HIV Non Medical Case Manager

At St. Thomas Community Health Center our mission is to provide culturally competent

healthcare of the highest quality, regardless of the patient’s ability to pay. Central to our mission is to acknowledge the role of institutional racism as causative of these disparities. As such, our work is directed toward

becoming an antiracist institution.

Job Summary

St. Thomas Community Health Center is looking to hire a non medical case manager. The Non-Medical Case Management (NMCM) provides advice and assistance to empower clients to access a variety of necessary services to support medically related outcome measurements. Clients will have varying levels of needs throughout their enrollment in services. These services may include: medical, social, community, legal and financial. Clients who demonstrate a low level of need may benefit from NMCM. Enrollment in NMCM is not always permanent; as a client may move from one type of case management to the other depending on current situations. Frequent and ongoing assessments by case management (non-medical and medical) should occur to ensure clients receive the appropriate level of care.

Responsibilities

Completion of comprehensive assessment of service needs conducted by a non-medical case manager meeting the same qualifications as a medical case manager
Coordination of services required to support health outcomes
Periodic re-evaluation of client needs (housing, transportation, food, legal, emergency financial assistance, and other needed services).)
Encounter clients in their environment, which may include a residence, a public facility, in the streets, or in the facilities of the non-medical case manager
Inform the client of all Ryan White Part A funded services available, AND
Inform the client of all Ryan White Part A funded case management agencies in New Orleans Eligible Metropolitan Area (NO EMA), AND
What client can expect if s/he enrolls in case management services
Establish and/or verify client eligibility for services
Collect required state/federal client data for reporting purposes; AND
Completion of a full Client Eligibility Review and Certification Form (CERV)
Complete all Ryan White forms as required by HIPPA, Grantee, and the agency.
Complete and develop Ryan White Plan of Care in collaboration with the client in according to the client’s needs and follow-up on outcomes
Complete referrals for Ryan White services after assessing client
Upload eligibility documents into electronic records system within 3-days of eligibility
Answer and return phone calls, emails, faxes, and makes copies in a timely manner
Complete all Ryan White billing forms for every client interviewed, time clock corrections, and mileage on a weekly basis and submit to the Finance Department.
Work in collaboration with the medical case manager and medical case manager supervisor
Ensure recording of health indicators (CD4, viral load, acuity)
Monitor service utilization (including medical appointment adherence)
Treatment adherence counseling to ensure readiness for and adherence to complex HIV treatments
Establish whether client demonstrates a need or continued need to enroll in non-medical case management services offered by the service provider
Gather an on-going basis appropriate client information in order to determine client eligibility
Reassess at least every six month or as required to respond to a change in client status, utilizing assessment tools as mandated by OHP
Adhere to standards of service as outlined in the Non-Medical Case Management by the OHP

Required Qualifications

High school/GED diploma required
Ability to communicate effectively with clients, families, physicians, etc., and fulfills documentation requirements.

Preferred Qualifications

Experience in community health or official public health agency.
Knowledge of HIV disease/AIDS.
Knowledge of case management.
Bilingual in Spanish is preferred

St Thomas Community Health Center offers a full competitive and comprehensive benefits package for full-time employees. Just a few of the great benefits we provide at St Thomas Community Health Center are:

Medical
Dental
Vision
Life Insurance
Accidental Death & Dismemberment
Short-Term Disability
Long-Term Disability
401K with match
PTO
Paid Holidays

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

St. Thomas Community Health Center is committed to equal employment opportunity as a sound business practice. Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex, sexual orientation, national origin, age, disability or any characteristic protected by law.

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Benefits of St. Thomas Community Health Center

St. Thomas Community Health Center Has Perks!

We offer competitive salary and an excellent benefits package that includes: Medical, Dental, Life and Accidental Death Insurance; Paid Time Off, Holidays, 401(k) with a company match.