Ryan White Medical Case Manager

Division/Department:  Advocacy, Care, & Education (ACE)

Job Title: Ryan White Medical Case Manager

Reports to (Title): RWMCM Program Supervisor

Job Code:

FLSA Status:  Non-Exempt

Manager (with direct reports)?

Yes

No X

Location: Jacksonville

SUMMARY  

This position provides services to clients with HIV/AIDS who are enrolled in the Advocacy, Care, & Education program. The ideal candidate will possess a strong background in HIV care or other Medical Case Management, exceptional organizational skills, and the ability to collaborate effectively with cross-functional teams. The MCM will be responsible for maintaining a client load of approximately 70 clients and ensuring they are receiving the care and services they need to lead healthy and successful lives.

ESSENTIAL DUTIES & RESPONSIBILITIES

Client Assessment:

• Conducts needs assessments of clients with HIV in the outpatient and hospital setting for clients to receive comprehensive medical, social, and community resources on an ongoing basis.
• Conducts home visits as needed to ensure timely access to and coordination of medical and psychosocial services.
• Assess client stability and provide referrals to increase level of stability and self-sufficiency.

Care Plan Development:

• Conducts psychosocial assessments, developing, implementing, and revising individualized plans of care, family support plans and discharge plan on an ongoing basis.
• Engages a medical consult with the attending physician for each client as needed.

Counseling, Support, and Education:

• Serves as an advocate, caretaker, listener, encourager, and enforcer as needed.
• Educates, links, and refers clients to follow-up medical care and community resources to address needs in collaboration with other Ryan White Network Providers.
• Advocates for client’s unmet needs, providing clinical intervention as needed.
• Provides assistance with insurance issues, Medicaid, Medicare, and other public assistance services.
• Assure client awareness of all Ryan White Programs and available community services and advocates for accessibility for all services.

Service Referral:

• Provides referrals for mental health, substance misuse, home care, food, transportation, and other support services for people living with HIV.
• Works collaboratively with network and community agencies to ensure comprehensive care for clients.
• Provide linkages to agency, community, and government services and monitor referral completion including state insurance continuation programs, ADAP, medication assistance programs, benefits/health coverage programs such as AND, SSI, SSDI, Medicaid, Medicare, and Housing Programs, etc.

Documentation:

• Maintains patient confidentiality and HIPAA compliance in all physical and digital documentation. 
• Maintains documentation of and documents all interactions and paperwork within 72 business hours into EMR systems.

Other:

• Assist clients in identifying available benefits including social and community services when their case manager is not available
• Participate in community outreach activities
• Other duties may be assigned as needed; Duties may vary and evolve over time based on organization needs and priorities

WORK EXPERIENCE & JOB-RELATED SKILLS (Required/Preferred)

Required:

• Experience and knowledge of HIV and Ryan White

• 1 year of proven experience in a Case Management

• Computer skills – Microsoft Suite, electronic health records systems, digital communication systems 

• Good clinical knowledge of human behavior; Good interpersonal skills. 

• Must have excellent organizational skills. Ability to prioritize work and handle multiple tasks.  

• Must be able to communicate orally and in writing in English and Spanish without an interpreter or translator.  

• Must be very detailed oriented and capable of thinking independently while exercising good judgment. Required to make independent judgments without supervision.  Must be able to make generalizations, evaluations, or decisions based on sensory or judgmental criteria.

• Must be able to perform under stress when confronted with emergency, critical, or unusual situations.  

• Must be capable of dealing with periodic cyclical workload pressures & levels of responsibility.   

• Requires the ability to work with people beyond giving and receiving instructions

• Possess and maintain a valid driver’s license and auto insurance; must be able to transport clients to various locations by using own transportation 

• Excellent communication and collaboration skills, with the ability to work effectively across functional teams.

• Spanish or French speaking and writing fluency Preferred. 

• Bachelor’s degree in Sociology, Public Health, Social Work, or a related field required, or equivalent experience as a Medical Case Manager.

 • Experience in Medical Case Management or an HIV related field may be substituted for educational experience. 

• Completion of AETC MCM online training within 90 days of hire.

• HIV 101 training required, or completed within 90 days of hire.

• Screening required for this position: a Level 2 background check (company paid through the Background Clearinghouse - https://info.flclearinghouse.com), a drug screen (company paid), and a driver's license check (company paid) - all at time of job offer

REQUIRED JOB COMPETENCIES  (Behaviors For Effective Job Performance)

• Attendance

• Customer Focus

• Computer literacy

• Flexibility

• Professional Competence

• Timely Decision-making

• Cultural Competency

• Self-starter/Self-efficacy

• Organization

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

 (if more then 2+ hours per day)

 standing   sitting        mobility  climbing   balancing

 writing      crawling     squatting  bending    filing          twisting

Lifting to include:

 up to 10lbs.   11-25 lbs.   26-60 lbs.   61-75 lbs.  over 75 lbs.

 pushing         pulling           carrying

Environmental Conditions:

 cold   heat    wet and/or humid  noisy   vibration  fumes   dust   odors    mists

Sensory:

 hearing to converse   hearing to use telephone  talking

  tasting/smelling     reading distance 1-5ft.       reading distance 10-30ft.

Driving:

 incidental driver   regular driver

Keying:

 Occasionally (2-3 hours weekly)  Frequently (2-3 hours daily)

  Continuously (4+ hours day)

Safety:

lists specifics

External Environment is dependent on client population.

The statements included in this Job Description are intended to describe the general nature and level of the work being performed by the person assigned this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required.