Job Description
Job Description
PURPOSE: The Case Manager is responsible for coordinating services for Ryan White Part B eligible clients in their health district or districts. The case managers represent the Family Planning, STD, and HIV Programs (FPSHP), Ryan White Part B/ADAP, at the local level and report all RWPB activities according to their contract.
INTEGRITY AND TRUST
Is widely trusted; is seen as a direct truthful individual, can present the unvarnished truth in an appropriate and helpful manner, keeps confidences, admits mistakes, doesn’t misrepresent him/herself for personal gain.
MISSION INTEGRATION
Adheres to the Mission of the CHC during both good and bad times; is dedicated to meeting the expectations and requirements of the CHC mission (provide quality services in a supportive environment to all people); acts in line with the values of the mission; practices what he/she preaches.
TEAM RELATIONS
Understands and supports the team approach; A team player and is cooperative. Easily gains trust and support of peers; Encourages collaboration; must have the ability to be candid with Peers; Fosters open dialogue; create a feeling of belonging to the team.
Responsibilities:
- The medical case manager will maintain a client chart for each client receiving services under the state contract. These charts will be available for review by the FPSHP staff during formal site visits
- Each chart will contain all pertinent documentation as follows:
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- Intake
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- Verification of HIV status
- Consent to participate
- Verification of financial eligibility
- Contact information, demographic information
- Assessment: Assessing the client’s status according to the following areas:
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- Financial and Resource Evaluation
- Substance Use and Mental Health Screening
- Stability of Housing Screening
- Domestic Violence Screening
- Transportation to Medical Appointments
- Immunizations, Nutritional and other Basic Needs
- Clients’ readiness to take meds or adherence
- Wellness Plan (client involvement)
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- Development of Wellness Plan
- Short and long term objectives
- Identification of services needed
- Identification of agencies that provide services
- Implementation of Wellness Plan
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- Ensure compliance with medical case manager identified actions
- Ensure clients access to services, make appointments (when necessary)
- Make referrals to services
- Arrange transportation (as necessary)
- Monitoring, Follow-up, Reassessment
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- Track adherence, labs, progress of care
- Follow-up on referrals
- Update Wellness Plan as needed
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- Follow-up with client on progress towards identified goals
- Service Coordination and Resource Identification
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- Update CareWare
- Administration and Reporting
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- Completion of client eligibility screening
- Complete and submit required forms appropriate contacts
- Complete assessments as required by Ryan White Policy and Procedure Manual
- Monthly/Quarterly grantee reporting requirements
- Financial record keeping and reporting
- Attendance at required trainings
- Case manager meetings/teleconferences
· Assist in the implementation and monitoring of CWWCHC’s Health Plan Objectives for the patient. Interview patients and record significant patient data including existing and potential health problems and related patient responses. Make initial appointment with appropriate provider.
· Assist the patient in enrolling in Medicaid, WIC, and other entitlement programs.
· Participate in referral and follow-up procedures appropriate to the health care of the patient.
- Provide accurate development reports to management and board.
· Counsel and instruct patients individually and in groups as requested--health education.
· Educate the patients on the benefits of abstinence.
· Expose families to various resources for housing.
· Counsel patients on the importance of medication management/adherence.
· Screen every family with small children for Healthy Start participation.
· Screen every female patient specifically for signs of domestic abuse.
· Ensure that every patient has been screened for depression and/or mental illness.
· Maintain adequate educational materials, tracking tools, follow-up/callback logs.
· Record in the patient’s medical chart and report to appropriate professional personnel any information pertinent to the care of the patient.
· Perform duties as delegated by the C.W. Williams Community Health Center staff to meet the Day-to-day requirements of the patients and of the Center.
· Maintain competence in practice through continuing education and other appropriate learning experiences designed to foster career development.
· Perform other Center duties as required.
Requirements:
· Previous experience in a licensed ambulatory health care facility and a minimum of two years of direct experience preferable in primary care.
· Possess culturally competent skills/experience working with diverse populations.
· Possess the ability and desire to provide service to patients consistent with NC State Health Department and the Bureau of Primary Health Care Program (Federal) Guidelines.
· Attendance at evening or weekend meetings, events and activities may be required.
· May require work on Saturdays or Sundays.
· A good driving record and possession of a valid North Carolina Driver’s License is mandatory.
· Must pass background and credit checks
· PRESENTATION- to remain compliant in accordance with the agency's guidelines and maintain good grooming and hygiene.
PHYSICAL DEMANDS/WORKING CONDITIONS
May occasionally become crowded. Requires, bending, sitting lifting. May be kicked, bit or scratched by resistant children. Must be able to tolerate screaming, crying and other hysterical behavior by patients. Position exposed to Bloodbourne Pathogens including HIV and Hepatitis. All clinical staff is encouraged to receive the Hepatitis B Vaccinations (offered by CWWCHC free of charge) and Tetanus Toxiod.
SUPERVISION RECEIVED: Supervisor, Management and Executive Team
SUPERVISION GIVEN: Students or anyone assigned by the supervisor
EFFECTS OF ERRORS: Errors may expose the Center to Liability and
Embarrassment.
RESPONSIBILITY FOR CONFIDENTIAL MATTERS: Position is exposed to confidential patient information, correspondence and reports. All staff is expected to adhere to the Center's confidentiality policy as stated in the Personnel Policy and Procedure Manual.
INTERPERSONAL CONTACTS: Position requires interaction with patients, families, social workers, physicians, mid-level providers, referral clerks, nursing staff, front office staff and others.
Ability to Function Independently
· Acts in patient’s best interest of the Agency, Patients and Staff without waiting for direction.
· Available and able to respond to patient crises - can identify and assess the situation and diffuse as appropriate.
HOURS OF WORK: A minimum of 40 per week and as needed.
SALARY: As specified in the Notice of Hire
Perform Other Duties as Assigned.
Company DescriptionHere at C.W. Williams Community Health Center, we hold a heartfelt belief that healthcare is a universal human right, not merely a privilege. It’s a belief that’s been at the core of our mission since 1981, a guiding star inherited from our visionary founder, Dr. Charles Warren Williams. Each day, we’re driven by a singular purpose – to extend the reach of affordable healthcare to everyone, especially the most vulnerable among us, reflecting our devotion to healing hearts, minds and souls.
Company Description
Here at C.W. Williams Community Health Center, we hold a heartfelt belief that healthcare is a universal human right, not merely a privilege. It’s a belief that’s been at the core of our mission since 1981, a guiding star inherited from our visionary founder, Dr. Charles Warren Williams. Each day, we’re driven by a singular purpose – to extend the reach of affordable healthcare to everyone, especially the most vulnerable among us, reflecting our devotion to healing hearts, minds and souls.