DUTIES AND RESPONSIBILITIES:
● Interacts regularly with client and client caregivers to ensure continuity of care, patient adherence to care plans, and identifications of barriers preventing adherence to care plan.
● Tracks all medical, behavioral substance use and other network referrals made for clients and ensures clients follow up on referrals and attend scheduled appointments, through accompaniment when necessary.
● Provides phone and physical outreach to clients who have been non-adherent to necessary treatment appointments or have missed appointments for initial visits with new providers. Makes reminder phone calls to patients for all appointments.
● Provides outreach to clients to ensure appropriate follow up regarding self-care, medication refills, Care Plan adherence, scheduled office visits, test results/lab work, and all other pertinent psycho-social issues.
● Ensures that relevant team members receive important client alerts, including ER visits, hospitalization admission/discharge information and other urgent care notifications.
● Tracks/monitors client progress through a combination of written work, agency databases, health home data system and case conferences with the Care Team. Documents and maintains case records in the agency database and completes all data entry in a timely fashion.
● Monitors client entitlements, insurance, and other benefits to ensure they remain active and in place. Alerts Care Manager if benefits/entitlements lapse to assist team members with reinstatement of said benefits.
● Reviews Care Plan with Associate Manager and confirms intensity level of identified client to ensure service needs are met.
● Performs other duties as required to meet the needs of the Care Coordination team, Client Services Department or Agency.
● Attend a minimum of two agency events for clients and one agency fundraising event every 12 month period.
QUALIFICATIONS: Bi-lingual Spanish required. Applicants should have a strong knowledge of HIV/AIDS as well as entitlements and resources available to individuals living with HIV/AIDS in the NYC –metro area. Field work is heavy. Must be able to navigate the city by mass transportation. Must be able to visit a 5 th floor walk-up. Must be able to pass a Hospital Health and Drug screening. Knowledge of Microsoft Word is a must. This position requires a team player who has very good writing and time management skills. A Bachelor’s Degree in a health-related field is preferred. Interest in social mission organizations, public health and a belief in Alliance’s mission and work is desirable. Strong commitment to diversity, equity, and inclusion required. COVID-19 vaccination required
Job Type: Full-time
Pay: $45,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work Location: In person