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Case Manager HIV, Albany
2 months ago
Department/Unit:
Medicine - Aids Program
Work Shift:
Day (United States of America)
Case Manager - HIV
Albany, NY
Responsible for providing psychosocial assessment, support services, resource coordination, urgent evaluation, brief and problem focused supportive counseling and appropriate referrals of patients and their family members to behavioral health providers with the goal of maximizing the child’s ability to access necessary medical care, promote health and wellness behaviors and support positive family functioning.
POSITION TITLE: Case Manager/HIV
DEPARTMENT/DIVISION: Medicine/HIV
REPORTS TO: Manager of Client Services
SALARY RANGE: $31.98/hr - $46.39/hr
EDUCATION/EXPERIENCE: Bachelor’s degree in psychology, sociology, social work or related field required; master’s degree in counseling, psychology, or related field preferred. One to three years documented experience in the provision of case management services to medically compromised patient population, familiarity with community resources and ability to work in a fast-paced, interdisciplinary team setting strongly preferred.
RESPONSIBILITIES: Provides case management services, as needed, to patients under the care of assigned providers. Ensures case coordination, effective use of resources and quality of care in accordance with the HRSA (Health Resource Services Administration) and Albany Medical Center case management standards by performing the following duties:
Intake/Assessment:
Conducts age appropriate interviewing with patients identifying needs such as adjustment to illness; financial/employment issues; food, clothing, or housing issues; substance abuse; physical/mental impairments to determine nature and severity of needs; understanding of HIV disease, transmission, and prevention; and behavior change issues.
Obtains information such as medical, psychological, and social factors contributing to patient's situation, and evaluates these in the context of the patient's strengths, limitations, and family situation.
Assesses and responds appropriately to persons in crisis, intervening to assure safety of patient and others, incorporating an understanding of legal responsibilities in cases of domestic violence and abuse issues.
Education and Supportive Counseling/ Intervention
Provides education on basic HIV disease concepts, transmission of HIV and sexually transmitted infections, community resources and other issues
Reviews patient’s prevention practices, partner awareness, and partner notification options
Assists patients in developing self-management and health literacy skills
Uses motivational interviewing to impact behavior change relating to HIV transmission, adherence to medications, and other issues
Provides cultural and age-appropriate supportive counseling, on a limited basis, to patient and /or social supports, as indicated, to address needs and mobilize inner strengths
Counsels patients in adjustment to life-threatening illness and its implications, acknowledging issues of diversity and adjusting intervention and practice accordingly
Uses education and collaborative goal setting to help the patient and family understand, accept, and follow medical and psychosocial treatment plans
Informs patients of consumer advisory board and other opportunities to provide feedback on program services
Understands legal issues regarding domestic violence, child abuse, and suicidal/homicidal ideation and intervenes appropriately and in accordance with Albany Medical Center’s policy and NYS law.
Care Coordination/ Interdisciplinary Teamwork
Assures annual psychosocial assessment via
Distribution of “Emotional Well-being Questionnaire” at annual comprehensive exam
Psychosocial assessment of patient needs at least annually for patients enrolled in grant funded programs
Develops, monitors, and updates the service plan annually and intermittently as needed. Formulates plans to include specific goals with distinct action steps, as indicated by needs assessment.
Reviews service plan and performs follow-up to determine quantity and quality of service provided to patient and status of patient's care with specific community providers.
Works in close collaboration with physicians and other members of the healthcare team to further their understanding of significant social and emotional factors underlying patient's health problem
Initiates and annually updates healthcare proxies/living wills with patient
Screens patient for eligibility to entitlement programs, community resources, and internal programs and refers patient to appropriate services/agencies based on identified needs.
Coordinates case conferences with medical and community agencies as needed.
Assists patients with retention in care
Obtains and updates authorizations for release of information to ensure inter-agency care coordination
Tracks patient status of Paps, annual comprehensive exam (ACE), dental care, and other medical indicators, and works with patients and care team to meet standards of care
Exchanges patient updates/plans with community case managers and provides medical outcome data to community case managers as requested
Communicates patient information/updates to AMC healthcare team using the EHR tasking feature
Refers pregnant patients to family program or Part D program. Attends OB case conferences (monthly) and monitors pregnant patients closely to ensure scheduling and follow up of prenatal and HIV appointments until family case manager assumes responsibility.
Meets with or contacts newly diagnosed patients at least quarterly for the patient’s first year in AMC HIV practice, unless this responsibility is covered by other case manager within the DHIVM. Interactions will focus on patient-identified concerns, retention, adherence, basic HIV education/transmission prevention/HIV resources and screening/addressing barriers to care
Documentation:
Documents assessments, service plans, case conferences, provision of taxi/pharmacy vouchers and other encounters directly in the electronic health record (EHR) or by submitting documents for scanning/filing to the secretary
Enters service data to the AIDS Institute Reporting System (AIRS)
Enters other information to AIRS including, but not limited to, referral, referral status, and pregnancy status
Completes authorizations for release of information with patients and submits for scanning in the EHR
Submits other pertinent documents for scanning to the EHR
Facilitates patient navigation of DHIVM and other medical systems, as needed
Completes documentation within 24 hours of encounter
Other Duties
Represents AMC/DHIVM in the community through tasks forces, community forums, and trainings as assigned
Maintains record of in-services, trainings, and ongoing continuing education for personal, professional and program development
Participates in ongoing supervision for continued professional growth
Participates in ongoing process improvement (PI) including, but not limited to, patient satisfaction survey, efforts toward meeting DHIVM PI goals, and individual PI project
Other duties as assigned or directed by the Manager of Client Services or other AMC management staff
Works closely with Manager of Client Services to assure appropriate program enrollments of each patient
Assures Ryan White eligibility determinations on all new DHIVM patients and 1-2 times annually on Part D, and Part C patients. Facilitates annual eligibility determination on other patients.
Communications Skills:
Evaluates patient circumstances and communicates with the patient in an objective, nonjudgmental manner
Addresses interpersonal conflicts in a direct and professional manner
Responds promptly to email and phone messages; responds to routine inquiries or complaints from patients, regulatory agencies, or members of the community
Reads and understands basic medical information
Knowledge of medical terminology
Fluency in written and oral English using the language in a proper and professional manner
Fluency in Spanish is a plus
Computer Skills:
Typing
Basic PC skills, including navigation of hard drive, share drives/networks, internet, and email systems, accessing files and saving files to a variety of locations
Fluency in Microsoft Word
Ability to use Microsoft Excel documents
Ability to learn computer programs for scheduling, data entry, and medical record documentation
Mathematical Skills :
Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
Reasoning Ability:
Ability to define problems, collect data, establish facts and draw valid conclusions.
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. The employee frequently is required to walk/move from one place to another. The employee is occasionally required to stand.
The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
The employee must be able to handle high levels of stress.
The employee is occasionally exposed to infectious diseases.
Work environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level is the work environment is usually moderate and requires the ability to concentrate/maintain focus during potential distractions
Thank you for your interest in Albany Medical Center
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
