HIV Case Manager (HOPWA)

Description

GENERAL PURPOSE:

Under the direction of the HIV Program Manager, the Housing Opportunities for People with AIDS (HOPWA) Case Manager is accountable for providing intensive case management and crisis intervention services for those affected by HIV/AIDS. The Case Manager is responsible for ensuring compliance with contract services and ensures all clients are engaged in health care and additional services based on client need.

MAIN RESPONSIBILITIES AND DUTIES:

1. Maintain confidentiality standards as outlined in the Confidentiality Agreement at all times.
2. Conduct initial assessments to determine client eligibility and needs.
3. Completes initial assessment & registration packet with clients over the phone and in-person during the first visit.
4. Case Manager will work with client to produce a service plan quarterly with well-developed goals and progress markers and will utilize motivational interviewing and other evidenced-base practices to engage the client. As well as recovery oriented and trauma informed case management interventions based on client and community needs.
5. Create Case Management referral to the agency and program which is appropriate for the level of care needed thereby coordinating support services for clients based on assessment of the client’s status.
6. Refer all eligible clients to the RD (Registered Dietician) for medically tailored food services.
7. Monitor client status to provide subsidized housing and intensive case management to prevent homelessness.
8. Maintain client documentation and other paperwork as required by policies and by grant or other program funding sources.
9. Keep detailed records of all program activities, including meeting minutes, progress reports, and correspondence.
10. Work with the finance department to monitor the program budget, track expenses, ensure spending aligns with the allocated budget and submit monthly invoices for program reimbursement.
11. Document all activities and transactions in the client record, both paper and digitally.
12. Monitor the completion of tasks and ensure they are done on time.
13. Submit payment requests to AP in a timely manner and for long term facility clients forecast client needs and submit payment requests in advance.
14. Provide referrals for services handled by other agencies as needed by each client, these services include, but are not limited to, referrals for alcohol or other drug treatment, food, housing, and employment.
15. Provide housing case management, client advocacy, and access to benefits & services to determine additional needs of the client.
16. Communicate with others throughout the organization and community to encourage coordination in client care.
17. Ensure that all referrals are followed-up by working with referral staff, other nursing staff and the agencies as appropriate.
18. Work with Ryan White Part C Medical Case Managers to ensure that the client is receiving thorough Medication Adherence education and support by the Early Intervention Program or other agency.
19. Work with the Ryan White Part B non-medical Case Manager to coordinate services between shared clients to ensure overlapping benefits are not provided within the same month.
20. Advocate for clients’ needs within the community and with service providers.
21. Be a liaison between patient, Provider, Registered Dietitian, LCSW and any other outside agencies as needed.
22. Provide support to clients by empowering them to work toward self-care.
23. Provide appropriate pamphlets and educational material to clients.
24. Maintains professional growth by attending trainings, staff meetings as necessary, and required in-services including ADAP.
25. Participates in Case Conferences
26. Participates in CQI
27. Take detailed notes during meetings and distribute them to relevant parties.
28. Track action items from meetings and follow up to ensure they are completed.
29. Continuously evaluate and improve administrative processes to enhance efficiency.
30. Gather feedback through surveys from team members, stakeholders, and clients to identify areas for improvement.
31. Ensure the program complies with all relevant regulations and standards.
32. Prepare for audits by maintaining accurate and up-to-date records.
33. Other duties as assigned by supervisor

QUALITIES & CHARACTERISTICS

1. Maintains a professional relationship and positives attitude with co-workers, the public, patients and all Ampla Health’s staff, Board of Directors and vendors  
2. Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions
3. Strives to learn more and is receptive to learning different ways of doing things
4. Displays enthusiasm toward the work and the mission of Ampla Health

PROFESSIONAL KNOWLEDGE, SKILLS & ABILITIES:

1. High School Diploma or equivalent
2. Medical Assistant Mandatory, CMA Preferred.
3. Case management experience not required but preferred.
4. Ability to problem-solve utilizing the team approach
5. Conflict resolution skills
6. Effective written and verbal communication skills
7. Ability to deal with people in person and in telephone contacts in a professional manner
8. Sensitive to the needs of the cultures represented in the corporation’s patient population
9. Demonstrate clear knowledge of Ampla Health’s clinic structure, standards, procedures and protocols

COMMUNICATIONS SKILLS:

1. Must have neat and legible handwriting
2. Must be able to interact with patients courteously and calmly
3. Ability to communicate well with the public

WORKING CONDITIONS & PHYSICAL REQUIREMENTS:

Works well with patients in a generally comfortable environment office. Employees must possess the following physical requirements:

1. Must be in good health and able to lift up to 40 lbs.
2. Must be able to hear staff on the telephone and those who are served in person, and speak clearly in order to communicate information to clients and staff
3. Ability to operate standard office equipment such as a computer, telephone, fax machine, copier, etc.
4. Must be able to reach above the shoulder level to work, bend, squat and sit, stand, stoop, crouch, reach, kneel, twist and turning

Qualifications

GENERAL PURPOSE:

Under the direction of the HIV Program Manager, the Housing Opportunities for People with AIDS (HOPWA) Case Manager is accountable for providing intensive case management and crisis intervention services for those affected by HIV/AIDS. The Case Manager is responsible for ensuring compliance with contract services and ensures all clients are engaged in health care and additional services based on client need.

