What are the responsibilities and job description for the Medical Case Manager position at Hyacinth Foundation A New Jersey?
Description
Under the supervision of the Director of Clinical Services performs assigned duties relating to provision of medical case management services.
Duties include but are not limited to the following:
Work closely with Hyacinth's Clinic staff to establish and maintain medical charts for clients
Schedule initial and follow up medical care appointments for clients
Schedule appointments for primary care services, Ob/Gyn, ophthalmology/optometry and dental
Prepare patient files with necessary data for appointment with the doctors, i.e. laboratory results
Collaborate with 340B pharmacy coordinator to ensure eligible patients are enrolled in the 340B
pharmacy program
Secure prior authorization for medication and procedures as needed
Actively enroll clients in pharmacy program
Collaborate closely with care and treatment staff to ensure wrap around services
Ensure readiness for, and adherence to, complex HIV treatments through initial assessment of service needs, and development of a comprehensive, individualized care plan, quarterly re-evaluation of the care plan with adaptations as necessary
Timely and coordinated access to medically appropriate levels of health and support services and continuity of care
Treatment adherence counseling to ensure readiness for and adhere to medication and medical visits
Provide guidance and assistance in accessing medical, social, community, legal, financial, and other needed services
Assist eligible clients to obtain access to other public and private programs for which they may be eligible, such as Medicaid, Medicare Part D, ADDP, and others
Engage in outreach activities at various community sites to identify clients in need of case management services.
Refer and connect 100% of newly diagnosed PLWHA and out of care clients to medical care and social support services.
Work collaboratively with other local service providers to develop and maintain the continuum of services available to clients.
Establish, maintain and update client case records using approved agency forms and procedures. Ensure confidentiality of all records.
Provide relevant literature to clients and members of the community.
Prepare monthly reports in accordance with agency policies and procedures and grant requirements
Maintain and Update client information in E-compas, CHAMPS and EMR
Professional Responsibilities:
Attend and participate in staff meetings and supervisory conferences.
Maintain working relationships with other community providers.
Observe established administrative procedures.
Provide written reports and maintain statistics as required.
Represent the agency at community events, meetings and conferences.
Attend and participate in staff training opportunities.
Adhere to Hyacinth policies and procedures including client confidentiality provisions
Requirements
Access to currently registered car and a valid driver's license.
Required Minimum Education: Bachelor, masters preferred
Required Years of Related Experience: 2-4 years
• A minimum of four years’ experience in the field of HIV / AIDS or social service support
