Medical Case Manager - Special Populations en Borinquen Medical Centers

Tasks and Responsibilities

1. Coordinates the overall interdisciplinary plan of care for a patient.
2. Coordinates services across funding streams.
3. Evaluate the clients for eligibility and appropriateness for case managed services.
4. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.
5. Enrolls HIV positive clients in early intervention services through the primary care services.
6. Assists the client in goal planning, identifying short and long term goals, task and time frame as they relate to service needs.
7. Maintain and complete client intake, assessment/reassessment the care plan every six months for active clients, development and updates.
8. Monitors and follows up on service delivery.
9. Monitor client adherence to the care plan and medication regimens.
10. Provides individual counseling services and crisis intervention services as needed about HIV/AIDS, understands CD4 count, viral load, and adherence and resistance concepts, understands the reason for treatment, among others.
11. Coordinates and participates interagency activities for client specific services.
12. Advocates on client's behalf and provide entitlement counseling to ensure timely eligibility determination and enrollment in social service support systems.
13. Participates in client specific case conferences.
14. Monitors quality of services, resolving problems regarding access to service and assisting in the development of alternative arrangements for filling unmet services needs.
15. Provides clients with community referrals, providing name and location of available name and location of available services, nature and hours of services and application procedures.
16. Conducts discharge planning and case closure with clients as appropriate, connecting client to other agencies for continuation of services as needed.
17. Create and modify documents for activities, and prepares reports as required by the program.
18. Support staff in assigned project based work.

REQUIREMENTS

1. Bachelor’s Degree in psychology, sociology, social work, nursing or a related subject with course work that includes a practicum encompassing case management practice or five years of appreciate experience in human services may be substituted for a bachelor’s degree.
2. Strong interpersonal skills.
3. Ability to interact effectively with consumers, administration, faculty, and staff.
4. Handle the information with high level of confidentiality.
5. Demonstrate AIDET.
6. Compliant with BHCC Standards.

BENEFITS