Enhanced Case Manager Job Atlanta area,Georgia USA,Social Work

Position: Enhanced Housing Case Manager

Provide direct service coordination, coaching and life skills support to people living with HIV/AIDS in need of housing assistance
Provide site based (on and off site) enhanced and intensive case management services to HOPWA HINT Program members on a walk-in, scheduled, and on-call basis.
Manage a caseload of up to 30 members
Conduct an initial comprehensive assessment, HOPWA HINT low barrier intake for eligible members
Assist members with applying for housing, make determination for HOPWA HINT TBRA subsidy program, complete rent calculations, coordinate completion of Housing Quality/Habitability inspections, and submit all required paperwork to finance department to process TBRA financial assistance subsidies
Provide regular weekly (or more) enhanced housing support contact with members to follow up on treatment/housing sustainability plan goals and provide intervention as needed.
Coordinate with housing property(ies) to assist members with receiving housing approval for placement
Collaboratively develop and implement Individualized Service Plan (ISP) and Housing Sustainability Plan for each member on caseload, including conducting quarterly ISP/HSP updates.
Assist members with social service referrals, housing choice voucher applications, coordinate medical transportation needs (UBER, Gas cards), issue food vouchers/gift cards, assist with dental appointments, and other financial assistance programs as needed.
Use the strengths-based case management model to focus on improving the permanent housing sustainability of members/patients by working with them to improve their retention to medical care rates, viral load rates and quality of life.
Educate members about services, programs and policies (Grievance, HIPPA, Member’s Rights and Responsibilities) and other agency program policies to ensure members have clear expectations of services.
Actively connect members to employment readiness workshops, credit repair services, budgeting/saving, home buyer’s workshops, behavioral health services and other services that will help member to achieve their goals of housing self-sustainability.
Conduct member workshops mentioned above when assigned.
Provide educational and housing workshops & orientation for members
Advocate and mediate on member’s behalf to decrease or eliminate barriers to housing sustainability and medical care.
Educate members about the importance of participating in medical care and ensure that members have full access to primary medical care and medication.
Assess and Educate members about the importance of medication and medical adherence to improve member’s clinical outcomes.
Assess and educate members about harm reduction, prevention, and other HIV-related sexual transmitted infections (STIs).
Conduct home and hospital visits, accompanying members to appointments as needed.
Organize and facilitate new member orientation to ensure members have a clear understanding of how Enhanced Case Management services can be utilized beneficially.
Assess, collect, verify and maintain the confidentiality of records of a member’s personal health information (PHI) and personally identifiable information (PII) for continued eligibility for the HINT program.
Document all encounters with or on behalf of a member within 24 hours in the Electronic Medical Records (EMR) system. Encounters should reflect progress on ISP/HSP goals towards housing sustainability and achieving optimal health outcomes
Track member outcomes and facilitate with collection of necessary data and information required for HOPWA HINT program
Educate members about various community resources and programs to increase their knowledge of appropriate referrals.
Collaborate with property managers, landlords, medical team, housing support team and…