Heart to Hand, Inc.

9701 Apollo Drive, Ste 400

Upper Marlboro, MD 20774

301-772-0103 info@hearttohandinc.org

hearttohandinc.org

CLASSIFICATION DESCRIPTION

Job Title: Entry level Medical Case Manager Status: FT Employee

Reports To: Medical Case Management Supervisor

Note: This document is intended to describe the general duties required of this position. It is not intended to serve as an exclusive list of all duties, skills, and responsibilities.

COMPANY SUMMARY:

Heart to Hand, Inc. provides medical and supportive sexual health and wellness services for adults in Prince Georges County. Our multi-disciplinary team provides case management for those diagnosed with HIV, facilitates psycho-social support groups, and ensures connections to care for HIV+ consumers as well as those at risk. Referrals are also available for individuals who need support with mental health services, housing, or workforce development. related to those disparities. Over the years, the organization has developed solid community and government partnerships that support the continuity of prevention and care services to reduce stigma for individuals and families affected by HIV.

POSITION: Medical Case Manager

The Medical Case Manager (MCM) works very closely with the Case Management team in improving the health care outcomes of people living with HIV (PLWH) by identifying and removing barriers to medical care, facilitating continuous engagement in primary medical care, and supporting adherence to treatment regimens. Medical Case Management includes all types of case management encounters (e.g., face-to-face, phone contact, and any other forms of communication). The MCM must be able to prioritize work and patient’s needs, cope with stress, work in a fast-paced environment, and display critical thinking and decision-making skills, excellent communication skills, and must show a patient first work ethic with minimal supervision.

Client-based responsibilities:

• Initial comprehensive assessment of health care and social support needs;

• Development of a collaborative, individualized care plan;

• Timely and coordinated access to medically appropriate levels of health and support services and continuity of care;

• Continuous client monitoring to assess the efficacy of the care plan;

• Re-evaluation of the care plan based on the client’s level of medical case management with adaptations as necessary. • Ongoing assessment of the client’s and other key family members’ needs and personal support systems • Treatment adherence counseling to ensure readiness for and adherence to complex HIV treatments. • Client-specific advocacy and/or review of utilization of services.

Administrative details

• Make referrals for needed resources to ensure adequate HIV care access, as well as communicate with referring agency to assure referral success.

• Document all client encounters, care coordination, referral follow-ups and/or treatment adherence activities in a timely manner

• Identify individuals who are HIV-positive but are not in HIV medical care by receiving referrals, utilizing organizational information about missed appointments

• Perform field work to link clients to HIV care services.

• Accurately complete required documentation on reporting tools in a timely manner.

• Attend required trainings and to participate in quality improvement plans.

MINIMUM QUALIFICATIONS: Entry level Social Worker (BSW, MSW, LMSW) and a minimum of one (1) year experience working with HIV case management or relevant case management activities in a community health, clinical or hospital setting. Bi-lingual skills are a plus. Organized, self-motivated and responsive to customer needs, internal & external changes and expectations.

COMPETENCY STANDARDS AND EXPECTATIONS:

• Ability to work well with people from various cultural and social backgrounds.

• Excellent documentation and communication skills.

• Have a strong commitment to improving the health and quality of life of people living with HIV/AIDS.

• Must have demonstrated knowledge of HIV/AIDS services in Maryland, along with an interest and ability to expand knowledge through training.

• Knowledge of HIV treatments options, prevention strategies for PLWH and high-risk individuals, and treatment adherence interventions.

• Ability to provide brief, solution-focused approaches for clients struggling with adherence.

• Ability to work as part of a treatment team, which includes a Medical Case Manager Assistant, Benefits Coordinators, Community Health Workers, and community-based physicians, mental health providers and individuals from support agencies.

• Ability to support client-specific advocacy while upholding client policies and procedures.

• Other duties as assigned.