Job Description

Ref No.:20-12994
Location: Richmond, Virginia
Microsoft Office (Word, Excel and Access), Adobe, PowerPoint, Outlook
Knowledge, skills, education, and/or experienceKnowledge, skills, education, and/or experience :
  • Knowledge of behavioral health principles, techniques, and practices, and their application to complex treatment and services provision;
  • Ability to understand and observe HIPAA requirements of the RWHAP B program at all times;
  • Enhanced care management skills, including case finding high risk individuals, care coordination, and knowledge of community resources;
  • Understand and observe any VDH-required protocols while conducting tasks during COVID-19;
  • Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook;
  • Skill in establishing rapport with clients in discussing sensitive issues in a supportive and nonjudgmental and culturally agile way that also incorporates principles of Trauma-Informed Care;
  • Ability to establish and maintain effective working relationships with case managers and provider agency staff is necessary; and
  • Perform all job duties in a manner that demonstrates understanding of the basics of HIV Care: continuous improvement, respectful communications, customer service, and support of the unit's mission and values.
Education: Bachelor's Degree in Social Work or similar field, plus four years' employment in a medical or health care setting, social service agency, or community organization focusing on health.
Master's degree with one year of experience working with the health care delivery system.

Mandatory skills/certification(s) Requirement: :This position requires excellent customer service skills, strong computer skills, collaboration and critical thinking. Experience working with the health care delivery system.

Desired skills:Bilingual in Spanish or Amharic needed.
Duties/Responsibilities:
Virginia's Medication Assistance Program (VA MAP) provides access to medications for the treatment of HIV and related illnesses for low-income clients by providing medications or assistance with insurance premiums and medication co-payments as a payer of last resort.
The Eligibility Care Coordinator is required to fulfill short term and extensive outreach to clients of the Ryan White AIDS Drugs Assistance Program (ADAP) who do not respond to 30 and/or 60-day outreach attempts for 6-months ADAP recertification and eligibility.
The Eligibility Care Coordinator is to collaborate with individuals and their primary case managers using the care management process including:
  1. Establishing a strong relationship with the agency managing the client's care
  2. Reviewing with assigned case managers the client 's social and emotional status and their support systems;
(C) Identifying and arranging for coordinated delivery of services needed to enhance compliance to the eligibility requirements;
(d) Following up with the provision of needed services as well as the eligibility status; and
(e) Working collaboratively with all case managers within the assigned regions.
DUTIES INCLUDE, BUT ARE NOT LIMITED TO:
Establishing a relationship with client and assessing client's health needs
  • Collaborate with a multi-disciplinary team including VA MAP team and case managers to identify problems or needs that require special intervention, education or follow-up;
  • Screen and identify individuals who need eligibility care coordination services;
  • Build a trusting, effective relationship between the client and the Eligibility Care Coordinator;
  • Assist in collecting and submitting necessary VA MAP eligibility and recertification documentation;
  • Conduct a comprehensive assessment by interviewing the individual and/or family to identify the client's needs and barriers to keeping the eligibility up-to-date; and
  • Identify key barriers, client strengths and available resources, and develop a plan of action to help client stay engaged in care.
Planning of care
  • Facilitate client's involvement in the care coordination process
  • Assess client's readiness to learn and take positive action; and
  • Educate clients on maintaining up-to-date status on RW eligibility.
Linking and Coordinating Care
  • Identify care gaps as defined by VA MAP program metrics through record and data review;
  • Assist clients with navigation within the provider network and other community based organizations based on their needs;
  • Link clients to needed services and resources in order to address client's needs;
  • Educate client and family about their medical and/or psychosocial conditions, VA MAP eligibility requirements, available resources and appropriate treatments;
  • Maximize continuity of care by working collaboratively with all involved providers and case managers;
  • Document client's goals and progress with care management plan; and
  • Maintain client charting/documentation as needed, and maintain proper follow-up by calling client and/or case managers to assure VDH receives all mandated/required information to verify eligibility status.

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