Ryan White Case Manager - Non Clinical

Position Summary:

The Ryan White Non-Medical Case Manager is responsible for providing a wide range of client centered services linking HIV positive clients with health care, psycho-social and other services to ensure timely, coordinated access to available resources. Based on an individualized plan of care, the Non-Medical Case Manager provides continuity of care, on-going assessment of the client’s and other family member’s needs and personal support systems, including the coordination of services that promotes retention and compliance with medical care, risk reduction resulting in improved quality of life. 

This position is fully onsite located in Hollywood, Fl.

Essential Duties and Responsibilities:

1. Discuss client confidentiality, rights and responsibilities, grievance process, other providers of the same service.
2. Complete and reassess client’s eligibility and needs assessment minimally every 6 months, ensure that Ryan White remains the payor of last resort. 
3. Ensures all clients have an established medical home and if not, assists client in obtaining primary health care.
4. Incorporating client and family’s personal values and needs, creates an individualized Plan of Care (POC) for each client identifying both short- and long-term goals with case management interventions and client actions necessary to achieve successful goal completion.
5. Monitor service delivery and client adherence to POC and provide interventions as needed, routinely re-assessing progress towards goal achievement, adding and closing goals as appropriate with the ultimate plan towards self-management.
6. Coordinate care with other core medical and support services and link clients to available resources to promote access, retention and adherence to medical care and achieve positive clinical outcomes.
7. Through the elimination of barriers as well as education facilitates access and support to primary medical care, medications, home health care, and specialty care.
8. Promote adherence to medical, mental health and ancillary specialty appointment and services as well as discuss, educate, and promote medication adherence.
9. Facilitate referral to HIV prevention and risk reduction services as necessary. 
10. Coordinate and participate in monthly interdisciplinary case staffing’s, maintain documentation of services and follow-up results. 
11. Coordinates with medical case management/disease management services for clients identified with multiple co-morbidities to ensure a holistic care approach.
12. Facilitate and monitor referrals to medical and ancillary medical services as well as social support service needs, documenting referral outcome and eliminate any barriers to successful completion. 
13. Monitors clinical outcomes and ensures appropriately timed medical care, lab work, and tracks, trends and discusses results with client. 
14. Provides educational materials for the client to review and discuss with care manager and health care provider, ensuring that educational plan is appropriate for their level of education, literacy, and language. 
15. Document all interventions in both county documentation system and EPIC EHR.
16. Bill units of service for all eligible services and be able to bill at least 408 units per month. 
17. Assist clients transitioning to Ryan White services for clients moving out of the area to ensure successful continuation of care. 
18. Participates in mandatory Ryan White Case Management training programs.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Qualifications:

• Bachelor’s Degree from an accredited institution with a major in social work or human services field.

Skills and Abilities:

• Solid awareness of Broward County community resources and social service programs
• Effective crisis intervention and problem-solving skills
• Ability to communicate effectively.
• Independent and self-motivated.
• Thorough understanding of HIPAA regulations and client privacy standards.
• Excellent human relations skills.
• Ability to work effectively in a team.
• Ability to follow a project or assignment to a successful completion.

Physical Demands: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.