What are the responsibilities and job description for the Peer Leader/Medical Case Manager position at Whittier Street Health Center?
The Peer Leader/Medical Case Manager reports directly to the Senior Medical Case Manager. The position is supervised by the responsible for providing psychosocial support, guidance and information that will meet the needs of the clients. In coordination with the Clinical staff and the Senior Medical Case Manager, the Peer Leader/Medical Case Manger assist patients with adherence to treatment questions and may provide adherence support as needed. The position oversees the Psychosocial Peer support program and facilitates peer support groups (including educational programs) and individual peer sessions. Case management responsibilities include: Intake clients into the program, assess their needs, develop and implement individualized service plans, provide psychosocial support and education for clients. Advocate for clients to establish care and receive suitable benefits, services and entitlements. Provide follow up to ensure patients remain in care.
TYPICAL PHYSICAL DEMANDS/WORKING CONDITIONS:
Requires sitting, bending, stooping, and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate forms and reports as needed.
ORGANIZATIONAL COMMITMENTS:
As an organization we are committed to providing care as Patient Centered Medical Home. All
employees are required to be aware of the organization’s practice of the NCQA Patient Centered Medical Home and the National Health Disparities’ Improvement Models.
ESSENTIAL FUNCTIONS:
Medical Case Management responsibilities
- Outreaches to women and men living with HIV/AIDS and brings them in for care and
- Performs initial intake and works in a participatory manner with HIV care team, including physicians, nurse practitioners, nurses, peer support coordinator, program director, and other providers involve in client’s care to coordinate care and services.
- Assess clients’ needs every six months, develops and implement an individualized services plan with each assigned client following the BPHC/DPH Standards of Care for Case Management Services.
- Establishes a consistent schedule of case review contacts with clients to foster the development of a trusty relationship that will increase client’s sense of social support and affirm their personal strengths and
- Performs advocacy on behalf of clients experiencing barriers to other services due to language ability, literacy level, and physical
- Makes appropriate referrals and follow-up with clients and providers to ensure that services are
- Maintains an ongoing awareness of client’s medical condition and plan for additional services to maintain an appropriate level of care as needs
- Maintains client’s files and makes appropriate entries into progress notes and Logician following all meetings, phone calls, and collaboration with
- Links patients to services provided by community based organizations such as peer support groups, legal services, clinical mental services nutrition counseling
- Links patients to services provided by the Health Center such as BPFAP, adult medicine, dental, optometry, obstetrics, gynecology and behavioral health etc.
- Provide safety-planning counseling for clients who have been victimized by domestic
- Participates in trainings and skill enhancement seminars inside and outside of the
- Provides basic information to clients concerning HIV infection, treatment, transmission, and risk reduction and positive prevention.
- Produces timely monthly and quarterly statistical reports of case contacts to program
- Participates in staff team meetings, individual supervision meetings and clinical supervision meeting
- Performs other duties as
Peer Leader responsibilities
- Conducts outreach to neighborhood organizations/agencies, individuals and families seeking individuals living with HIV/AIDS and who are not receiving medical care and support
- Provides leadership and support for treated and non-treated HIV positive
- In coordination with the clinical staff and the case manager, provides treatment adherence guidance and support to patients initiating treatment or having challenges adhering to
- Conducts treatment adherence activities, including adherence assessment, treatment readiness assessment, adherence action plans and adherence
- Facilitates and/or coordinates educational workshops/support groups with the goal of meeting non- treated people with AIDS and provides guidance and support to those receiving
- Coordinates services information and referrals to primary care services at WSHC and other
- Maintains required documentation and generates reports as required by funding source or Agency’s
- Maintains good personal image and represent the best interest of WSHC and its stakeholders including program participants, parents, community groups, collaborating agencies and the community-at-large.
- Participates in required team meetings and activities both internally and
- Conducts HIC Counseling and
- Performs other duties as
Required Experience/Abilities/Competencies:
- One to two years’ experience working in human services, specifically HIV
- Experience living with HIV/AIDS and the support/resources needed for people infected with HIV/AIDS (i.e. substance abuse and related issues).
- Experience working with HIV infected population as well as a multicultural (i.e. men and women of color, pregnant women, Gay, Lesbian, Bisexual, Transgender (GLBT))
- Knowledge of HIV issues and treatment
- Ability to plan and develop community work and community
- Ability to communicate effectively in writing and verbal
- Knowledge of Microsoft Office Suite and Outlook
- Ability to work independently but also as a part of a team and larger community
Licensure/Education/Training:
- Associates Degree or higher from an accredited college or university
