The Medical Case Manager provides client-centered services that link clients with appropriate medical and support services based on their individual assessment and needs. Medical Case Managers provide individual service planning as identified in the client’s assessment, and will provide referrals to clinical and supportive services as identified in the client’s assessment and re-assessment.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Works in conjunction with medical care providers (e.g. case conferencing, attending rounds); ensuring all clients are case conferenced at medical rounds at least twice per year.
- Implements the medical treatment plan by providing counseling on medication, appointment and other treatment adherence issues.
- Conducts initial pre-screening of clients to determine eligibility for services and appropriateness of case management services.
- Verifies enrollment in medical care, and support enrollment of the uninsured in Basic Health Care (BHC), if eligible.
- Performs client intake and needs assessment including completion of all required paperwork.
- Collects client data as required and ensures client privacy and confidentiality.
- Completes client assessment and reassessment including the acuity scale as a standard measure for the system of care.
- Develops a comprehensive care plan jointly with the client that includes short and long term goals focused on attaining, maintaining and achieving positive health outcomes.
- At least twice annually evaluates and updates the client care plan based upon changes to health status and other factors detailed in the reassessment or acuity scale.
- Conducts risk reduction counseling and partner counseling and provides referral services (PCRS) with all clients.
- Refers and links clients to appropriate services within the system of care that promote positive health outcomes, treatment adherence, and greater self-sufficiency.
- Monitors the client’s follow-through with these services.
- Refers to nurse case management any client who is pregnancy or whose health status has declined. Follow-up on the referral to ensure the client was successfully linked with nurse case management.
- Provides access to Emergency Financial Assistance (EFA), (e.g. food vouchers, utility payment assistance, and transportation vouchers) as needed to promote and maintains positive health outcomes.
- Adheres to professional boundaries by not transporting clients, not having dual relationships (e.g. serve as payee or accept power of attorney), and not serving a client that is a staff member at the agency where you work.
- Evaluates effectiveness of services based upon client outcomes in the scope of work.
- Attends the PRCC and program-specific and organizational activities and meetings, including but not limited to the monthly organization wide General Assembly.
- Participates in organizational annual events including but not limited to the Puerto Rican People’s Parade, Chicago Pride, Fiesta Boricua, Three Kings Day, Haunted Paseo Boricua.
- Performs other functions assigned
- Collaborates with other programs of the PRCC.
- Complete all trainings required by Aids Chicago Foundation.
- Enter all data regarding clients into the required software.
- Other duties as required.
This position requires compliance with all of PRCC’s written standards, including its Standards of Conduct, all policies and procedures and Regulatory Compliance requirements. Compliance will be considered as part of the regular performance evaluation.
- KEY INTERRELATIONSHIPS:
- Department Director
- Program Coordinators
- Other Program Staff
- OSHA Category 2 – Normal work practice involves no exposure to blood, body fluids or tissues, but exposure risk may occasionally be encountered in performance of assigned tasks.
- Master’s / Bachelor’s degree in any human services field or a registered nurse, or Master’s/Bachelor’s degree in any non-human services field with a t least 2 years of case management experience; or a 2 year Associate’s degree in any human services field with at least 4 years of case management experience.
- Bilingual (Spanish and English) and bicultural preferred.
- Experience working with Latin@s and African Americans, the LGBTQ Community, and HIV positive individuals a plus.
Salary Range: $35,000 and $37,000.