Ryan White Non-Medical Case Manager

Primary functions

Neighborhood Health’s Non-Medical Case Manager will provide services to clients seeking and maintaining care for their HIV. The primary duties are to ensure that every Ryan White patient maintains the required eligibility determination and assess for the need for additional services, such as outpatient medical, dental and mental health services and medical case management. Duties extend to creating and updating Non-MCM Assessment and Service Plans for each client, and face-to-face and telephone encounters to assist client access services identified in the Service Plan.

Duties/ Responsibilities

• (Essential
• Functions: Duties and responsibilities noted with bullets are considered to be the essential functions of the job).

• Non-Medical Case Management Duties
• Determine client eligibility for various RW-funded services (including primary care, MCM, Virginia Medication Access Program (VA MAP) and other community resources).
• Obtain proper documentation for proof of HIV status, proof of residency, proof of income, and insurance status as part of the RW Parts A & B for eligibility determinations upon enrollment for new patients and every two years thereafter.
• Screen all clients for insurance eligibility and refer for health insurance enrollment as-needed.
• Serve as point of contact for outside agencies wishing to enroll their clients in VA Medication Access Program or for health insurance enrollment
• Conduct client intake interviews, complete intake application and all required forms.
• Perform Non-MCM assessments and re-assessments per standards to determine client need for assistance with insurance, interpretation, domestic violence, housing, food, legal issues, etc.
• Develop NMCM Service Plans with clients, based upon assessments.
• Schedule first visit with RW Nurse Case Manager for new patients.
• Provide orientation to the clinic operations for new clients.
• Track client eligibility status and ensure dates correlate with the Department of Health.
• Assist clients in achieving goals in the Service Plans through face-to-face, telephone encounters, and reminders.
• Maintain documentation and program notes in the client records according to NMCM standards.
• Complete client data entry into Neighborhood Health’s electronic medical record system (eClinicalWorks) and into the Ryan White database (CAREWare).