Positive Care Case Manager

JOB DETAILS
Department: Positive Care Clinic
FTE: 1.0 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: In-Person

Purpose of this position: The Case Manager provides support services to patients receiving care for HIV/AIDS within the HCMC Positive Care Clinic.  Working as an integral member of the multidisciplinary care team, this position helps patients fully engage in their medical care. This goal is achieved by assisting with medical care coordination and providing support to patients to help address psychosocial needs and reduce barriers to care. This position has a focus on benefits counseling (navigating and enrolling patients into applicable insurance/benefits).

RESPONSIBILITIES

• Screen and identify potential candidates for program participation

• Perform client intake services

   

• Identify and work to resolve barriers clients may encounter (language barriers, eligibility criteria, services fees, geographic location)
• Provide resources and referrals necessary for clients to obtain and/or maintain access to HIV medical care
• Conduct reevaluation and follow up assessment throughout length of care in compliance with funder requirements
• Provide outreach to client’s family, friends, and significant others
• Maintain consistent contact (office visits, home visits, and telephone calls) with clients to sustain ongoing supportive relationship

• Assess patients for eligibility for federal and state funded programs and/or other applicable benefits and apply for applicable insurance/benefits

• Serves as a resource person to clinic patients regarding Ryan White eligibility

• Assist with insurance related documents when requested by clinical personnel

• Triage phone calls from patients regarding insurance questions, concerns regarding their coverage and/or pertinent medical bills

• Triages phone calls from patients regarding medication prior-authorization concerns and partners with medical personnel to remedy the situation 

• Work closely with pharmacy staff to ensure proper coverage of medications and address coverage concerns

• Partner closely with care team to implement service plan and to assure all team members are informed of clients

• Partner closely with care team to implement service plan and to assure all team members are informed of clients’ needs and medical status
• Document services provided in a manner compliant with funder requirements
• Complete reports on services used and services needed by clients
• Maintain a level of knowledge and skills required to perform all duties in compliance with Ryan White case management and grant standards
• Other duties as assigned

QUALIFICATIONS

Minimum Qualifications:

• Bachelor’s degree in the social sciences or a related field
• One (1) year relevant experience

OR

• An approved equivalent combination of education and experience

Knowledge / Skills / Abilities:

• Must have knowledge on and experience with navigating and enrolling patients into applicable insurance/benefits 

   

Preferred:

• Spanish speaking is preferred