Enrollment Case Manager

Positive Impact Health Centers INC; Decatur (GA); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Wellness day

Parental leave

Free parking

Competitive salary

Retirement plan

Dependent benefits

Credit Union

Job summary

Positive Impact Health Centers, Inc. is seeking an Enrollment Case Manager to coordinate patient enrollment into PIHC’s clinical services. The ECM ensures welcoming, efficient entry into care and collaborates across departments to link patients to required services.

EMR documentation and follow-up are essential parts of the role. The position requires a Bachelor's in Social Work or related field; a Master's is preferred, with experience in medical settings and EMR systems.

Qualifications

• Bachelor’s degree in Social Work or related field required.
• Master’s degree in social work, health care, or related field preferred.
• Fluency in Spanish is preferred.
• Minimum of one year’s experience in a service delivery setting.
• Professional experience in a medical setting preferred.
• EMR documentation experience preferred.

Responsibilities

• Coordinates enrollment into PIHC’s Medical Clinic for patients living with HIV and assesses barriers to care.
• Collaborates with RELC to ensure access to medical care and services at entry.
• Monitors Resource Line and provides follow-up for enrollment requests.
• Educates patients about HIV care and medication adherence.
• Determines eligibility for medical services including Ryan White and insurance.
• Screens for non-medical services and refers for assessment as needed.
• Schedules medical appointments and coordinates with the clinic team.
• Enters patient information into the EMR and documents biopsychosocial data.
• Collaborates with community partners to link patients to other services.
• Conducts follow-up calls and maintains care coordination with staff.
• Monitors initial appointment show rates and reports status to supervisors.
• Participates in trainings and departmental meetings; ensures confidentiality.

Skills

Verbal communication

Written communication

Spanish (preferred)

Education

Bachelor’s degree in Social Work or related field

Master’s degree preferred

Tools

EMR system

MS Office

Job description

Description

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you.

What makes us different? We offer our employees the following:

• 1 Health Wellness day per quarter
• Parental Leave
• Free parking at our locations/bus line accessibility
• Competitive Salary & Benefits
• Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program)
• 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependent
• Credit Union

JOB SUMMARY

The primary job function of the Enrollment Case Manager (ECM) is to coordinate enrollment of patients into PIHC’s Clinical services. The ECM is the backbone of the entry of new and returning patients into PIHC medical clinic. The ECM will ensure that patient entry into medical care at PIHC is comprehensive, efficient, coordinated, and welcoming. The ECM will work closely with PIHC’s Rapid Entry Linkage Coordinator and across departments as needed to ensure that new patients are linked to needed core and support services.

This position description should not be interpreted as all-inclusive. It is intended to identify the major responsibilities and requirements of this position. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this position description.

Requirements

JOB DUTIES & RESPONSIBILITIES

Essential Duties, Tasks, and Responsibilities

• Coordinates enrollment into PIHC’s Medical Clinic for patients living with HIV who have expressed a desire to start or resume HIV medical care at PIHC. Assesses potential barriers to care and the impact of HIV stigma for patients.
• Collaborate with the PIHC’s Rapid Entry Linkage Coordinator (RELC) to ensure that all new patients are able to access medical care and other needed services upon entry to PIHC.
• Monitors dedicated Resource Line to triage phone calls and messages. Provides timely follow-up and directed services for callers who are requesting PIHC clinic enrollment and callers attempting to refer new patients to PIHC’s medical services.
• Provides education to patients about the importance of HIV medical care and medication adherence for persons living with HIV.
• Determines overall eligibility of patients for medical services at PIHC. Eligibility includes but is not limited to Ryan White and medical insurance eligibility.
• Screens patients to determine the need for non-medical services, including mental health, medical case management, and substance abuse services, utilizing the Atlanta EMA screening tool and the Acuity Scale. Refers patients for further assessment and services as needed.
• Schedules or assists patients with scheduling medical appointments (labs, clinic visits), utilizing the Electronic Medical Record (EMR) system as necessary or as allowed by PIHC internal work processes. Coordinates with the clinic team to ensure that initial scheduled appointments are kept or rescheduled as needed
• Enters patient information and documentation into PIHC’s Electronic Medical Record (EMR).
• Collects and records pertinent biopsychosocial information from each patient and records the same in the EMR.
• Collaborates with community partners and resources in the Metro Atlanta area. Maintains current information about HIV medical appointment availability of public and private HIV providers in Metro Atlanta and is able to link patients who do not qualify for PIHC medical services to alternative medical services.
• Conducts follow-up calls with patients as needed.
• Collaborates and consults with PIHC clinic staff, medical case managers, and Behavioral Health staff for care coordination.
• Monitors show rates for initial medical appointments and communicates as needed with Client Services and Clinic staff to ensure initial retention.
• Assists with the monitoring of patient health outcomes, data collection and reporting as directed.
• Regularly communicates with direct supervisor, Director of Client Services, and Director of Clinical Care regarding status of new patient enrollments, as well as challenges as they arise.
• Attends all departmental and interdisciplinary staff meetings.
• Attends a minimum of eight hours of training annually, including trainings focused on HIV and cultural competency/humility.
• Abides by all state, health district and agency policies regarding confidentiality of patient information
• Follows all agency guidelines relating to rapid entry services, incentive distribution, and documentation of all program data.
• Performs other duties as assigned

MINIMUM QUALIFICATIONS & EXPERIENCE

• Bachelor’s degree in Social Work or related degree in social/human services field required.
• Master’s degree in social work, health care, or related field preferred.
• Fluency (written and verbal) in Spanish is preferred.
• Minimum of one year’s experience in a service delivery setting, with an emphasis on needs assessments, coordinating and developing supportive services for identified clients across a broad psychosocial continuum is required.
• Professional experience working in a medical setting is preferred.
• Minimum of one year’s previous professional experience working with adults living with HIV is preferred.
• Previous professional experience with Electronic Medical Record (EMR) system documentation preferred.

PREFERRED KNOWLEDGE, SKILLS, ABILITIES & OTHER APTITUDES (KSAOs)

• Must possess the ability to handle conflict and crisis in a professional manner.
• Excellent verbal and written communication skills.
• Requires advanced computer knowledge, especially MS Office, with the ability to learn many different computer software packages.
• Must have excellent interpersonal skills.
• Must have demonstrated leadership and management skills.
• The ability to prioritize tasks and manage time efficiently.
• The ability to be flexible as to the changing needs of the Center.
• Ability to work in a multidisciplinary team

PHYSICAL DEMANDS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is frequently required to sit and talk or hear. The employee is occasionally required to walk, use hands to finger, handle, or operate computers, objects, tools, or controls and reach with hands and arms.
• The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

NOTES

1. Positive Impact Health Centers, Inc., is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, or covered veteran status.

2. Recreational drugs, weapons and violence are not permitted on agency property or at any agency events or programs.

3. The above job description represents the general nature, primary duties and responsibilities, and qualifications for the work performed by employees within this job, but is not a comprehensive and exhaustive list. Employees may be required to perform other duties as assigned, and specific duties, responsibilities, and activities within the core nature of the job may change at any time with or without notice. Employees must be able to perform the essential functions of the job, as specified by the employing entity, with or without reasonable accommodation.