Summary: To provide guidance and assistance in accessing medical, social, community, legal, financial, and other needed services.
Responsibilities:
Provide benefits counseling by assisting eligible clients in obtaining access to other public and private programs for which they may be eligible
Provide guidance and assistance in improving access to needed services
Ensure clients are accessing needed referrals and services, and identify and resolve any barriers clients may have in following through with their Care Plan
When clients are referred for service elsewhere, case notes include documentation of the completed referral with outcome of the referral in the primary client record system
Continuous client monitoring to assess the efficacy of the care plan
Ongoing assessment of the client's and other key family members' needs and personal support systems
Work with the client to determine barriers to referrals and facilitate access to referrals
Initial assessment of service needs
Development of a comprehensive, individualized care plan
Re-evaluation of the care plan at least every six months with adaptations as necessary
Completion of an Initial Comprehensive Assessment within 30 calendar days of the first appointment to access Non-Medical and Medical Case Management services
Update the Care Plan with outcomes and revisions or amendments in response to changes in access to care and services at a minimum of every six months
Accurate documentation of case closure or case graduation based on the Non-Medical and Medical Case Management standard of care
Follow all service standard and performance measures according to the DSHS Non-Medical and Medical Case Management Service Standard
Follow all Ryan White eligibility rules related to appropriate proof of documentation for: HIV+ status, Texas residency, income and insurance
Participates in all required staffing, team meetings and training sessions.
Participates in community and inter-agency resource groups addressing issues related to client services.
Completion of all program specific training within a specified time frame
Additional Expectations:
Communication skills: ability to talk with clients and understand their needs, speak with others on the client's behalf, and act as an advocate for them. Additionally, good listening skills and speaking in an understandable way are crucial.
Compassion: ability to work with people who may be in a dire situation or going through a difficult transition.
Time-management and organizational skills: ability to organize a caseload which contains multiple clients with various needs and in various stages of need.
Problem-solving skills: ability to assist clients find solutions to their problems by thinking critically and clearly about their situations to find resolution.
Requirements
Qualifications/Experience:
Preferred education: Bachelor's in social science, Psychology, or related field; and/or at least 2 years of case management assistance for people living with HIV/AIDS.
Must maintain a current driver's license and have personal automobile insurance
Time/Physical Requirements
Monday-Friday, 8:00am-5:00pm/40 hours per week.
Some evening and weekend activities may be required
Tasks occur in both office settings and in field; some local and in-state travel may be required (5%)
Able to lift 25lbs and perform normal duties associated with a clinic or office setting
Tasks occur in both office settings and in the field. Travel to all counties served will be required