Job Description

• Statement of Purpose: This position is responsible for administering and coordinating client services programs and the documentation and follow up thereof.

Primary Tasks:
Screen all clients for program eligibility while identifying patient need through interview.

• Verifies insurance coverage and coordinates the necessary pre-authorizations.
• Develops, coordinates, and implements individual plans of care and the follow-up thereof.
• Provides assistance with referrals and coordinates services in accordance with agreements reached with other organizations, federal and local programs.
• Responsible for RW, HOPWA, and ADAP Premium Plus case management and all other case management assignments.
• Ensures the integrity of case management records through the audit review process.
• Accurately documents all client encounters within software applications, completes and submits billing documentation and maintains client case management files.
• Processing needed paperwork for Patient Assistance Program.
• Complies with all programs requirements as well as is up to date with all changes of the programs.
• Collaborates with clinic team members to coordinate patient services.
• Processes documentation required by state and local funding sources as required.
• Maintains confidentiality regarding patient and/or family in accordance with professional standards.
• Promotes and practices CAN Community Health, Inc.’s mission and values, and follows its policies and procedures.
• Ensures confidentiality is maintained by CM team regarding patient/client information in accordance with HIPAA, professional and departmental standards.

Secondary Tasks:

• Cross trains for effective team participation.
• Develops and fosters networking relationships with community and support resources
• Practices safety, environmental and/or infection control methods.
• Continues professional training and education to advance knowledge and skills of HIV/AIDS.
• Participates in continuous quality improvement of services rendered to CAN clients.
• Utilizes resources and supplies in a cost-effective manner.
• Demonstrates courtesy respect in all interpersonal relationships with CAN clients, staff, and visitors.
• Maintains professional manner in all aspects of job tasks.
• Performs all other duties as assigned.

Education/Professional Experience:

• Bachelor’s degree from an accredited school or equivalent experience in social services.
• HIV prevention/intervention experience
• Basic Annual Safety Training, HIV 104, 500 and 501

Job Type: Full-time