Case Manager

Case Manager Valley AIDS Council/Westbrook Clinic McAllen, TX Job Details Full-time From $18 an hour 2 hours ago Benefits Health insurance Dental insurance Flexible spending account Paid time off Parental leave Employee assistance program Vision insurance 401(k) matching 403(b) Professional development assistance Flexible schedule Life insurance Qualifications Bilingual Microsoft Word OSHA (regulatory compliance area) Spanish Microsoft Excel Microsoft Outlook OSHA Customer service Safety regulations Basic math English Documentation tools Bachelor's degree Case management Microsoft Teams

HIV/AIDS

care Time management Full Job Description Valley AIDS Council is a non-profit organization delivering specialty (prevention and treatment) healthcare services and education to the residents of the Rio Grande Valley and surrounding areas.

Job Title:

Case Manager - Non-Exempt Reports to:

Medical Case Manager Coordinator Summary of Job:

SUMMARY:

The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population and provides ongoing case management services. Collaborates with program staff, clinicians and other stakeholders (external stakeholders including non-medical and family members and care givers) to cultivate a holistic approach. Duties include, assessing planning, implementing, monitoring and documenting and evaluating strengths to meet their needs. The Case manager may provide clinical casework and group work services to enhance the quality of patient management and maximize satisfaction and patient outcomes; will advocate for and seek services and provide interventions designed to promote health, prevent disease and address social determinants of health. Ensures that all necessary documentation and medical records are maintained for DSHS and HRSA grant funding requirements. Will occasionally provide case management services on several locations and home visits and occasionally work extended/weekend hours to meet client needs. Other duties as required.

SUPERVISION

RECEIVED/Chain of Command:

1.

Direct Supervisor:

Medical Case Management Coordinator 2.

Department Supervisor:

Director of Client Relations 3.

COO SUPERVISION EXERCISED

1. None

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Must display and set the example with excellent customer service skills, common courtesy maintaining eye contact and displaying active listening skills towards clientele, staff, funders and the general public at all times. Admission Data Collection and Assessment
• Assesses, plans, monitors, and coordinates healthcare plan and social service needs from linkage to case management program through the implementation of case management standards and processes.
• Promotes and utilizes the appropriate level of care for the patient and refers to other facilities and programs as needed.
• Provides services in accordance to contract agreements and specific criteria. Serves proactively as a liaison with payer sources to explore coverage solutions (ADAP, ACA, RW, Medicaid, etc.) and secure coverage and documentation for reimbursement of claims for service.
• Assist clients and/or caregivers in developing realistic goals for adherence to treatment regimen.
• Assess readiness and develop a transition plan with youth clients to prepare them for adult healthcare services, self-advocacy and independent living. Planning, Implementation & Facilitation
• Promotes optimal outcomes for the patient within the boundaries of the diagnosis and referrals given by the medical team.
• Screens clientele and facilitate resources according to program requirements and available funds.
• Coordinates, facilitates and participates in interdisciplinary (I.e. patient, family, medical team and payor) team meetings for continuity of care so that the client mayresume life in the community or learn to live within the limits of disability.
• Utilize the review process and continuously evaluate the appropriate level of care with the interdisciplinary team, payor, and patient/caregiver(s).
• Coordinates discharge plan with appropriate team and client ensuring appropriate follow-up, and documentation according to established guidelines. Advocacy
• Serves as liaison, proactively collaborates and promotes effective communication with the health care team, payors, community agencies, and providers, legal and funding representatives to ensure continuity of care.
• Participates in care conferences, family conferences, etc. when indicated or as needed.
• Educates and supports the individual/family to be empowered for self-reliance and self advocacy..
• Promotes early intervention referral for cost effective optimum care.
• Represents the individual's best interests by assisting in finding necessary funding, offering treatment alternatives, and coordinating treatment. Monitoring & Evaluation
• Develops and manages an assigned caseload by monitoring client care plans and updating them according to the client's current social and health situation, following Agency and Grantor guidelines to achieve self-management (graduation), when appropriate.
• Uses appropriate auditing processes and tools to ensure care plan efficiency
• Participates in performance improvement evaluation processes with particular emphasis on outcomes-oriented treatment.
• Completes administrative reports reflecting caseload activities and documenting usage of agency resources as per agency, program and funding guidelines.
• Represents the agency at staffing cases served by VAC/Westbrook Clinic and other health care or social service agencies.
• Help patient and family through individual or group conferences to understand, accept, and follow care plan recommendations through the continuum of care.
• Must comply with program training requirements according to VAC policies, program and funding requirements.
• Must comply with strict informed consent and confidentiality guidelines and HIPAA regulation.
• Must attend departmental and organizational meetings and events and mandatory trainings.
• Must follow all agency rules and regulations including but not limited to Employee Handbook and safety rules and programmatic.
• Other duties as required and assigned.

MINIMUM QUALIFICATIONS - EDUCATION & EXPERIENCE

• A degree from an accredited 4-year college or university program in the fields of health, psychology, social services, mental health or related field.
• Prefer one year of case management experience with people living with HIV, and/or persons with a history of mental illness, homelessness, or chemical dependence; or any equivalent combination of education and experience.
• Experience in non-profit, healthcare setting preferred.

MINIMUM QUALIFICATIONS - KNOWLEDGE, SKILLS & ABILITIES

Knowledge of

HIV/AIDS

; knowledge of community resources and referrals; knowledge of OSHA regulations. Working knowledge of Microsoft Office, specifically Outlook, Word & Excel and Teams. Basic math skills to perform arithmetic calculations. Maintain a flexible schedule Monday - Friday, may occasionally require non-traditional hours, such as extended hours, evenings and weekends. Must have oral and written communication skills in English; organizational and time management skills. Ability to perform multiple tasks; good problem-solving abilities; demonstrate flexibility and people skills. Ability to work with people of diverse groups/backgrounds living with

HIV/AIDS.

Bilingual (English-Spanish) to effectively communicate with population served. Ability to safely operate a vehicle. This job description should not be interpreted as all-inclusive or as an employment agreement between and is subject to change as the needs of the employer and requirements of the job change. Valley AIDS Council d/b/a Westbrook Clinic is an Equal Opportunity employer. Background investigations and a drug screen are required for all new hires as a condition of employment, after the job offer is made. Employment will be contingent upon Valley AIDS Council d/b/a Westbrook Clinic's acceptance of the results of the background investigation and drug screen. Employment with Valley AIDS Council d/b/a Westbrook Clinic will require training which may include explicit training/discussion regarding sex and sexuality and may also encounter such explicit language when dealing with clients and targeted populations.

Job Type:

Full-time Pay:

From $18.00 per hour

Benefits:

401(k) matching 403(b) Dental insurance Employee assistance program Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Parental leave Professional development assistance Vision insurance Application Question(s): Will you be able to travel to other clinic sites to cover services on short notice or as needed? Will you be able to work extended hours or weekends?

Experience:

Case management: 1 year (Preferred)

Language:

English and Spanish (Required)

Work Location:

In person