EVMS

  • Case Manager

    Position Number
    6271801
    Department
    Internal Medicine
    Category
    Clinical
    Compensation Max
    USD $25.62/Hr.
    Compensation Min
    USD $19.71/Hr.
    Location : Location
    US-VA-Norfolk
  • Overview

    Provides non-medical HIV/AIDS case management, patient education and prevention services to HIV (+)/AIDS patients, including individualized case management and counseling.  Assist patients with the eligibility and enrollment procedure for various federal/state programs. Collect and maintain accurate program data.  Researches and approves claims related to medical care under the Ryan White program.  Make appropriate psycho-social and clinical referrals. This position is a support position necessary so that clinic patients can have access to proper medical care, can monitor patient access to that care regardless of their financial status. This position also helps ensure compliance with Ryan White law, implements patient specific utilization of services and serves as a point of contact for patient billing questions. Achieves operational objectives by contributing budgetary information and reviews, prepares and completes action plans for resolving client financial problems, determining systems improvements and meets financial activities by assisting with the annual budgets, reviewing expenditures, analyzing variances and initiating corrective action plans.

    Responsibilities

    • Uses variety of skills to evaluate and assist patients of the Center for Comprehensive Care of Immune Deficiency (C3ID) in overcoming barriers to proper treatment and management of their HIV disease.

     

    • Is familiar with the current Virginia Department of Health HIV/AIDS Case Management Guidelines and provides at least minimum standard of care consistent with those guidelines.

     

    • Provides confidential screening of referred patients by telephone or face-to-face encounters for eligibility under various entitlements programs.

     

    • Provides in person assistance with education and enrollment services into the ACA plans. All services are provided in a culturally and linguistic appropriate manner.

     

    • Provides periodic follow-up face-to-face and by telephone; although rare, occasional home visits may be required.

     

    • Provides necessary linkages to government entitlements programs including Social Security Disability determinations, Medicaid, Medicare, Ryan White, AIDS Drug Assistance Programs (ADAP) and ACA that may include assistance in completing application forms and occasionally accompanying patient to respective appointments.

     

    • Collect, review, assist, and maintain appropriate financial and supporting documentation (i.e. co-pay bills) to support patient eligibility on periodic basis.

     

    • Assist patients with maneuvering through the continuum of care. Provide support to empower clients to participate fully in their medical care and advocate for themselves.

     

    • Orients patients under case management to services available at C3ID.

     

    • Documents in a timely manner in chart form all of the patient encounters including the assessment, specific action expected of patient, necessary action of case manager, date of follow-up, etc.

     

    • Regularly attends required modules, conferences and meetings during and after normal work hours to maintain high level of competence in relevant fields.

     

    • Enter into CAREware system all patient demographics, monthly encounters, case notes and other required data.  Prepare grantee reports as necessary.

     

    • Assist existing personnel to coordinate access to appropriate Levels of financial support services through collaborative and ongoing assessment of the client's financial status/needs, resulting in access to needed care.

     

    • Monitor client charges to ensure compliance with Ryan White requirements regarding imposition of charges for services.

     

    • As needed, conduct a periodic re-evaluation and adaptation of the plan as necessary.

     

    • Ensure monthly entry of client level and service data, with all data entered by the 15th of the month following the completion of the month.

     

    • Assist with implementing system to ensure a systematic ongoing process for entering current client level financial information into RW database.

     

    • Performs other duties as assigned.

     

    • Assist with other projects and duties that may be assigned from time to time by the Program Manger.

    Qualifications

    Bachelor's degree preferably in a human services-related field, such as social work, psychology, counseling, health sciences or education. One (1) year experience preferably in a human services-related field, such as social work, psychology, nursing, counseling, health sciences or education.

     Twelve hours of counseling education in HIV is required annually. Ongoing training on changes in benefits programs such as ACA, Medicare, Medicaid, Social Security is also require annually.

    Location : Location

    US-VA-Norfolk

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