POSITION SUMMARY
To provide strengths-based Case Management services to people with HIV. Facilitates and monitors client service acquisition and progress with the goal of successful engagement in comprehensive HIV Care.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Program and Quality Management
- Maintains professional, well written, comprehensive, and accurate client record, documenting interactions with clients and/or on behalf of clients and according to program standards (SCOUT database)
- Completes program reports and data requests in an accurate, thorough, and timely manner. This may include, but is not limited to, monthly program reports and data requests from regional and state levels
- Participates in quality improvement projects as requested, including researching client data/trends, utilizing data measures to prioritize client contact, and streamlining internal procedures
Assessment and Care Coordination
- Completes comprehensive assessments and creates individualized service plans for all clients
- Evaluates client eligibility for government-funded programs (i.e. Medicaid, Medicare, Social Security etc.), and provides referrals and follow up as appropriate
- Makes referrals to community resources and services based on client need and eligibility, and coordinates follow-up care and decisions affecting the client. Confers with said referrals to explain agency policies, treatment philosophy, and programs; when sharing client information, maintain HIPAA and client confidentiality standards
Client Education and Advocacy
- Provides education to clients on HIV, medication and medical appointment adherence, viral load and CD4 lab results, and risk reduction strategies
- Educates clients on process for submitting insurance and co-pay documentation and works closely with clients and necessary third-parties to maintain insurance coverage
ORGANIZATIONAL COMPETENCIES:
Customer Service
- Maintains regular contact with clients to provide ongoing assessment, support, intervention, and customer service. This includes timely follow-up with client plan of care (goal/service plan) as documented in client file (SCOUT Service Plan)
- Serves as client advocate to ensure access to, and understanding of, needed services; this may include assisting clients in applying for government funded programs, connecting clients to legal resources, serving as client reference for service applications; and attending medical appointments to ensure client understanding of medical care and treatment regimen
Teamwork and Collaboration
- Performs “on-call” duties and acts as team leader on scheduled days (i.e. educating new clients on system, triaging needs of presenting clients, coordinating intake, providing coverage for unavailable team members, serving as training resource for new team members, etc.)
- Operates as a team member of the KC CARE Health Center; supporting other staff members when needed
- Performs all duties as assigned by the Department Director or Senior Staff Members to support the operations of KC CARE and the HIV continuum of care programming
Communication
- Collaborates with internal and external partners regarding client care and goals
- Maintains professional, timely, and clear communications between team members and other staff members
- Attends scheduled Kansas City Health Department Ryan White HIV Case Management meetings and other internal team meetings as scheduled by supervisor; and attends Comprehensive HIV Prevention and Care Planning Council monthly meetings on a rotating team schedule
Planning and Organizing
- Enrolls/makes referrals for clients to enroll in the most comprehensive insurance plan available to them and assesses client eligibility for insurance premium and co-pay assistance
- Participates in KC CARE’s HIV Multidisciplinary Team to ensure all client needs are being met
MINIMUM REQUIREMENTS
MINIMUM REQUIREMENTS FOR CM I:
- Bachelor’s degree in Social Work, R.N., B.S.N., or 2 years’ experience in Case Management type services; less than 3 years’ post graduate experience in Case Management type services or
- Master’s degree in Social Work, Nursing, or related field, with less than 2 years’ post graduate experience
- HIV, hepatitis, and substance abuse prevention or service coordination experience with the target population preferred
- Demonstrated experience serving a diverse population
MINIMUM REQUIREMENTS FOR CM II:
- Two years’ experience as a Case Manager I or
- Bachelor’s degree in Social Work, R.N., B.S.N., or 2 years’ experience in Case Management type services; at least 3 years’ post graduate experience of which at least 2 years’ experience in HIV Case Management or
- Master’s degree in Social Work, Nursing, or related field, with at least 2 years’ post graduate experience of which at least one year is in HIV Case Management
- Active participation in at least one Clinic committee or Ryan White Planning Council Subcommittee
- Participation in an ongoing quality improvement project/special project
