Medical Case Manager

Position Summary:

Reporting to the Manager of HIV Services, the Medical Case Manager (MCM) provides medical and social services case management to adult clients with HIV/AIDS in the Codman community. This role provides high-level advocacy and for patient’s clinical, psychosocial and social determinant of health needs (SDoH). The MCM provides comprehensive case management services, manages biannual referrals for state and Federal medication assistance programs, as well as other referrals for short-term health navigation. MCMs work in tandem with a robust team of care providers, including physicians, nurses, social workers and medical assistants, to provide optimum care for patients and their ongoing and emerging health needs.

Primary Responsibilities:

· Provides case management services to HIV positive patients

· Supports new patients with intake and onboarding, acclimating them to the clinical processes and providing emotional support, as needed\

· Reinforces self-determination and utilizes patient teaching opportunities to ensure medication adherence and patient engagement

· Collaboratively works with MD, RN and other MCMs to ensure optimal care

· Refers clients to community agencies to support SDoH needs

· Conducts monthly office and/or telephonic patient visits, updating plans of care and supporting positive patient outcomes

· Maintain up-to-date monthly activity and variance reports on high-risk patients

· Attends team meetings as needed and as requested by clinical team leaders

· Completes all paperwork within the required time frame

· Performs other duties as requested

Other duties and/or other departments/locations as applies.