HIV/AIDS Case Manager #153Spokane Regional Human Resources
Job #153 HIV/AIDS Case Manager
Full time opening in Disease Prevention & Response.
Purpose: The Medical Case Manager (MCM) works closely with clients living with HIV/AIDS who have multiple psychosocial and /or health related needs. Medical Case Management services is a strength-based approach to service that includes treatment adherence counseling, assisting with obtaining and maintaining medical insurance, coordination and follow-up of medical treatments, client advocacy, and assistance in obtaining housing, financial support, legal services, social support, and any other needed service. The goals of Medical Case Management are to ensure that clients with HIV/AIDS have timely access to comprehensive medical care, social services, prevent disease transmission, delay of HIV progression, and to promote and support client independence and self-sufficiency.
May have to directly provide transportation services. Transportation of clients is only authorized with the use of a company vehicle.
- Coordinates client intakes, eligibility, comprehensive assessments, releases of information, and individual service plans for HIV/AIDS positive individuals seeking Medical Case Management, within required DOH timeframe on initial, biannual or annual basis.
- Assists with obtaining and maintaining medical insurance coverage for clients by assisting clients with completing applications, annual or biannual renewals, and other insurance needs with Medicaid, Medicare, Qualified Health Plans, or private insurance.
- Coordinates with WA State DOH, Early Intervention Program (EIP), and WA State DSHS systems to ensure continuity of medical coverage as needed.
- Coordinates client’s access to primary medical care and treatment. Attends client medical appointments as needed.
- Coordinates and maintains access to antiretroviral medications. Assists clients with maintaining adherence to treatment and medications. Provide support for treatment adherence. Facilitates complex problem solving with pharmacy and/or insurance plans as needed to ensure medications are available as prescribed.
- Provide support services and linkage to community resources for clients facing barriers with transportation, food, and/ or housing. Prepares budgets and housing plans as needed.
- Establishes and documents individual client acuity level per DOH guidelines to ensure the most efficient and appropriate case management services are provided and documented.
- Assist clients with HOPWA and STRMU services.
- Maintains assigned client caseload.
- Documents client activities, enters case notes, updates client demographics, housing, and income status, enters supportive services, viral loads, medical visits, documents service provision, and reports performance measures into CAREWare in a timely manner (DOH standards).
- Provides proactive case management with monthly or bi-monthly engagement with clients at a minimum basis based on acuity level.
- Acting as a liaison between clients, caregivers, landlords, and other service providers to obtain and share information that support optimal care and service provision.
- Facilitating the scheduling of appointments, transportation, or transfer of information when a client is unable to do so.
- Assist clients to increase navigation and communication skills, system knowledge and confidence so that client can independently navigate the care systems, communicate directly with providers and schedule appointments.
- Facilitates client access to DSHS, dental, housing, substance treatment, mental health, SSI, transportation, food, legal, etc.
- Ensures DOH Case Management Standards are upheld.
- Performs peer audits.
- Collaborates with the Locating Out of Care (LOOC) Coordinator to relocate clients that have fallen out of care.
- Provides direct support to clients and their support systems/families by providing information about the HIV/AIDS.
- Maintains client files in electronic copy.
- Procures documentation for medical appointment and viral load information from providers.
- Completes monthly Medicaid billing.
- Provides daily support to clients in office setting, home visits, community setting, or phone calls as needed.
- Collaborates with DIS for newly HIV diagnosed individual referrals.
- Attends agency and division meetings, as requested.
- Attends trainings as requested.
- Participates in various surveys, logic models, and evaluations to improve services. May do this by assisting in the collection of data and providing input.
- Complies with HIPAA policies.
- Complies with the Team Norms.
- Attends community meetings/events as assigned.
- Transports clients to medical or support service appointments in authorized company vehicle only.
- Other duties as assigned.
Required Minimum Qualifications:
- Master's degree in public health, health education, community health, health promotion, social work, nursing, counseling or other closely related field or general education degree, or a bachelor’s degree in any fields listed above. A combination of education and experience may be considered provided the individual's background demonstrates the knowledge, skills and abilities required for the position.
- One year of experience with master’s degree in health-related behaviors counseling, preferably in HIV/AIDS or other communicable disease, OR Two years' experience with a Bachelor’s degree in health related behaviors counseling, preferably in HIV/AIDS or other communicable disease
- Valid motor vehicle operator’s license and insurance or access to transportation on a daily basis to complete essential functions of the position.
Knowledge, Skills and Abilities:
- Ability to understand and navigate complex medical assistance programs including Medicaid, Medicare, and other DSHS programs.
- Demonstrated ability to work compassionately with clients.
- Cursory knowledge of HIV transmission, long-term physiological consequences, HIV medications that will grow with on-the-job exposure.
- Knowledge of Microsoft Products such as Word, Excel, Access and Outlook as well as ability to learn specialized software utilized at Spokane Regional Health District.
- Ability to assess safety levels of environment when conducting home visits.
- MMR (Measles, Mumps, Rubella)
- Tdap (Tetanus, Diphtheria, Pertussis)
- Varicella (Chicken Pox)
- Hepatitis B
- Indoors, sedentary with 7 hours/day sitting or standing
- Ability to navigate client sites (unpaved walkways, stairs, narrow hallways, etc.) on an occasional basis
- 5 hours/day keyboarding or typing at a computer terminal
- Communication skills to interact effectively with people
- Comprehend and process verbal communication
- Ability to discern colors
- Ability to discern odors
- Ability to carry up to 25 pounds on an occasional basis
- Ability to type, file and complete forms with or without accommodation
- Ability to operate a vehicle or otherwise access multiple sites in a timely manner
- Ability to maintain composure in stressful situations