This position provides high-quality, client-centered, intensive supportive services to clients in the Ryan White (RW) program. Providing RW case management services, including assessing client’s needs, conducting psychosocial evaluations, developing individual treatment plans, and maintaining documentation of services and staff activities. It also includes providing education and support to client (s), making appropriate referrals and consultations both within and outside the Agency. These case management services will monitor all aspects of the client’s care in the client records to the standard of Miracle of Love (MOL).
| FLSA Status: Non-Exempt Employee |
| Reports to: Intensive Case Manager Program Manager |
Position Responsibilities
Provide a wide range of client-centered services that link client’s to health care, psychosocial and other services to ensure timely, coordinated access to medically appropriate levels of care and support services. As well as supports a continuity of care, ongoing assessment of the client and other family member (s) needs, and personal support systems, that prevent unnecessary hospitalizations or expedite discharge, as medically appropriate, from inpatient facilities.
Meets services productivity (direct client services) standard of 560 units per month for the provision of Case Management services in accordance with applicable quality criteria, which are supported by appropriate record documentation, which meet specifications, documentation, requirements with Miracle of Love’s standards.
Key Intensive Case Manager Activities include:
- Provide intensive case management services with clients including assistance with receiving appropriate mental health/substance abuse treatment, applying for benefits, and establishing/maintaining housing, and entering education that will assist with job placement.
- Maintains a tentative caseload of 35 individuals.
- Maintains all required and appropriate documentation for client records and progress notes for assigned cases in accordance with Miracle of Love, Inc. policy and procedures and Orange County Ryan White Program requirements.
- Gain basic information with professional motivational interviewing techniques.
- Maintains weekly contact with client with a minimum of two (2) Face-to-Face engagements per month and/or until the client is virally suppressed, for a period of six months. Following viral suppression, three (3) monthly contacts, with one (1) Face-to Face engagement.
- Initial comprehensive assessment of the client’s needs and personal support systems.
- Development of a comprehensive, individualized service plan that is completed with the client.
- Coordination of the services required to implement the plan
- Client monitoring to assess the efficacy of the plan
- Coordinate patient prescription distribution with local pharmaceutical companies that are in compliance with the Ryan White Program or complete the referral for ADAP with clients that meet program requirements designed by Orange County Health Department.
- Periodic re-evaluation and revision of the service necessary over the life of the client: This may include client-specific advocacy and/or review of utilization of services.
- Develop and maintain working relationships with other agencies including the Corrections/Jail staff and officials, Boards of Mental Health, County Attorney and Public Defenders offices, City Prosecutor’s offices, Department of Social Services, Security, law enforcement, and other agencies to assist with providing services for clients.
- Make professional decisions, recommendations, and maintain confidentiality as stated in the MOL Confidentiality Agreement.
- Recognize that individuals with co-occurring disorders are expected, not the exception, and are welcome into treatment.
Essential Skills and experience:
- Florida Department of Health 500 and 501 HIV/AIDS certification. If this is not completed, MOL will provide this resource during training process.
- Bachelor’s Degree. Social Work or Public Health Field Preferred.
- Clean criminal history.
- Bilingual in English & Spanish Speaking)
- Ability to complete assessments and develop plans for individual cases.
- Ability to follow through on all phases of the assigned areas of treatment plans/ plan of care for clients.
- Ability to be an active listener to others and to establish and maintain effective working relationships demonstrating understanding, patience and tact in dealing with clients, personnel and the public. Demonstrate leadership qualities and the ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively verbally and in writing.
- Ability to establish and maintain therapeutic relationships, empathizes, and communicates with clients and family members.
- Ability to maintain complete and up-to-date record documentation.
- Direct Care Case Management experience.
Other Job-Specific
- Maintain proper appointment scheduling through individual Microsoft Outlook and Electronic System Scheduling calendar.
- Completes preliminary assessment process for persons seeking services from Miracle of Love, Inc. This includes collecting information concerning to the client’s problem, demographic information, and medical history with client.
- Initiates admission certification review for all prospective new clients and initiates continued review for all active clients as indicated in accordance with client requirements and agency procedures.
- Completes and documents medical forms, psychosocial assessments, and diagnostic summaries in accordance with agencies specifications. Completes assessments/evaluations to assist in determining appropriate referrals to meet the needs of the client and /or treatment team objectives.
- Develops and update individualized treatment plan/ plan of care for assigned cases in accordance with client record and agency procedures.
- Make appropriate referrals and initiates consultations with Miracle of Love and other agencies and organizations in accordance with client’s needs. Documents these activities in the approved electronic database management system.
- Staff appropriate clients with the program supervisor on an initial and periodic basis.
- Responds to information requests including giving information by phone to providers as well as one-on-one contact. Visits agencies, organizations and individuals requesting information as directed by the supervisor.
- Completes on-call assignments and provides back up coverage as requested by supervisor in accordance with agency procedures and schedules.
- Monitors client’s participation in planned services. Initiates revisions to treatment plan/plan of care, the closing/transferring of cases in accordance with Miracle of Love’s policy and procedures.
- Completes Miracle of Love’s discharge/transfer summaries for assigned cases in accordance with client. Audits clinical records upon closing/ transfer to ensure full compliance with Miracle of Love’s standards.
- Maintains documentation of all staff activity in accordance with Miracle of Love’s policy and procedures and client specifications.
- Completes Home Visits to follow-up with clients.
- Attends and participates in staff meetings as required.
General:
- Performance Improvement: Initiates efforts to improve job, program, or Agency performance and quality of services. As appropriate, participates in Miracle of Love, Inc. performance improvement initiatives or activities (e.g., work teams, committees, etc.).
- Initiative/ Acceptance of responsibility: Demonstrates self-motivation and self –reliance. Performs additional responsibilities as needed/required.
- Attitude/Customer Relations: Maintains friendly, productive work atmosphere with co-workers Demonstrates positive customer relation skills and shows respect and courtesy for clients, other employees, and the public.
- Attendance: Observes assigned work hours, use and scheduling of leave, and punctuality.
- Training and Education: Maintains compliance with required training in accordance with established time frames. Seeks opportunities to increase knowledge and competencies, which benefit the position, program or Agency.
License: Must possess a valid Florida driver’s license or have access to reliable transportation.
Physical demands and work environment
- Physical demands: While performing the duties of this job, the employee is occasionally required to walk, sit; use hands to fingers, handle or feel objects tools, or controls; reach with hands and arms; balance; stoop; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job included close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Physical or mental ability to carry out the activities of position responsibilities.
- Work environment: While performing the duties of the job, the employee is exposed to bodily fluids, weather conditions prevalent at the time of duty. The noise level is usually minimal to moderate.
Starting salary $43,000