Non-Medical Case Manager - Access To Healthcare Network

Best Place to Work in Northern Nevada - 1st Place Winner 2024
Best Place to Work for Working Parents - 2024

Check out our AWESOME Benefits!

• 4 weeks Paid Time Off in the First Year - Front Loaded
• 14 paid holidays annually
• Hybrid Work Options Available
• 403B Retirement Plan with 4% Match
• 4 Weeks Paid Parental Leave
• Up to 4 Weeks Paid Catastrophic Leave
• Medical, Dental, and Vision benefits - effective 1st DAY OF THE MONTH, following date of hire
• Free Health Insurance Options for Full Time Employees
• Low-Cost Health Insurance Options for Dependents
• Health Reimbursement Account
• Employee Hardship Loan Program
• Free Life Insurance and Long-Term Disability
• Tuition Assistance
• Continuing Education Support
• Dog Friendly Workplace
• Child Friendly Workplace
• Great Organizational Culture!

Job Purpose: Non-Medical Case Managers will help improve the health outcomes for clients living with HIV/AIDS, providing services and assisting clients to obtain access to other public and private programs.

Key Responsibilities and Accountabilities

• Eligibility screening for potential Ryan White services to ensure clients are eligible for assistance
• Assist clients in filling out the Ryan White application for initial certification and semi-annual recertification
• The Non-Medical case Management coordinates the implementation, data entry and reporting of the Ryan White Program. Performs duties required to develop, implement and sustain coordinated HIV Non-Medical Case Management activities within the service network involving the health center and the community partner organization.
• Ability to manage an assigned caseload of a diverse population of HIV-infected individuals and respectfully interact with clients while working cooperatively in a team environment.
• Non-Medical Case Manager will complete a screening tool, client acuity tool and an individual service plan to assist RWPB clients with medication and treatment adherence through coordination and followâ€up of medical treatment and through assisting clients with navigating life concerns that impact health care in order to achieve viral suppression.
• Contact client every month to remind them to update the application (clients must recertify every six months)
• Prescreen client for the HIP program to see if they qualify for other assistance (help with Health Insurance Premiums, co-pays or deductibles)
• Follow up with clients for missing documents and completing the process of updating , update the information in hard copy and in our system
• Make sure that the Ryan White files are up to date with the necessary documents
• Fulfill parts of the Scope of Work for the Nevada Department of Health and Clark County Nevada
• Complete CareWare input for all eligibility applications submitted by the eligibility specialists during that business day
• Scan all completed eligibility applications and eligibility updates from that business day into CareWare

Other Requirements:

• Returning phone calls and scheduling eligibility appointments
• General office duties such as typing, filing, and faxing
• Complete appropriate copying, faxing and large-scale mailings
• Gain clear and working knowledge of social services available throughout our community; establish and maintain appropriate working relationship with persons and agencies involved
• Gain a clear and working knowledge of the Nevada Check-Up, Medicare, ACA and Medicaid enrollment criteria and process; establish and maintain appropriate working relationship with persons and agencies involved
• Gain a clear and working knowledge of the HIV/AIDS Drug Assistance Program (ADAP); establish and maintain appropriate working relationship with persons and agencies involved
• Abide by all HIPAA requirements
• Gain a clear and working knowledge of the Access Health Software system used to track member demographics and data
• Gain a clear and basic knowledge of Access to Healthcare Network Services
• Gain a basic and clear working knowledge of the Mitel phone system
• Gain a basic and clear working knowledge of Salesforce
• Gain a clear working knowledge of CareWare
• Ability to be both compassionate and professional while serving our population
• Ability to be both compassionate and professional with staff
• Must attend staff meetings and be willing to meet with Lead Non- Medical Case manager on a consistent and regular basis
• Required to obtain a Community Health Worker Certification within first year of employment, at the agency's expense
• Ability to adapt to changing work environment and duties
• Other duties as assigned

Qualifications

• Spanish bi-lingual Preferred
• Bachelor's degree in social work, public health administration, sociology, psychology or related field preferred. Or a combination of education and experience.
• One year minimum working in health care related social work, with experience in patient coordination preferred. Or two years working with special needs populations combined with knowledge and understanding of case management.
• Minimum two years computer experience including Microsoft operating systems, work processing, spreadsheets, data base input and report generation.
• Excellent customer service skills
• Excellent organizational skills
• Be able to stand between 3 - 6 hours per day
• Be able to sit at a computer for up to 4 - 6 hours per day
• Be able to withstand hand/wrist deviation and repetition
• Be able to lift, carry up to 10 pounds with a fair consistency
• Must have a valid driver's license and be able to drive the AHN Company Car when needed
• Must be able to lift, carry up to 30 pounds with a fair consistency
• Flexibility; Each department selects the hours of work schedule for the department staff based on the department's needs. This schedule may change at any time according to the department's needs.
• Required to pass a background check through the State of Nevada
• Subject to Medicare/Medicaid fraud background check

Work Environment

• The noise level in the work environment is usually moderate and the employee usually works in a climate-controlled office environment

*The statements herein are intended to describe the general nature and level of the position, but are not necessarily a complete list of responsibilities, duties and skills required of employee(s) so classified. As such, responsibilities, duties, and required skills may be changed, expanded, reduced, or deleted to meet the business needs of Access to Healthcare Network. Furthermore, they do not establish a contract or implied contract for employment.

As an equal opportunity employer, we are committed to identifying and developing the skills and leadership of people from diverse backgrounds. We encourage all qualified candidates to apply.