Job Description Summary:
Job Description:
The responsibilities of the Center for Key Populations Ryan White Program Case Manager include the coordination of care of HIV-positive individuals. The Case Manager provides a range of client-centered services to link clients in healthcare, including behavioral health, substance use health, and other community resources. The Case Manager coordinates and follows up with the client regarding treatment to ensure timely delivery of services, coordination, and continuity of care. The Case Manager's goal with each client is to obtain viral suppression through a multi-team approach. The Case Manager will carry a caseload of up to 50 clients and provide comprehensive service planning, goal setting, and resource identification on a regular basis as mandated by the RWB grant. The Case Manager will work in collaboration with community partners to identify resources and connect individuals to services as needed and in alignment with their service plan.
ROLE AND RESPONSIBILITIES
Consistently monitor the goals and objectives of the RWB grant and implement changes as necessary to ensure the project's success.
Client assessment of service needs: Assess motivation, strengths, medication adherence, and education and understanding of HIV disease. Identify any barriers to medication/treatment adherence.
Create and monitor a comprehensive, individualized care plan.
Maintain ongoing contact and follow-up with clients.
To provide ongoing patient education relevant to each individual client's healthcare goals and as a complement to PCP/HIV Provider treatment goals.
Timely and coordinated access to medically appropriate levels of health and support services, and continuity of care.
To provide medical case management for up to 50 clients according to the guidelines of the RWB grant and the HRSA/HAB standards of care.
To establish and maintain a strong network of community partners and collaborations that will assist the team in enhancing the resources for patients.
To work with the team to operationalize all project activities, including but not limited to HIV testing events, social media campaigns, community outreach, promotion of services, research, and dissemination.
Actively participate in all CKP staff meetings, Quality Management and Quality Improvement projects, program-specific meetings, and organization meetings, as well as any community or other meetings as directed by the supervisor.
Working hours may include evenings and weekends as directed by the supervisor.
Special assignments, projects, and other duties as assigned by the direct supervisor.
QUALIFICATIONS
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Nurse Practitioner or Physician Assistant - Findlay, OH (30 hours/3 days week with PTO and Benefits)
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