Utilization Case Manager Jobs in Virginia (NOW HIRING)

Job Description: Case Manager

Position Overview

This full-time, non-exempt position requires 40 hours per week. Compensation will be based on the applicants qualifications and previous experience and includes a comprehensive benefits package. The Case Manager reports directly to the Program Manager.

Position Definition

The Case Manager provides Case Management Services, which encompass a wide range of client-centered activities. The primary goal is to connect HIV positive clients with necessary healthcare, psychosocial, housing and other support services. The Case Manager is responsible for coordinating and following up on these services to ensure clients receive timely and appropriate levels of health and support. Continuity of care is maintained through ongoing assessment of clients needs, including those of relevant family members and personal support systems. This role mainly serves clients with a supportive service plan and those who have completed a comprehensive acuity assessment.

The Case Manager is also responsible for providing a wide range of client-centered services that connect HIV positive clients with housing assistance and other essential programs to ensure stable housing. This role also involves supporting the coordination of the Employment Readiness, Placement, and Retention Program, which is a requirement under the FAHASS HOPWA and Ryan White Programs.

Employment Standards and Qualifications

• Bachelors degree in Social Work, Human Services, or Psychology; or
• Bachelors degree in a non-Human Services field, and 1 (+) year of Case Management experience
• [OR] Related experience for a period of two years, regardless of academic preparation.

All Case Managers must meet these standards as outlined by the Ryan White HIV/AIDS Program.

Key Responsibilities

Client Assessment of Medical access needs and Non-Medical community resources needs.

• Conduct initial assessments of client service needs, taking into consideration the resources available through FAHASS grant programs and community resources.
• Develop a comprehensive, individualized Service Plan (ISP) for each client.
• Periodically reevaluate and adapt the ISP as outlined in performance guidelines. This process includes client-specific advocacy and reviews the utilization of services.
• Demonstrate patience, understanding, and genuine concern for each clients overall health, safety, development, and quality of life.

Service Coordination and Referral

• Acquire knowledge of and implement Ryan White and other grant guidelines, as applicable to the role.
• Coordinate services and referrals necessary to carry out each clients ISP.
• Monitor clients to determine the effectiveness of the service plan.
• Identify and refer complex eligibility and case management issues as needed.

Data and File Maintenance

• Maintain accurate and current records of client contacts, tracking services provided, and ensuring completion of all necessary eligibility forms within specified deadlines.
• Document all client interactions and support grant reporting through meticulous file management.

Quality Management

• Support the l Case Management team by sharing information and expertise.
• Participate in monthly Quality Improvement Team meetings and contribute to the groups selected initiatives.

Housing Services

• Perform initial assessments of clients housing service needs, taking into account available grant resources.
• Develop comprehensive, individualized housing service plans for each client.
• Coordinate services and referrals necessary to implement each housing plan.
• Monitor clients to evaluate the effectiveness of their plans, and periodically review and adjust plans as needed, based on client acuity. This includes providing client-specific advocacy and reviewing service utilization.
• Maintain detailed and up-to-date records of client contacts, services provided, and all required eligibility documentation. Monitor client interactions using the client database system, charts, and agency tracking tools.
• Provide accurate information for monthly and quarterly progress reports required for grant compliance.
• Develop and maintain relationships with community housing organizations, leasing agents, landlords, and realtors to establish resources for client use.

Employment Readiness, Placement, and Retention

• Collaborate with the Case Management team to identify clients appropriate for the job readiness program.
• Oversee client eligibility for the employment program and coordinate the necessary reporting to meet grant standards.
• Participate in case conferences and work closely with other case managers and community partners to support clients success in the program.

Additional Requirements

• Organize and lead client education dinners in Culpeper.
• Conduct HIV testing and provide service navigation resources within the community.
• Assist with the coordination and execution of the psychological support group.
• Support reception duties at the Mosaic Care Center as needed.
• Demonstrate the ability to work effectively with a diverse range of individuals.
• Organize and prioritize work assignments, ensuring accuracy in highly detailed tasks.
• Possess proficiency with computer word processing software and demonstrate the ability to learn new programs; experience with CAREWare is preferred.
• A valid state drivers license may be required for certain positions.
• Perform other duties as assigned by the Executive Director and Program Manager in alignment with FAHASS policies and mission.
• Be prepared to travel periodically throughout the service region to adaptively and effectively serve clients.
• Work collaboratively within a team framework while maintaining client confidentiality at all times.