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HIV Case Manager

Company: True Health
Location: Sanford
Posted on: January 10, 2022

Job Description:

JOB SUMMARYThe HIV Case Manager provides comprehensive case management services and care to individuals seeking PrEP and those living with HIV/AIDS. The HIV Case Manager works with patients to ensure the highest quality of services are provided. They must provide patients and their families with educational information in conjunction with direct care providers related to treatment, procedures, medications, and continuing care requirements. They work with administration, staff, and patients to reach healthcare goals and keep the lines of communication open. The HIV Case Manager will maintain a caseload by assessing and monitoring client needs for specific health, psychological and social services, and facilitating access to services that address those needs to keep clients in medical care.
PRIMARY FUNCTIONS

  • Provide Medical Case Management services including intake, assessment, care plan development, resource development and referral, coordination of services, monitoring, reassessment, and discharge.
  • Work with internal staff to run reports as needed from the electronic health record.
  • Serve as a community resource for patients, pharmaceutical companies, and others.
  • Ensure the confidentiality of all client information.
  • Complete progress log documentation for all client activities.
  • Maintain medical case management billing.
  • Coordinate medical services for clients in order to maintain health outcomes outlined by the provider.
  • Attend treatment team meetings and work closely with medical providers to help clients improve their medical outcomes.
  • Work effectively with other community service providers to ensure optimal quality of services offered to clients and to develop new resources to meet the needs of clients .
  • Provide medical treatment adherence counseling and prevention education to clients.
  • Assist clients in assessing eligibility for and enrolling in health insurance coverage.
  • Assist other medical case managers in the performance of their duties when needed.
  • Inform Medical Case Management Supervisor of challenging/difficult situations that arise or are anticipated.
  • Must be willing to travel as necessary for client home visits, training, and other assignments.
  • Attend functions as required.
  • Plan with the patient, family/caregiver, primary care provider, support staff, payers, and the community resources, to maximize healthcare responses, quality, and cost-effective outcomes.
  • Facilitate communication and coordination between members of the healthcare team, involve the patient in the decision-making process to minimize fragmentation in the services.
  • Educate the patient, family or caregiver, and members of the healthcare delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, care coordination, etc., so that timely and informed decisions can be made.
  • Empower the patient to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes.
    • Encourage the appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis.
    • Assist the patient in the safe transitioning of care to the next most appropriate level.
    • Strive to promote patient self-advocacy and self-determination.
    • Advocate for the patient to facilitate positive outcomes for the patient, health care team, and payers.
    • Stay involved and active with quality improvement activities.
    • Assist the referral department with referral tracking: including documentation, phone calls and sending out reminder letters of patients pending referrals.
      • Other duties as assigned.EDUCATION AND EXPERIENCE
        • Licensed Practical Nurse preferred.
        • Bachelor's degree in a human service field.KNOWLEDGE, SKILLS, AND ABILITIES
          • One (1) year minimum experience in care coordination / case management.
          • Completion of accredited Licensed Practical Nurse program (preferred).
          • Current Florida Licensed, active and in good standing if LPN (preferred).
          • Computer competency is required.ADDITIONAL QUALIFICATIONS
            • Bilingual is a plus (English / Spanish).
              • Must be a team player but able to work independently.
              • Must interact well with diverse populations - LGBTQ, IDU, etc.
              • Excellent spoken and written communications skills.
              • Willingness to acquire certification in HIV and rapid testing.
              • Valid driver's license and vehicle liability coverage.
              • Acceptable driving record and criminal background check.
              • Knowledge of HIVRELATIONSHIP REPORTING
                • Reports to Care Coordination ManagerPHYSICAL REQUIREMENTS
                  • Ability to stand and or walk for extended periods of time
                  • Ability to view a computer screen for extended periods of time
                  • Ability to perform repetitive hand and wrist motions for extended periods of time
                  • Ability to communicate effectively with patients and staff

Keywords: True Health, Sanford , HIV Case Manager, Executive , Sanford, Florida

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