Medical Case Manager

Job Summary

Provides direct service to clients enrolled in the Early Intervention Program.

Essential Job Duties & Responsibilities

• Provides case management assistance, advocates for client caseloads, and provides limited supportive counseling services.
• Responsible for case plan development and case conferences.
• Maintains case records on clients and reports service statistics.
• Collaborates with clinical staff to coordinate treatment and case planning.
• Transports patients to and from appointments, as well as Linkage to Care
• Conducts intakes for the Early Intervention Program
• Works with Ryan White, attending monthly meetings and serves on at least one committee
• Collaborates with medical and dental staff to meet Ryan White standards of care.
• Coordinates schedule and support for HIV volunteer medical providers.
• Prepares patient records, labs, and referrals for volunteer providers.
• Facilitates lab tests as scheduled and medication pick-up including scheduling with CVS/ProCare pharmacy.
• Networks with all Ryan White providers and service representatives.
• Completes applications for OHDAP and other patient assistance.
• Make sure patient files comply with Ryan White Part A guidelines and Circle Health Services protocols.
• Provides necessary documentation in patient chart. Responsible for preparing, new patients, audits, and quarterly quality assurance reviews.

Job Qualifications

• Must have valid driver’s license and insurance coverage with limits of $300,000. Ability to provide full copy of insurance policy to review any exclusion.
• Attend community fairs and collaborate with other agencies to gather information about referral sources and distribute information about Circle Health Services.
• Promotes effective communication within and between departments through teamwork.
• Attends departmental and Circle Health all staff meetings.
• Contributes to departmental and organizational decision-making through active participation. Works effectively and positively with co-workers, and volunteers.
• Assists with scheduling medical appointments for HIV patients. Make reminder calls to patients.
• Other Job Duties & Responsibilities
• Other related duties as assigned

Supervisory

• This position does not supervise any position.

Core Competencies

• Verbal Expression: able to communicate in clear language and to adjust one’s use of language to the audience’s level.
• Written Expression: able to express ideas and views clearly to others in writing; structures notes and clearly organizes their writing; is able to summarize a view or message clearly; provides the right amount of information to make an issue clear to the reader
• Stress Management: able to perform and make sound decisions under pressure and in adversity; distinguishes essentials from side issues; remains focused when given a deadline.
• Clinical Acumen: Developing knowledge of the mental illness, substance use disorders, various therapeutic modalities, and related community resources; Strong intervention. Keeps accurate and appropriate records/documentation. Displays non-judgmental attitude; HIV Case Managers must possess developed knowledge outlined above.
• Values Diversity & Inclusion: Self-aware, attentive listener, people-oriented, cognizant of bias, cultural intelligence; demonstrating respect for divergent viewpoints; an awareness of and sensitivity to the cultural diversity of the population served, thereby contributing to an environment that is equitable, inclusive, and cooperative.

Job Qualifications

• Professional II Case Manager - bachelor’s degree in social work and Licensed Social Worker (LSW)
• Professional III Case Manager – master’s degree in social work and Licensed Social Worker (LSW)
• Professional IV Case Manager – master’s degree in social work and Licensed Independent Social Worker (LISW)
• Clinical license is in good standing with the state of Ohio
• Two or more years of related work experience
• Willingness to work with HIV+ population

Physical Demands/Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment. While performing the duties of this job, the employee is regularly required to speak and hear. The employee is frequently required to sit for extended periods of time, stand, walk, use hands and fingers, and reach with hands and arms. It requires the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Travel and work outside of normal hours may be required for meetings, presentations, trainings and other events.

The Centers is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, or any other characteristic protected by law.