Specialized Medical Case Manager
4 weeks ago
Beaufort Jasper is seeking a highly skilled Specialized Medical Case Manager to join our team. As a Specialized Medical Case Manager, you will work closely with the Outreach Re-engagement Case Manager to assist patients who are living with HIV (PLWH) obtain or return to medical care and treatment.
Key Responsibilities:
- Assess patient needs and develop enhanced care plans to alleviate barriers to care
- Provide a range of services that link clients with medical care, psychosocial services, benefits education, and other supportive services
- Work closely with Outreach Re-engagement Case Managers to locate and prepare patients for re-engagement with agency services and medical care
- Interpret client responses on barriers to care and treatment using the statewide tool, Return to Care Assessment (RTC)
- Focus on building patient support systems to increase health outcomes
- Customize services through the development of an Enhanced Care Plan (ECP) to re-align the client's perception of service usefulness and accessibility
- Provide patient-centered medical case management services to PLWH, including access, linkage, and retention in HIV care and treatment services
- Ensure timely and coordinated access to medically appropriate levels of treatment
- Coordinate medication adherence with patients by establishing ADAP enrollment and reassessments in a timely manner
- Assess patient acuity needs at enrollment and every three to six months to assess placement for Traditional Medical Case Management or Duty Case Management services
- Complete the SCMCM Transition to TMCM Progress log for patients with higher needs
- Monitor a recommended case load of 75 patients for Duty Case Management
- Provide S-MCM services that result in a coordinated care plan, including benefits counseling, support, and information, including risk reduction and service literacy expansion
- Complete all required assessments, bi-annual updates, and action plans as directed
- Act as Point of Contact for all new referrals to the Ryan White Program
- Provide accurate and complete documentation of activity, including Progress Logs, ECP, transitional communication in format SBAR, and other project-specific data and evaluation collection in EMR
- Attend necessary trainings/meetings, such as monthly outreach meetings at SC Department of Health and Environmental Control (SC DPH) in Columbia, SC; complete Medical Case Management required trainings within 18 months of hire
- Assist in referring patients to the HOPWA Housing Coordinator for housing support as needed
- Maintain standards of confidentiality according to HIPAA regulations in and out of the office
- Cross-train to conduct rapid HIV testing to support RWB Early Identification of Individuals with HIV/AIDS (EIIHA) activities
Qualifications:
Minimum requirement of a bachelor's degree from an accredited college or university in a human services field related to Health Education, Public Health, or Social Work with experience. Experience in outreach, case management, and/or prevention preferred.
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