Medical Case Manager

Position summary

The medical case manager (MCM) acts as a patient advocate and care coordinator, helping individuals navigate the complexities of the healthcare system to achieve optimal health outcomes. Assesses patients' needs, develops individualized care plans, and connects them with appropriate resources, including medical, social, and financial services. Case managers also monitor patient progress, facilitate communication between various healthcare providers, and advocate for patients' rights and preferences. The medical case manager is responsible for managing a client caseload, coordinating and monitoring external referrals, submitting monthly and quarterly reports, and conducting client data entry and reporting. The MCM works directly with women living with HIV/AIDS, their partner(s) and self-defined family members to support them in accessing medical, psychological, and social services to positively affect their health outcomes and ability to remain in care and treatment.

Key Responsibilities:

Assessment: Medical case managers evaluate patients' physical, psychological, and social needs to identify potential barriers to care and develop a comprehensive care plan.

Care Planning: collaborate with patients, families, and healthcare professionals to create individualized care plans that address specific needs and goals.

Resource Coordination: Connect patients with appropriate medical, social, and financial resources, including doctors, therapists, community support services, and insurance programs.

Communication and Collaboration: They facilitate communication between patients, healthcare providers, insurance companies, and other relevant parties to ensure seamless care coordination.

Advocacy: Case managers advocate for patients' rights, ensuring they receive appropriate and timely care, and help them navigate complex healthcare systems.

Monitoring and Evaluation: Track patient progress, monitor the effectiveness of the care plan, and make adjustments as needed to optimize outcomes.

Discharge Planning: As appropriate, help with discharge planning, ensuring patients have the necessary support and resources needed

Education and Support: Provide education and support to patients and their families, helping them understand their conditions, treatment options, and available resources.

Other Duties

1. Assist in building client base for medical case management system. Facilitate access to intake screening and follow-up interviews for clients and/or family members and/or partner(s) at office, over the telephone, in hospital or care settings, or at the home of the client and at other sites.

2. Assess clients’ medical and bio-psychosocial needs including, but not limited to, medical/mental health services, treatment adherence, housing, psychosocial support, home health/respite care, legal services, employment training, entitlements, food, substance abuse treatment, etc.

3. Develop service plans including referrals to appropriate service providers, community-based organizations, and entitlements for the client, family members, and/or partner(s).

4. Monitor client progress including tracking viral load and CD4 count, maintaining dialogue with the physicians and/or collateral care providers.

5. Coordinate treatment adherence program among care team members, deliver individual treatment adherence intervention to case management clients, and co-lead group treatment adherence sessions with community outreach worker.

6. Provide HIV risk reduction counseling to help initiate and maintain client behavior change.

7. Assist in crisis intervention and counseling of client, family members, and/or partner(s), and for persons who have not yet completed intake process.

8. Conduct ongoing monitoring including regular reassessment, plan modifications, referrals, and recommendations to ensure client progress as appropriate.

9. Maintain clear, accurate, timely, up-to-date documentation on all clients in an ethical and confidential manner including in hard copy files and CARE Ware (our client database). Perform other duties as assigned in order to meet clients’ needs, funder requirements, and agency-wide initiatives.

Qualifications

• Education: Seeking education in one of the following areas: RN, LPN, LCSW, LSW
• Case Management: Experience in the field of case management and treatment adherence interventions with people living with HIV preferred. Success in managing demanding caseload with multiple needs.
• Writing and analytical skills: Clear, professional, and detail-oriented computer, writing and documentation skills and experience with data collection and reporting.

Benefits

Excellent benefits that include health including dental and eye care; life; long- and short-term disability; workman’s compensation; and 403(b) plan.

Equal Opportunity Employer (EOE)

The Women’s Collective is an EOE. TWC provides equal employment opportunity to all qualified individuals without regard to their race, color, religion, national origin, sex, age, marital status, personal appearance, sexual orientation, gender identity or expression, family responsibilities, matriculation, political affiliation, or physical handicap or any other characteristic protected by law, in all personnel actions.

Physical Requirement

Able to push up to 15 pounds, stand up lifting up to 10 pounds, lift/carry up to 20 pounds.

If interested in applying, please submit a cover letter and resume to info@womenscollective.org. Please use MCM Application in the subject line

Pay: $60,000.00 - $62,500.00 per year

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person