Medical Case Manager/Pediatric Case Manager

4 days ago


Florence, United States HopeHealth Inc Full time
Job DescriptionJob Description

Overview of Position:

Provides direct services to HIV+ clients and their families. Medical case management duties cover a wide spectrum of responsibilities that lead to satisfactory health outcomes for clients. Duties include assessments on new clients, reassessments, identifying problems and needs, and working with the clients to meet those needs. Works closely with the clinic staff in developing and carrying out a treatment plan / action plan for each client, advocates for the client and makes referrals to other providers as needed; reports directly to the Case Management Supervisor.


Qualifications:
Must possess a minimum of a bachelor’s degree in a human services field; will have the ability to work with clients from a wide range of backgrounds and lifestyles, while maintaining a non-judgmental attitude. Must possess strong documentation skills and the ability to handle multiple tasks. Will have the ability to work with clients from a wide range of backgrounds and lifestyles, while maintaining a non-judgmental attitude. Must be knowledgeable in computer software and hardware, data entry and reporting; must be multi-task oriented and be able to work independently or as part of a team; advanced degree preferred but not required.

Physical Requirements:

Must have direct client contact in order to provide program activities, must be able to lift 50+ pounds, use of computer for long periods of time, must be able to sit, squat, lift and stand as needed, must be able to travel.

Essential Job Functions:
I. Responsible for the management of a client caseload of up to 125 HIV+ persons:
• Conducts a complete assessment of the client’s health, mental health, financial situation, housing situation, legal, social, educational, employment status, etc. and designs a treatment plan based on the assessment.
• Assists clients in obtaining needed benefits such as Medicaid, disability, and food stamps.
• Helps clients obtain medications through the statewide ADAP and other drug assistance programs.
• Conducts housing assessments and completes HOPWA applications for clients as appropriate.
• Follows statewide case management guidelines in conducting home visits, re-assessments, mid year reviews and other required service standards.
II. Responsible for information exchange between organizations and making referrals as appropriate:
• Makes referrals based on client’s needs for mental health counseling, substance abuse counseling, housing or financial issues, CLTC, etc.
• Requests records from other organizations on behalf of the client. Integrates information into the Hope system (Provide) and files as appropriate.
• Responsible for the maintenance and overall organization of the client’s record (CM paper chart and Provide record).
III. Responsible to educate the client and family members and advocate on their behalf for fair treatment:
• Gives the client consistent and reliable HIV/AIDS information and shares with the family as deemed appropriate by the client.
• Makes calls on behalf of the client when another agency is not providing appropriate levels of care and attention. Works to reduce or eliminate discrimination in the areas of housing, employment and benefits programs.
• Stays current on HIV/AIDS related research and health information and maintains strong relationships with outside organizations.
IV. Responsible for the professional documentation of all services provided:
• Completes progress logs and other Provide Software documentation in a timely manner.
• Documents use of time using agency approved forms and guidelines.
V. Responsible to assist with various special events:
• Participates in the planning and implementation of agency fund-raisers (AIDSWALK, DWS, etc.).
• Assists with Holiday gift programs for clients.
• Identifies and recruits clients from caseload to participate on committees, workshops, community initiatives, etc.
VI. Other Duties as assigned.

Quality Management / Reporting: Responsible for ensuring that organization maintains accurate data collection and documentation. Serves on quality management sub-committees as needed.

Knowledge/ Skills:
• Experience with and thorough knowledge of Microsoft Office and Excel for report development and data analysis required. Must be familiar with HIV/AIDS disease processes. Be adept in utilizing basic software / data base applications.
• Ability to work in a high performance environment.
• Ability to take initiative and handle various tasks simultaneously while working efficiently, effectively, and independently under minimal supervision
• Possession of strong written and oral communications and problem solving skills required
• Ability to foster a team environment and motivate staff
• Ability to build and maintain productive working relationships with Clinic, Medical Case Management, Prevention, and Support Services Staff
• Valid Driver’s License required Some non-traditional working hours may be required
• Participates in the planning and implementation of agency fund-raisers (AIDSWALK, DWS, etc.).
• Other Duties as assigned by CMS, DPS, other managers.


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