Case Manager HIV

Southwest Care Center (SCC); Santa Fe (NM); On-site; USD 42,000 - 64,000; Full time

Job summary

Southwest Care Center (SCC) in New Mexico is seeking a dedicated Case Manager to serve patients in Santa Fe and Albuquerque clinics. You will work with a supportive team to coordinate care and ensure adherence to treatment plans.

The role involves intake interviews, psychosocial assessments, eligibility determinations, referrals, and facilitating access to medical and social services. You will document progress in the EMR and participate in quality improvement initiatives.

Qualifications

• Strong desire to make a difference in the community.
• Team-oriented and able to mentor others.
• Comfortable leading a team of medical support professionals.

Responsibilities

• Collaborates and coordinates with health care team to promote interdisciplinary treatment planning.
• Conducts intake interviews, psychosocial assessments to identify risk factors, and coordinates referrals.
• Assesses eligibility for health insurance plans and patient assistance programs, following up with services.
• Links patients to medical, behavioral health, housing, and social services across the care continuum.
• Monitors progress and documents through the EMR, ensuring adherence to treatment plans.
• Performs prior authorizations and collaborates with clinical staff for supporting documentation.
• Develops relations with community resources and participates in quality improvement initiatives.
• Assists with Outreach HIV/HCV rapid testing and counseling programs (certification).

Skills

Interdisciplinary collaboration

Intake interviews

Psychosocial assessment

Eligibility & referrals

EMR documentation

Tools

EMR software

Job description

Do you believe everyone is entitled to quality healthcare? Do you desire to serve the underserved in our community? Southwest Care Center (SCC) is a non‑profit healthcare organization who has been providing exceptional healthcare to people within our community for over 25 years. We provide services, including medical, behavioral healthcare, and community outreach, with health centers located in Santa Fe, and Albuquerque, NM. Southwest Care Center is an FQHC‑LAL. SCC has an opportunity for a Case Manager to join our team of professionals serving patients in our Santa Fe and Albuquerque clinics. Must have a strong desire to make a difference in the community. Must embrace a team-oriented approach and be comfortable working with and leading a team of medical support professionals. Opportunity to mentor others, participate in quality and process improvement initiatives.

• Collaborates and coordinates with health care team members to promote interdisciplinary treatment planning
• Conducts intake interviews, performs psychosocial assessment to identify psychosocial, economic or social risk factors, performs eligibility and referral services for patient and family to ascertain support service needs associated with adherence to medical treatment plan.
• Assesses eligibility for and maintains eligibility in health insurance plans, patient assistance programs or other services that improve retention in care. Coordinates assistance by making appropriate referrals, following up with patient and agencies or services referred to, and monitoring and assisting with patient’s progress through the service delivery system. Provides consultation regarding financial planning, budget development and housing plans.
• Links patient to a broad range of services, including, but not limited to medical care,behavioral health, substance abuse treatment, financial assistance, housing, food, financial entitlement, clothing, transportation, vocational training, and harm reduction services
• Collaborates and coordinates with health care team members to promote interdisciplinary treatment planning
• Monitors and accurately documents patients progress through individualized service planning that assesses level of functioning, adherence to medical treatment plan and access to service needs utilizing the Electronic Medical Record (EMR)
• Within scope of practice, provides therapeutic interventions to patients by ensuring adherence to intervention plans, enlisting patient participation through education and supportive activities, monitoring adherence to medication regiments, follow-up appointments and utilization of enabling and supportive services.
• Performs identified prior authorizations; collaborates with clinical staff and providers for necessary supporting documentation. (Pharmacy prior authorizations provided by Pharmacy Staff in Specialty Care clinics).
• Maintains appropriate level of working knowledge regarding applicable grants and other program funds, regulatory requirements (such as FQHC,PCMH); patient counseling, guidance and all documentation are consistent with meeting such requirements.
• Develops and maintains strong relationships with community resources to maintain up-to-date awareness of available resources.
• Assist with Outreach HIV/HCV rapid testing and counseling programs (following certification).

Living & Working In New Mexico

• Rich cultural and historical diversity.
• 310 days of sunshine, combined with a mild, dry climate and four distinct seasons! You’ll forget what humidity is when you live here.
• Unlimited year-round outdoor opportunities including hiking, rock-climbing, rafting, motorized sports, and even skiing. Yes, we have really big ski mountains in and around the deserts of New Mexico!
• Diverse and inclusive communities with amazingly kind people from all walks of life.
• Gorgeous landscapes that include desert and majestic mountains. New Mexico has to be to be seen to believe.
• Continuous festivals, concerts, and events including the internationally known Balloon Fiesta of Albuquerque.
• International airport providing low-cost, quick access in-country and out.
• Big city amenities found in Albuquerque with easy access from Santa Fe (50 min). Many of our employees commute between these cities. Both cities are connected by the NM rail system for those looking for a relaxing commute with a breath-taking view.
• Great schools and family friendly communities.
• And let’s not forget about New Mexican cuisine—it is some of the best food in the country. Will you have red or green?

Southwest Care Center is an equal opportunity employer. We offer equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal or state law.

Job Details

Location: NM Santa Fe - Harkle

Worker Type

Employee

Regular

Scheduled Weekly Hours

40