MAIN RESPONSIBILITIES AND DUTIES:

1. Maintain confidentiality standards as outlined in the Confidentiality Agreement at all times.
2. Conduct initial assessments to determine client eligibility and needs.
3. Completes initial assessment & registration packet with clients over the phone and in-person during the first visit.
4. Case Manager will work with client to produce a service plan quarterly with well-developed goals and progress markers and will utilize motivational interviewing and other evidenced-base practices to engage the client. As well as recovery oriented and trauma informed case management interventions based on client and community needs.
5. Create Case Management referral to the agency and program which is appropriate for the level of care needed thereby coordinating support services for clients based on assessment of the client’s status.
6. Refer all eligible clients to the RD (Registered Dietician) for medically tailored food services.
7. Monitor client status to provide subsidized housing and intensive case management to prevent homelessness.
8. Maintain client documentation and other paperwork as required by policies and by grant or other program funding sources.
9. Keep detailed records of all program activities, including meeting minutes, progress reports, and correspondence.
10. Work with the finance department to monitor the program budget, track expenses, ensure spending aligns with the allocated budget and submit monthly invoices for program reimbursement.
11. Document all activities and transactions in the client record, both paper and digitally.
12. Monitor the completion of tasks and ensure they are done on time.
13. Submit payment requests to AP in a timely manner and for long term facility clients forecast client needs and submit payment requests in advance.
14. Provide referrals for services handled by other agencies as needed by each client, these services include, but are not limited to, referrals for alcohol or other drug treatment, food, housing, and employment.
15. Provide housing case management, client advocacy, and access to benefits & services to determine additional needs of the client.
16. Communicate with others throughout the organization and community to encourage coordination in client care.
17. Ensure that all referrals are followed-up by working with referral staff, other nursing staff and the agencies as appropriate.
18. Work with Ryan White Part C Medical Case Managers to ensure that the client is receiving thorough Medication Adherence education and support by the Early Intervention Program or other agency.
19. Work with the Ryan White Part B non-medical Case Manager to coordinate services between shared clients to ensure overlapping benefits are not provided within the same month.
20. Advocate for clients’ needs within the community and with service providers.
21. Be a liaison between patient, Provider, Registered Dietitian, LCSW and any other outside agencies as needed.
22. Provide support to clients by empowering them to work toward self-care.
23. Provide appropriate pamphlets and educational material to clients.
24. Maintains professional growth by attending trainings, staff meetings as necessary, and required in-services including ADAP.
25. Participates in Case Conferences
26. Participates in CQI
27. Take detailed notes during meetings and distribute them to relevant parties.
28. Track action items from meetings and follow up to ensure they are completed.
29. Continuously evaluate and improve administrative processes to enhance efficiency.
30. Gather feedback through surveys from team members, stakeholders, and clients to identify areas for improvement.
31. Ensure the program complies with all relevant regulations and standards.
32. Prepare for audits by maintaining accurate and up-to-date records.
33. Other duties as assigned by supervisor

QUALITIES & CHARACTERISTICS

1. Maintains a professional relationship and positives attitude with co-workers, the public, patients and all Ampla Health’s staff, Board of Directors and vendors  
2. Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions
3. Strives to learn more and is receptive to learning different ways of doing things
4. Displays enthusiasm toward the work and the mission of Ampla Health

PROFESSIONAL KNOWLEDGE, SKILLS & ABILITIES:

1. High School Diploma or equivalent
2. Medical Assistant Mandatory, CMA Preferred.
3. Case management experience not required but preferred.
4. Ability to problem-solve utilizing the team approach
5. Conflict resolution skills
6. Effective written and verbal communication skills
7. Ability to deal with people in person and in telephone contacts in a professional manner
8. Sensitive to the needs of the cultures represented in the corporation’s patient population
9. Demonstrate clear knowledge of Ampla Health’s clinic structure, standards, procedures and protocols

COMMUNICATIONS SKILLS:

1. Must have neat and legible handwriting
2. Must be able to interact with patients courteously and calmly
3. Ability to communicate well with the public

WORKING CONDITIONS & PHYSICAL REQUIREMENTS:

Works well with patients in a generally comfortable environment office. Employees must possess the following physical requirements:

1. Must be in good health and able to lift up to 40 lbs.
2. Must be able to hear staff on the telephone and those who are served in person, and speak clearly in order to communicate information to clients and staff
3. Ability to operate standard office equipment such as a computer, telephone, fax machine, copier, etc.
4. Must be able to reach above the shoulder level to work, bend, squat and sit, stand, stoop, crouch, reach, kneel, twist and turning

Salary : $22 - $29