Medical Case Manager

Fair Haven Community Health Care 

For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.

Job purpose

Ryan White Medical Case Manager will provide comprehensive individualized social services to people living with HIV/AIDS. It is the responsibility of the HIV Case Manager to provide a wide spectrum of services as a part of a primary care team; help to improve the health and well-being of our primary care clients and promote team functioning; conducted targeted outreach; collaborate with outside service providers and make appropriate internal/external referrals.

Duties and responsibilities

• Link clients to appropriate services that promote positive health outcomes, treatment adherence, and greater self-sufficiency.
• Help retain clients in care.
• Links clients to legal, housing and transportation services.
• Links clients to mental health, substance use and pain management treatments.
• Assists clients in navigating the requirements of medical insurance, including enrollment in state Medicaid by becoming a Certified Application Counselor (CAC).
• Enrolls clients in AIDS Drug Assistance Program
• Assist with and follow-up on the successful completion of health maintenance items (e.g. lab testing, annual visits) and chronic disease management (e.g. routine diabetic or asthmatic care)
• Tracks client follow up and care plan outcomes
• Documents client progress, referrals, encounters and services in the Epic EHR and CAREware.
• Maintains documentation of services to allow compliance with required reporting for Ryan White funding.
• Maintains strict adherence to all document deadlines including report deadlines and timely completeness of documentation
• Assists with scheduling and development of Consumer Board and Advisory meetings.
• Participates in regular case conferences with the HIV team.

Qualifications

• Associates Degree in a health-related field is required. A high school diploma/GED with relevant years of experience may be considered in lieu of degree requirement. Bachelor’s degree preferred, a valid CT driver’s license and/or access to reliable transportation is required.
• Experience in case management, preferably with people living with HIV/AIDS; experience using the Epic electronic health record highly preferred.
• The successful candidate will have excellent computer skills including word processing and data entry required and the ability to work independently. Bilingual in English and Spanish is highly desirable.

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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