Medical Case Manager
AIDS Healthcare Foundation
- Atlanta, GA
- Permanent
- Full-time
- Respect
- Compassion
- Service
- Integrity
- Provide direct service coordination and support to people living with HIV/AIDS
- Provide Case Management services to members on a walk-in, scheduled, and on-call basis.
- Manage a caseload of up to 50 members
- Conduct initial comprehensive assessment and intake for eligible members
- Collaboratively develop and implement Individualized Service Plan (ISP) for each member on caseload, including conducting ISP updates every 6 months for each member.
- Assess and evaluate member’s initial needs through the EMA screening tool.
- Educate members about Case Management, and policies (Grievance, HIPPA, Member’s Rights and Responsibilities) and other agency program policies to ensure member has clear expectations of services.
- Provide regular monthly (or more) contact with members to follow up on treatment plan goals and provide intervention as needed.
- Advocate and mediate on member’s behalf to decrease or eliminate barriers to care.
- Educate members about the importance of participating in medical care and ensure that members have full access to primary medical care and medicine.
- Assess and Educate members about the importance of medication and medical adherence to improve member’s clinical outcomes.
- Assess and educate members about harm reduction, prevention, and other HIV related sexual transmitted infections (STIs).
- Conduct home and hospital visits, accompanying members to appointments as needed.
- Organize and facilitate new member orientation to ensure members have a clear understanding of how Case Management can be utilized beneficially.
- Assess, verify and maintain records of a member’s eligibility for Case Management and various entitlement programs.
- Document all encounters with or on behalf of a member within 72 hours in the Electronic Medical Records (EMR) system.
- Assess, collect, and maintain accurate member information and records in a confidential manner.
- Complete monthly reporting to ensure accurate programmatic reporting (based on position/site assigned)
- Provide active referrals and application assistance and support to members.
- Educate members about various community resources and programs to increase their knowledge of appropriate referrals.
- Collaborate with physicians, nurses, and other clinical staff in the development and execution of member’s plan of care.
- Attend monthly interdisciplinary meetings with medical providers (based on-site).
- Maintain up-to-date resources of community services.
- Participate in and volunteer for intra and interdepartmental activities/events across the agency (i.e. AIDS WALK fundraising, AIDS 101 participation, HIV testing and counseling, The Women’s Events, Prevent Blindness, etc., etc).
- Communicate regularly with staff about changes, updates, and improvements in service delivery issues or other agency related issues that directly or indirectly impact staff and/or members.
- Attend agency, local, state, and national meetings, conferences, or workshops as needed or required.
- Adhere to policies and procedures for AID Atlanta and other off-site programs to ensure quality standards are met.
- Abide by NASW code of ethics, HIPPA and Atlanta EMA Case Management Standards to ensure a high level of professionalism is maintained.
- Address members concerns utilizing the Customer Service Standards.
- Perform routine self audits and maintain charts to ensure members information and eligibility documents are current.
- Meet with supervisor at least on a monthly basis to staff member cases, discuss chart audits/observation results, and to discuss performance and progress of stated goals.
- Attend all required internal and external (for off-sites) meetings.
- Participate in various mandatory trainings held internally and externally ensuring a continuous knowledge base of programs that benefit members.
- Be a participant in the hiring and training of new case managers as requested by manager.
- Bachelor’s Degree in Social Work, Psychology, Sociology, Human Services or social services-related field.
- 1-2 years experience in the field of social work/case management or similar field.
- Experience in the field of HIV is preferred, but not required
- Must pass criminal background check.