Medical Case Manager
Current• Learn and remain current on practice issues related to HIV/AIDS, related medical diagnoses, and medical case management.• Provide medical case management services to identified patients of the clinic program, following medical case management guidelines established by HRSA/Ryan White and the Metropolitan Atlanta HIV Health Services Planning Council.• Complete biopsychosocial assessments with new and returning patients, utilizing required screening tools established by the Metropolitan… Show more • Learn and remain current on practice issues related to HIV/AIDS, related medical diagnoses, and medical case management.• Provide medical case management services to identified patients of the clinic program, following medical case management guidelines established by HRSA/Ryan White and the Metropolitan Atlanta HIV Health Services Planning Council.• Complete biopsychosocial assessments with new and returning patients, utilizing required screening tools established by the Metropolitan Atlanta HIV Health Services Planning Council and Ryan White/HRSA.• Provide medical case management services to an average caseload size of 70 patients: develop a comprehensive Individualized Service Plan (ISP); provide ongoing monitoring of ISP with each patient to assess the efficacy of the plan; coordinate services to meet goals of the service plan.• Perform periodic re-evaluations and revisions/adaptations of service plans.• Provide adherence and retention counseling to ensure patients maintain health care.• Identify gaps in core and supportive services, including care resources, mental health, substance abuse, housing, nutrition, and transportation• Coordinate referrals and follow-up for medical and non-medical services.• Actively participate as part of an interdisciplinary care team to assess patient care needs and coordinate service referrals.• Assist patients with applications and ongoing eligibility for medication access programs (i.e. ADAP and pharmaceutical assistance programs), as needed to support clinic staff.• Assist Self-Managed patients with social service questions and related needs.• Develop network of additional community resources.• Abide by all state, federal laws and agency policies as related to confidentiality and Health Insurance Portability and Accountability Act (HIPAA). Show less