Department/Unit:
Medicine - Aids Program
Work Shift:
Day (United States of America)
Case Manager, Albany
HIV Office
Provides Case Management services, as needed to patients under the care of assigned providers for PrEP treatment. Ensures care coordination, effective use of resources and quality of care in accordance with the NYSDOH AI and BHACS (Bureau of HIV Ambulatory Care Services).
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Completion of initial Orientation (Center wide and specific AIDS PROGRAM) and satisfactory completion of the HIV Competency Orientation Tool
- Understanding and putting into practice hospital standards and division policies as it applies to employment at AMCH as well as the Division of HIV Medicine
- Understanding and putting into the practice the Pre-Exposure Prophylaxis for HIV Prevention policies and procedures as designated in the Division of HIV Medicine Policy and Procedures
- Yearly participating in the Competency Based Evaluation Process
EDUCATION AND EXPERIENCE REQUIRED:
- A Bachelor’s degree in social work, counseling, psychology, or a related field from an accredited program is required.
- Previous experience in the provision of case management and/or counseling services in hospital, outpatient, or similar settings is a plus.
ENGAGMENT STRATEGIES:
- In-reach strategies working with clinic staff to identify and engage patients appropriate for PrEP.
- Participation in community events/sessions to educate and promote PrEP.
SCREENING, INTAKE & ASSESSMENT:
- Working knowledge and understanding of cultural competency, health literacy and universal precautions (particularly in HIV and LGBT healthcare).
- Individuals receive referrals for supportive, behavioral, medical and/or psychosocial services if an immediate need is identified during a PrEP screen/clinical assessment.
- Determine patient eligibility for Medicaid, PrEP-AP, Gilead Advancing Access program and/or any other programs that could prevent individual financial barriers to PrEP treatment.
- Individuals deemed not appropriate or defer PrEP treatment receive documented risk reduction counseling.
EDUCATION AND SUPPORTIVE COUNSELING:
- Ability to provide education on PrEP treatment, basic HIV and STI transmission, risk reduction strategies and medication adherence.
- Assists patients in developing self-management and health literacy skills.
- Uses motivational interviewing to impact behavior change related to an individual’s risk of HIV/ STI acquisition, medication adherence or other issues.
- Informs patients of opportunities to provide feedback on program services.
- Completes annual agency wide trainings and additional trainings as required by the NYSDOH AI/ BHACS and/or the PrEP Coordinator.
- Understands legal issues around Domestic Violence and abuse issues and intervenes appropriately and with accordance of Albany Medical Center’s policy and NYS law.
CARE COORDINATION:
- Maintain, acquire, and fulfill required documentation for patient assistance programs (PAP) i.e.: PrEP-AP, Gilead Advancing Access, (PAF) Patient Access Foundation, and distribution of Gilead Co-Pay card.
- Patients who miss appointments are promptly identified and active follow-up occurs to assess patient needs for ongoing services. If upon assessment patient interest to continue PrEP remains, immediate re-engagements activities occur that follow the PrEP Prescribing and PrEP Management sections contained in the “Guidance for the Use of PrE-Exposure Prophylaxis (PrEP) to Prevent HIV Transmission”.
- Supportive services are made available on-site or by referral, to address barriers to care.
- A care plan is developed with patients to address barriers to adherence as identified by the patient.
- Routine evaluation of the need for Partner Services, including partner notification assistance, and referrals made, when applicable.
- Ensure follow up appointments are scheduled 30 days after initial appointment.
- Patient follow-up is completed at 2 weeks with follow up phone call, again at 90 days and/or as needed.
- Patient prescribed PrEP receive emergency contact information and instructions informing them how to speak with a member of the care team between appointments and after clinic hours.
- Referrals are made to Primary Care Providers and are considered an integral component in follow up, coordination and continuation of care as part of the PrEP services team.
- All patient referrals are tracked for completion.
DOCUMENTATION:
- Patient registration, screening, Truvada agreement form, HIPPA agreements and Rapid HIV testing results and all other pertinent documents are submitted for scanning into the patients chart (EHR).
- Completes Authorizations for release of information with patients and submits for scanning into the EHR.
- Enter intakes, updated patient information (i.e. financial, insurance, housing), rapid testing, and service data into the AIDS Institute Reporting System (AIRS).
- Complete documentation (CM Note) of patient encounter (in person or by phone) within 24 hours.
- Keeps the PrEP program patient tracking spreadsheet up to date.
SALARY RANGE: $28.99/hr - $46.39/hr
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.