Case Manager, Ryan White Medical

The Wright Center For Graduate Medical Education; Scranton (Lackawanna County); On-site; USD 55,000 - 75,000; Full time

Job summary

The Wright Center For Graduate Medical Education in Scranton, PA is seeking a Medical Case Manager to support HIV clients through comprehensive case management. You will assess, plan, coordinate, and monitor care to optimize health outcomes and ensure timely access to services.

Key duties include developing individualized care plans, coordinating with providers, supporting treatment adherence, and navigating resources while maintaining strict confidentiality and documentation standards.

Qualifications

• Bachelor's degree in social work, psychology, sociology, or related field (or combination of education and experience).
• Knowledge of HIV preferred and BLS certification required.
• Excellent verbal and written communication; strong cultural competence.

Responsibilities

• Assess clients' medical, psychosocial, and financial needs.
• Develop individualized care plans with health goals and interventions.
• Coordinate access to medical care, including HIV treatment and other services.
• Support treatment adherence and educate on medication importance.
• Navigate resources: financial assistance, housing, transportation.
• Advocate for clients to access services and address barriers to care.
• Maintain confidential records and ensure compliance with standards.
• Participate in IDT meetings weekly and bi-weekly huddles.
• Maintain CAREWare and EMR documentation.

Skills

HIV knowledge

Communication skills

Advocacy

Case management

Cultural competence

Team collaboration

Organizational skills

Education

Bachelor's degree in social work, psychology, sociology, or related field

Job description

Description

POSITION SUMMARY

Medical case management is a collaborative process that involves the assessment, planning, coordination, and monitoring of health care services for individuals with complex medical needs. The goal of medical case management is to optimize the health and well-being of individuals by ensuring they receive appropriate and timely medical care, support services, and resources.

REPORTING RELATIONSHIPS

This position reports to the Manager of HIV Medical Case Management. This position does not supervise any other position.

ESSENTIAL JOB DUTIES AND FUNCTIONS

While living and demonstrating our Core Values, the Ryan White Medical Case Manager will:

• Conduct thorough assessments of clients' medical, psychosocial, and financial situations to understand their individual needs.
• Conduct intake assessments, reassessments, recertifications, budgets, acuity scales, and all other relevant case management documentation.
• Develop individualized care plans, also called service coordination plans, based on assessment findings, outlining specific health care goals, interventions, and strategies.
• Collaborate with health care providers, specialists, and other professionals to coordinate and facilitate access to medical care, including antiretroviral treatment and other necessary health care services.
• Support clients in adhering to prescribed medical treatments and medications, providing education on the importance of treatment adherence.
• Assist clients in navigating the health care system and accessing available resources, including, but not limited to, financial assistance, housing support, and transportation services.
• Advocate on behalf of clients to ensure they receive appropriate medical care, social services, and support, addressing any barriers to care.
• Maintain accurate and up-to-date client records, documenting all interactions, assessments, and interventions in compliance with program requirements and confidentiality standards.
• Collaborate with health care professionals, social service agencies, and community organizations to ensure a coordinated and holistic approach to client care.
• Demonstrate cultural competence and sensitivity in working with diverse populations, recognizing and respecting individual differences and unique needs.
• Participate in interdisciplinary team (IDT) meetings on a weekly basis as well as the weekly CM huddle and bi-weekly compliance huddle
• Participate in quality management initiatives to address identified needs for the overall program.
• Maintain client computer-based (CAREWare and Electronic Medical Records).
• Enter all notes within five business days or by the third business day of the following month, whichever comes first.
• Maintain a list of organizations that referrals can be made to the client.
• Attend conferences, meetings and trainings to maintain a high-level of clinical prevention/public health knowledge.
• Demonstrate flexibility when responding to change
• Demonstrate professionalism to other staff members.
• Perform other duties as assigned.

Requirements

• Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
• Buy in and experience working in the EOS® model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
• Bachelor's degree in social work, psychology, sociology, or other related field or bachelor's degree in a non-similar field; or any combination of relevant education and experience.
• Knowledge of HIV preferred
• Basic Life Support (BLS) certification required
• Excellent verbal and written communication skills
• Demonstrated cultural competence and sensitivity in working with diverse populations, recognizing and respecting individual differences and unique needs, especially in the context of HIV/AIDS.
• Ability to advocate on behalf of clients to ensure they receive appropriate medical care, social services, and support.
• Strong organizational and documentation skills
• Ability to work collaboratively with healthcare professionals, social service agencies, and community organizations to ensure a coordinated and holistic approach to client care.
• Flexibility and adaptability to respond to the evolving needs of clients and the healthcare environment.
• Commitment to maintaining client confidentiality and upholding ethical standards in all interactions and interventions.