The Medical Case Manager will provide medical case management services to eligible adult clinic patients at Positive Impact Health Centers, following applicable funding guidelines and best practice care models.
Requirements
- Learn and remain current on practice issues related to HIV/AIDS, related medical diagnoses, and medical case management.
- Provide medical case management services to identified patients of the clinic program, following medical case management guidelines established by HRSA/Ryan White and the Metropolitan Atlanta HIV Health Services Planning Council.
- Complete biopsychosocial assessments with new and returning patients, utilizing required screening tools established by the Metropolitan Atlanta HIV Health Services Planning Council and Ryan White/HRSA.
- Provide medical case management services to an average caseload size of 70 patients: develop a comprehensive Individualized Service Plan (ISP); provide ongoing monitoring of ISP with each patient to assess the efficacy of the plan; coordinate services to meet goals of the service plan.
- Perform periodic re-evaluations and revisions/adaptations of service plans.
- Provide adherence and retention counseling to ensure patients maintain health care.
- Identify gaps in core and supportive services, including care resources, mental health, substance abuse, housing, nutrition, and transportation
- Coordinate referrals and follow-up for medical and non-medical services.
- Assist and consult with interdisciplinary care team regarding patients’ ongoing need for care and referrals.
- Assist patients with applications and ongoing eligibility for medication access programs (i.e. ADAP and pharmaceutical assistance programs), as needed to support clinic staff.
- Assist patients with social service questions and related needs.
- Develop network of additional community resources.
- Document patient information, activities, referrals and consultations in a timely and accurate manner, through the use of the agency’s electronic medical record system and related reporting software.
Benefits
- Paid Time Off
- Health Insurance