Medical Case Manager - Special Populations

Tasks and Responsibilities

• Coordinates the overall interdisciplinary plan of care for a patient.
• Coordinates services across funding streams.
• Evaluate the clients for eligibility and appropriateness for case managed services.
• Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.
• Enrolls HIV positive clients in early intervention services through the primary care services.
• Assists the client in goal planning, identifying short and long term goals, task and time frame as they relate to service needs.
• Maintain and complete client intake, assessment/reassessment the care plan every six months for active clients, development and updates.
• Monitors and follows up on service delivery.
• Monitor client adherence to the care plan and medication regimens.
• Provides individual counseling services and crisis intervention services as needed about HIV/AIDS, understands CD4 count, viral load, and adherence and resistance concepts, understands the reason for treatment, among others.
• Coordinates and participates interagency activities for client specific services.
• Advocates on client's behalf and provide entitlement counseling to ensure timely eligibility determination and enrollment in social service support systems.
• Participates in client specific case conferences.
• Monitors quality of services, resolving problems regarding access to service and assisting in the development of alternative arrangements for filling unmet services needs.
• Provides clients with community referrals, providing name and location of available name and location of available services, nature and hours of services and application procedures.
• Conducts discharge planning and case closure with clients as appropriate, connecting client to other agencies for continuation of services as needed.
• Create and modify documents for activities, and prepares reports as required by the program.
• Support staff in assigned project based work.

REQUIREMENTS

• Bachelor’s Degree in psychology, sociology, social work, nursing or a related subject with course work that includes a practicum encompassing case management practice or five years of appreciate experience in human services may be substituted for a bachelor’s degree.
• Strong interpersonal skills.
• Ability to interact effectively with consumers, administration, faculty, and staff.
• Handle the information with high level of confidentiality.
• Demonstrate AIDET.
• Compliant with BHCC Standards.

BENEFITS