Cchip - Case manager - Core center

Location

• CORE
• Center
• Shift: 9 am- 5 pm.
• PAY
• RANGE: $49,362 - $54,487 **Salary is commensurate with years of experience indicated at time of application submittal. Experience not disclosed or documented at the time of application will not be considered for initial step placement. *
• This position is exempt from Career Service under the CCH Personnel Rules JOB SUMMARY The CCHIP Case Management (CM) will provide a range of client-centered, confidential services that link clients with health care, clinical psychosocial, and supportive service for clients living with HIV/AIDS who are identified as having challenges with accessing and maintaining adherence to health care services. Works closely with the CORE Center medical team to stabilize clients’ medically. Facilitates linkage to and maintenance of clients to their primary medical services. The CM will also provide treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. The CM will assure that client is connecting to other core services; dental, Mental Health and Substance Abuse treatment. This case manager will also provide benefits counseling to clients and assist in enrollment, verification, and utilization of those benefits. The CM will provide case management to special populations. This is a grant-funded position. Grant 2025 CCH AFC IDPH Ryan White Part will expire on June 30th, 2026, with the potential to be renewed. TYPICAL DUTIES Completes initial intake and assessment of needs on new clients and clients returning to care. If opened for CM services, complete Aids Foundation of Chicago (AFC) intake documentation Make all initial referrals to Behavioral Health, Health education, dental, and benefits. Assess benefits and complete necessary applications and referrals Maintain a caseload based on funder’s requirements Develops a comprehensive, individualized service plan Reviews with client, client will agree to the goals and objectives for the services plan that will include specific outcomes with expected completion dates and timelines Conducts periodic re-evaluations at least once every 6 months review whether the goals were met and should continue or discontinue and/or make new goals, if needed Collaborates with medical provider and other clinic staff to assure compliance with the service plan Maintains contact with client to assure medical and medication compliance Contacts client prior to scheduled medical appointments to remind them of their appointment Performs face-to-face contact with client at least once every three months and have phone contact with client monthly in between those face-to-face contacts Conducts outreach if client becomes non-compliant by doing phone outreach, sending a letter to last known address, and complete home visit to encourage compliance with medical and medication Advocates and reinforces education to client of the expectations of client around clinic appointments (ensuring client meets with CM at appointment), medication adherence and compliance to all referral to Substance Abuse and Mental Health Services Identifies barriers to appointments and provide support to encourage adherence. For example, the CM will access for transportation needs and provide transportation, if needed Makes appropriate and timely referral to internal and external providers and coordinate services identified on service plan Makes referrals and documents in electronic databases Follow-up on referrals will be made to provide necessary information and support to facilitate the referral Meets with medical provider on a regular basis to mutually support client’s compliance with appointments Presents during clients' scheduled medical appointments to advocate on client's behalf for any identified or assessed services Attends all pre-clinics to give updates on client's social service needs and collaborate with other providers Completes a CM care conference with a licensed provider on all active clients at least once every 6 months Transitions clients out of medical case management into other appropriate programs Completes change of status after meeting all goals of the service plan and client deemed stable, transfers case into supportive case management or close If medically indicated, the client should refer to DRS services Maintains the client on their caseload until the client is deemed stable Refers client to educational support groups if appropriate If client would like to transfer to another agency within the Case Management Cooperative, the appropriate transfer steps should be taken per AFC Standards of Procedure Adheres to Social Services Documentation Policy of all patient encounters and forms Documents face to face conversations, phone calls, and collateral contacts must be in the electronic medical record, and all other databases All client-related activities, referrals including approvals and denials should be in patient record and database Enters data and paperwork will be submitted in compliance with the policies All transportation, food vouchers, cabs, Uber rides must be properly documented, including client’s signature of receipt Tracks any client or service trends and report in monthly supervision Maintains a working knowledge of community and internal program that would enhance the client’s ability to be maintained in care Attends any workshop that would familiarize case manager with community programs Keeps a resource file of HIV/AIDS programs with contact information Remains current with AIDS Drug Assistance Programs (ADAP), CareLink, CountyCare, Medicare D programs and benefits programs that would benefit the clients Enhances professional development and maintain an area of specialization Discusses areas of specialization and interest with supervisor, seek and receive ongoing training in specialty area (ob/gyn, community outreach, women specific issues), periodically present cases or topics related to specialty area to case management department and/or social service staff Maintains professional competencies and complete at least 12 trainings per year Participates in all CORE Center and AFC mandatory training and meeting Completes and pass AFC Medical Case Management Certification within first 6 months of employment, maintains certification Attends and certificate of completion for all trainings will go in employee’s record of all mandatory training. Any training that is missed should have supervisor’s approval Participates in social services continuous quality improvement efforts Meets documentation requirements as outlined within the Social Services Department and throughout the CORE Center Develops quality improvement processes as assigned Adheres to CORE Center and social services specific policies and procedures Provides excellent customer service and professionals when interacting with clients and internal and external customers Responds to phone calls, emails, faxes and pages in according to the CORE policies Maintains open communication with supervisors and communicate concerns through the appropriate means Provides clinic coverage/general coverage when a shortage arises Facilitates groups upon request Performs other duties as assigned