Medical Case Manager

# Medical Case Manager Montgomery - Montgomery, AL 36116## Overview Salary Range $52,000.00 - $57,000.00

Level Experienced Position  Type Full Time## Description The Medical Social Worker/Case Manager provides affirming, respectful, and supportive care to individuals from diverse backgrounds and lived experiences. The Medical Social Worker/Case Manager is responsible for conducting biopsychosocial assessments, developing case plans, providing case management services, and working as part of the interdisciplinary health team for clients of Five Horizons Health Services (FHHS).The

Medical Social Worker/Case Manager provides affirming, respectful, and supportive care to individuals from diverse backgrounds and lived experiences. The Medical Social Worker/Case Manager is responsible for conducting biopsychosocial assessments, developing case plans, providing case management services, and working as part of the interdisciplinary health team for clients of Five Horizons Health Services (FHHS).
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* Essential Functions:

*** Provide direct social work services to a caseload of clients at different levels of care as dictated by their care plans to facilitate client retention in medical care
* Complete biannual psychosocial assessments and case plans
* Facilitate support groups for HIV clients
* Complete EFA (Emergency Financial Assistance)
* Collaborate with client’s medical team to identify and address medical needs related to accessing care and treatment
* Participate in multidisciplinary health teams and provide feedback from the social work perspective
* Maintain a strong knowledge of available services to include Ryan White HIV / AIDS Program (RWHAP) Part B, AIDS Drug Assistance Program (ADAP), and Alabama Insurance Assistance Program (AIAP)
* Demonstrate a skilled knowledge of engagement, assessment, case planning, and monitoring techniques to maintain the helping relationship between the client and FHHS
* Promote client participation in the healthcare continuum through face-to-face encounters, telephone interactions, text messaging, and any other engagement techniques as needed
* Enhance clients’ understanding of HIV by demonstrating and relaying a skilled knowledge of HIV / AIDS, Hepatitis C, Pre-Exposure Prophylaxis (PrEP) and their effects on individuals and families
* Maintain required client records, document services provided, scan client documents into EHR, and complete other required paperwork in a timely manner
* Maintain compliance with HIPAA and state guidelines as well as FHHS policy and procedures
* Perform any other department / agency-related duties or special projects as directed by supervisor
* As with all other positions, during emergencies, the Medical Social Worker is expected to fill in at any position within the agency for which they can perform
* Supervise professional and social services staff by monitoring performance and achievement of duties
* Conduct regular team meetings and individual supervision to discuss cases, review policies and provide guidance
* Provide leadership, support, and development opportunities for staff
* Provide supervision and oversight of transportation coordinator and ARAP (Alabama Rural AIDS Project) staff
* Collaborate with Chief Social Services Officer to create and implement Social Services policies and procedures
* Participate in regular training to maintain current knowledge of standards and requirements of funding sources
* Ensure Social Services staff comply with, and adhere to, organizational and departmental policy as well as the guidelines and standards per funding sources through concise and consistent utilization/QA reviews
* Provide oversight of the HOPWA Program and collaborate with key stakeholders to coordinate and enhance housing service delivery for people living with HIV
* Provide oversight and manage the Medicaid caseload ensuring timely and sufficient services are provided
* Ensure all reporting requirements are complete and submitted in a timely manner
* Maintain compliance with HIPAA and state guidelines as well as FHHS policy and procedures
* Review and sign off documentation for unlicensed Social Services staff and provide feedback, as needed
* Solicit, organize information in formulating, enhancing Social Services strategies, activities
* Develop, conduct, and/or participate in key committee, leadership, departmental staff meetings, and training.
* Collaborate with staff to facilitate the coordination and provision of social services
* Work closely with Whatley Health…