Hektoen Institute LLC
Medical Case Manager I – Bilingual
Hektoen Institute LLC, Chicago, Illinois, United States, 60290
JOB SUMMARY
The Medical Case Manager I (MCM I) will provide a range of client-centered, confidential services that link clients with health care, clinical psychosocial, and supportive services for clients living with HIV/AIDS who are identified as having challenges with accessing and maintaining adherence to health care services. They will work with the Care Coordination Team and Inpatient and Outpatient Medical Teams to build a transitional care plan that extends beyond inpatient care and stabilizes clients medically. The MCM I will complete a social service assessment to determine eligibility for Ryan White services and develop an individualized care plan to address barriers to medical care and adherence. The MCM I will complete appropriate referrals to address barriers and social service needs such as transportation, food resources, and housing navigation. They will facilitate linkage to and maintenance of clients to their primary medical services and work together in a multi-disciplinary team with licensed medical providers to support adherence. The MCM I will provide treatment adherence counseling to ensure readiness for and adherence to complex HIV/AIDS treatments, focusing on viral suppression. The MCM I will ensure the client connects to other Core services, such as Dental, Mental Health, and Substance Use treatment. The MCM I will also provide benefits counseling to clients and assist in enrollment, verification, and utilization of those benefits. The MCM I will be a resource for the Care Coordination Service team while providing training, support, and resources to new team members. They will cover an outpatient Bilingual Clinic at CORE Center, assist with inpatient services while providing targeted services to special at-risk populations, i.e., Monolingual Spanish speaking adolescents. The MCM I will advocate for clients and ensure adequate resources are available for the inpatient population serviced by the team.
SPECIFIC RESPONSIBILITIES
Maintain an Active Caseload
Complete initial intake and assessment of needs of all new clients and clients returning to care.
Develop a comprehensive, individualized service plan.
Work with specific at-risk populations to eliminate barriers to care, particularly those related to language.
Maintain contact with the client to ensure Medical and Medication Compliance.
Make appropriate and timely referrals to internal and external providers and coordinate services identified on the service plan.
Meet with Medical Provider regularly to mutually support the client’s compliance with appointments.
Properly transition clients out of Medical Case Management into other appropriate programs.
Adhere to the Social Services Documentation Policy of all Patient Encounters and Forms.
Maintain a Working Knowledge of Community and Internal programs that would enhance the client’s ability to be maintained in care.
Enhance Professional Development and Maintain an Area of Specialization
Participate in all CORE Center and AFC mandatory training and meetings.
Participate in Social Services and Continuous Quality Improvement Efforts
Adhere to CORE Center and Social Services Specific Policies & Procedures
Provide Excellent Customer Service and Professionalism when interacting with clients and internal and external customers.
Other duties as assigned by Supervisor
QUALIFICATIONS – Knowledge/Skills/ExperienceMinimal Formal Education:
Associate’s degree in related human service, social science, or health education field from an accredited college or university required. Bachelor’s Degree in a non-related field and social service experience preferred. Bilingual English/Spanish Required.
Minimal Length & Nature of Experience Required:
Some experience working with HIV/AIDS or any chronically ill clients; two years preferred. Experience working in a hospital or outpatient setting preferred. Knowledge and experience working with diverse and complex clients preferred. Microsoft Office Program, Access, and similar database experience required. Experience working with clients with multiple needs. Comfortable working with high volumes of clients in a fast-paced environment preferred.
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The Medical Case Manager I (MCM I) will provide a range of client-centered, confidential services that link clients with health care, clinical psychosocial, and supportive services for clients living with HIV/AIDS who are identified as having challenges with accessing and maintaining adherence to health care services. They will work with the Care Coordination Team and Inpatient and Outpatient Medical Teams to build a transitional care plan that extends beyond inpatient care and stabilizes clients medically. The MCM I will complete a social service assessment to determine eligibility for Ryan White services and develop an individualized care plan to address barriers to medical care and adherence. The MCM I will complete appropriate referrals to address barriers and social service needs such as transportation, food resources, and housing navigation. They will facilitate linkage to and maintenance of clients to their primary medical services and work together in a multi-disciplinary team with licensed medical providers to support adherence. The MCM I will provide treatment adherence counseling to ensure readiness for and adherence to complex HIV/AIDS treatments, focusing on viral suppression. The MCM I will ensure the client connects to other Core services, such as Dental, Mental Health, and Substance Use treatment. The MCM I will also provide benefits counseling to clients and assist in enrollment, verification, and utilization of those benefits. The MCM I will be a resource for the Care Coordination Service team while providing training, support, and resources to new team members. They will cover an outpatient Bilingual Clinic at CORE Center, assist with inpatient services while providing targeted services to special at-risk populations, i.e., Monolingual Spanish speaking adolescents. The MCM I will advocate for clients and ensure adequate resources are available for the inpatient population serviced by the team.
SPECIFIC RESPONSIBILITIES
Maintain an Active Caseload
Complete initial intake and assessment of needs of all new clients and clients returning to care.
Develop a comprehensive, individualized service plan.
Work with specific at-risk populations to eliminate barriers to care, particularly those related to language.
Maintain contact with the client to ensure Medical and Medication Compliance.
Make appropriate and timely referrals to internal and external providers and coordinate services identified on the service plan.
Meet with Medical Provider regularly to mutually support the client’s compliance with appointments.
Properly transition clients out of Medical Case Management into other appropriate programs.
Adhere to the Social Services Documentation Policy of all Patient Encounters and Forms.
Maintain a Working Knowledge of Community and Internal programs that would enhance the client’s ability to be maintained in care.
Enhance Professional Development and Maintain an Area of Specialization
Participate in all CORE Center and AFC mandatory training and meetings.
Participate in Social Services and Continuous Quality Improvement Efforts
Adhere to CORE Center and Social Services Specific Policies & Procedures
Provide Excellent Customer Service and Professionalism when interacting with clients and internal and external customers.
Other duties as assigned by Supervisor
QUALIFICATIONS – Knowledge/Skills/ExperienceMinimal Formal Education:
Associate’s degree in related human service, social science, or health education field from an accredited college or university required. Bachelor’s Degree in a non-related field and social service experience preferred. Bilingual English/Spanish Required.
Minimal Length & Nature of Experience Required:
Some experience working with HIV/AIDS or any chronically ill clients; two years preferred. Experience working in a hospital or outpatient setting preferred. Knowledge and experience working with diverse and complex clients preferred. Microsoft Office Program, Access, and similar database experience required. Experience working with clients with multiple needs. Comfortable working with high volumes of clients in a fast-paced environment preferred.
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