Medical Case Manager, Ryan White Program

Description

At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values, putting people first
, striving for excellence in the work you do each day and have a can do mindset, then Signature Health is the best place for the next step in your rewarding career. As a full-time employee, you will have access to the following employer/employee paid benefits:

• Medical, Dental, Vision, 401k match, Health Joy - a no cost medical and mental health online resource available Day 1, and much more
• Robust earned paid time off program (PTO)
• Federal Loan Forgiveness Program (available on eligible roles)
• Professional Development Support

Reporting to the Manager, Ryan White Program, the Medical Case Manager will provide a range of client-centered services that link clients with health care, psychosocial and other services. You will coordinate and follow-up on medical treatments ensuring timely and coordinated access to medically appropriate levels of health and support services. The Medical Case Manager ensures continuity of care through ongoing assessment of the client’s and client’s key family members’ needs and personal support systems.

• Actively fulfill Medical Case Manager needs by working at various Signature Health locations as scheduled by your Supervisor.
• Provide an initial assessment of client service needs.
• Develop a comprehensive, individualized care plan and coordinate services required to implement the plan.
• Continuously monitor client progress to assess the efficacy of their treatment plan and conduct periodic re-evaluation and adaptation of the plan at least every six (6) months, as necessary.
• Provide a range of client-centered services that link clients with health care, psychosocial and other services, including benefits/entitlement counseling and referral activities, assisting the client to access other public and private programs for which the client may be eligible (.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, and other State or local health care and supportive services).
• Provide ongoing assessment of the client’s key family members’ needs and personal support systems.
• Facilitate treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments.
• Maintain client charts that include the required elements for compliance with contractual and Ryan White Program requirements, including required case management activities, services, and activities, the type of contact, and the duration and frequency of the encounter.
• Client‑specific advocacy and/or review of utilization of services
• Maintain clear communication with referents or designated liaison persons.
• Monitor and enforce client’s rights and confidentiality, and ensure high ethical standards.
• Conduct and participate in all Quality Improvement and Utilization Review activities.
• Personally maintain a high standard of professional and ethical standards.
• Other duties as assigned.

• Bachelor’s Degree required.
• Valid unencumbered LSW or LISW License in the state of Ohio required.
• Formalized training as well as practical experience in medical case management required.
• American Heart Association (AHA) Basic Life Support (BLS) certification required.
• Valid unencumbered Ohio driver’s license and proof of driver’s insurance required.
• Models and possesses core and specialty competencies and skills working with the HIV/AID clients population.
• Experience collaborating with other team members to optimize outcomes clients.
• Familiarity of state and federal healthcare regulations.
• Awareness of community and state support resources for population served.

• Work is normally performed in a typical interior/office/clinical work environment.
• While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.
• Requires periods of sitting, standing, telephone, and computer work.
• Hearing: adequate to hear clients or patients in person, over…