General Description
The Health Trust is a Ryan White Part A/B services provider serving HIV residents of Santa Clara County including a
wide range of medical and non-medical support services to improve healthcare and quality of life outcomes for our clients.
Under the direction of the HIV Program Director, the Ryan White Medical Case lead will provide leadership support for the
day to day operations for the HIV Services Program Medical case management program. Leadership responsibilities are in
accordance with Ryan White federal and state and local health department guidelines, and other funding and
organizational source requirements. This position will support a team of nurse and SW-MS case managers and carry their
own caseload of clients as needed. This is a grant funded position and is subject to the availability of funds.
Knowledge, Skills and Abilities
- Knowledge of community resources for people living with HIV
- Knowledge of HIV, HIV prevention, linkage and adherence
- Knowledge of assessment tools and processes
- Knowledge of State and Federal laws and regulations
- Knowledge of Microsoft Outlook, Word, Excel and PowerPoint
- Knowledge of 340B or willingness to learn
- Excellent verbal and written communication skills
- Excellent time management, organizational, and coordination skills
- Excellent problem solving skills
- Excellent critical thinking skills
- Resourceful and willing to take initiative to seek information as needed
- Motivated and self-directed
- Able to adapt to a changing environment
- Able to handle sensitive and confidential information in a professional manner
- Able to work independently with minimal supervision
- Able to effectively prioritize assignments and meet deadlines
- Able to establish and maintain positive relationships with employees, clients, and community partners
Essential Duties and Responsibilities
- Ensure completion and compliance with required client eligibility procedures per the contracts for HIV/AIDS
- Communicate with clients during face-to-face, group, telephone, text and electronic platforms
- Assist clients and staff with assigned caseload to ensure productivity and quality monitoring for successful performance outcomes and compliance funding including Ryan White system, community partnerships, healthcare resources.
- Travel to clinics, provider agencies or client homes to provide services as needed
- Develop and maintain an understanding of available community-based resources
- Ensure the linkage of clients with needed programs
- Coordinate services with community programs, vendors, health care providers and clients
- Follow up on client appointments, referrals, and authorized services
- Track and manage contractor budgets by service category for staff performance
- Maintain organized client files with required documentation
- Document case management notes, services, lab results, medication and other required documentation in paper charts and electronic database
- Complete Ryan White medical case management reporting requirements and deliverables
- Provide oversight for the staff and operations of the Ryan White medical case management team.
- Conduct employee interviews with HIV Program Director/Manager as needed
- Orient new staff to policies, procedures, and program expectations/requirements
- Provide leadership, guidance, support and supervision to program staff
- Assign and review caseload with staff to ensure cases are in compliance
- Ensure referrals are reviewed and assigned in a timely manner
- Coordinate all medical case management team and individual meetings including facilitation with Hospital or other referral partnerships to ensure continuity of HIV specific medical and psychosocial and related support services for shared clients
- Calendar events to team members, and following up on individual team action items
- Conduct quality monitoring for staff performance, client chart and data systems to ensure appropriate documentation per the Director or Health Trust as assigned
- Ensure that the program is in compliance with internal policies, procedures, and other applicable regulatory and contractual
- Investigate and respond to clients regarding complaints and/or concerns
- Review and ensure compliance with productivity standards
- Review and authorize billing documentation to ensure client eligibility on date of service
- Participate in quality improvement initiatives, Recommend changes in case management policies and procedures as appropriate
- Represent the program/organization at community meetings and events as requested
- Assist with the development of marketing materials and patient literature
- Participate in Ryan White Consortium meetings
- Participate in required program trainings and staff meetings
- Perform other duties as assigned
Education and/or Experience
- Masters degree in public health, health administration, social work, nursing or similar field; or bachelor’s degree in related field and two to four years related supervisory experience; or equivalent combination of education and experience.
- Supervisory experience required
- Experience with HIV/AIDS and/or the EPIC, SALESFORCE ARIES and other reporting database is highly desirable.
- Clean driving record and reliable vehicle required