of clients to ensure they receive appropriate medical care, social services, and support.
• Strong organizational and documentation skills
• Ability to work collaboratively with healthcare professionals, social service agencies, and community organizations to ensure a coordinated and holistic approach to client care.
• Flexibility and adaptability to respond to the evolving needs of clients and the healthcare environment.
• Commitment to maintaining client confidentiality and upholding ethical standards in all interactions and interventions.