The Medical Case Manager will provide a range of client-centered, confidential services that link clients with health care, clinical psychosocial, and supportive service for clients living with HIV/AIDS who are identified as having challenges with accessing and maintaining adherence to health care services. The Medical Case Manager will work closely with the CORE Center medical team to stabilize clients’ medically. They will facilitate linkage to and maintenance of clients to their primary medical services in a Medical Home Model approach. The Medical Case Manager will also provide treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. The Medical Case manager will assure the client is connecting to other core multidisciplinary services; dental, Mental Health and Substance Abuse treatment etc. This case manager will also provide benefits counseling to clients and assist in enrollment, verification and utilization of those benefits.
Complete initial Screener intake and assessment of needs on all new clients.
Develop a comprehensive, individualized service plan.
Maintain contact with client to assure Medical and Medication Compliance.
Make appropriate and timely referral to internal and external providers coordinate services identified on service plan.
Case Manager will meet with Medical Provider during the Weekly Medical Home Model meetings on assigned (Monday/Fridays) to mutually support client’s compliance with appointments.
Properly transition clients out of Medical Case Management into other appropriate programs.
Adhere to Social Services Documentation Policy of all Patient Encounters and Forms.
Maintain a Working Knowledge of Community and Internal program that would enhance the client’s ability to be maintained in care.
Enhance Professional Development and Maintain an Area of Specialization
Participate in all CORE Center/Stroger Hospital mandatory training and meeting.
Participate in Social Services Continuous Quality Improvement Efforts
Adhere to CORE Center and Social Services Specific Policies & Procedures
Provide Excellent Customer Service and Professionals when interacting with clients/staff and internal and external customers.
Other duties as assigned by Supervisor
QUALIFICATIONS - Knowledge/Skills/Experience
Minimal Formal Education Required: Masters Degree in Social Work and eligible for Licensure preferred. Bachelor’s Degree in Social Work or related field required.
Minimal Length & Nature of Experience Required: Five years or more experience working with HIV/AIDS clients preferred. Experience working in a hospital or out-patient setting required. Knowledge and experience working with diverse and complex clients required. Microsoft Office Program, Access, and similar data base experience required. Experience working with clients with multiple needs. Comfortable working with high volumes of clients in a fast paced environment preferred.