• Provide medical case management services to a caseload of approximately 50 clients, in compliance with the Standards of HIV/AIDS Care and Services established by the Pennsylvania Department of Health, and internal policies provided by the PA Thrive.
• The case manager must comply with PA ACT 148 confidentiality laws.
• The case manager must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

• Complete an assessment including demographics; medical/physical status; mental/emotional/behavioral status; environment; finances and support systems. The assessment determines need and level of service.
• Additional assessments include mental health screening, substance abuse screening, strength-based assessment, and risk assessment.

• Develop, with the client, a service care plan (SCP) based on the needs identified, available community and PA Thrive resources, and the financial resources of the client.

• Ensure a unified approach through monitoring and coordinating activities.
• Contact clients and service providers at established intervals to assess if (i) services are being delivered as planned, and/or (ii) services adequately meet client needs. Advocate for the client to ensure access to needed services.
• Continually educate clients on issues surrounding risk reduction, public benefits, and community resources.
• Evaluate the need for financial assistance and completes patient care grant applications.
• Implement basic adherence skills to improve patient health outcomes.
• Provide Motivational Interviewing techniques through assessments with clients.

• Maintain all documentation and record keeping requirements set by the PA Department of Health and PA Thrive.

• Reassess the client annually (or as needed) to: (i) determine if his/her condition or situation has changed, (ii) evaluate the effectiveness of the care plan in meeting predetermined goals, and (iii) determine if services continue to be cost effective.
• Revise goals and/or Service Care Plan accordingly. Establish and maintain up-to–date client records including assessment, service plan implementation and evaluation of care. Evaluate services for effectiveness and to ensure quality.

• Report to the Supervisor of Medical Case Management.
• The supervisor will conduct chart reviews.

• Locate and develop relationships with community resources. Attends Case Management, Clinic, and Staff meetings.
• Perform basic office administrative duties, such as answering phones, directing calls, checking inventory, etc.
• Complete other tasks as assigned by the Program Director or Supervisor of Medical Case Management.

1. (Bi-lingual Medical Case Manager only) Translate quarterly newsletter for Latino clients as well as other agency information.
2. (Bi-lingual Medical Case Manager only) Interpret for Spanish-only speaking clients at medical appointments.
3. Transport clients to medical appointments when no other means are available.
4. Conduct counseling and testing sessions for HIV or Hepatitis C per request.
5. Provide outreach/educational services to targeted populations.

Required Skills, Knowledge & Abilities:

• Coordinate and direct multi-disciplinary services.
• Establish and maintain effective working relationships with peers, clients, families and provider agencies.
• Work in partnership with all levels of providers from varied disciplines.
• Communicate effectively, both orally and in writing.
• Plan and organize work.
• Demonstrate a high level of initiative and resourcefulness.

Minimum Qualifications:

• Bachelor’s Degree in Social Work, Psychology, Sociology or other related field.

Preferred Qualifications:

• MSW preferred.
• Prior experience delivering physiological, psychological or social services in a community setting is preferred.
• Knowledge of physiological, psychological, and social problems common to the target group is preferred.
• Bilingual (in English and Spanish) also preferred.

About Pennsylvania Western University

Pennsylvania Western University brings together California, Clarion, and Edinboro universities into a single institution with three vibrant locations and campus experiences. We are building on the strengths and traditions of each campus, and planning for a future as bold and bright as the students we serve. Our campuses have 165 years of tradition and excellence, maintaining our identities as the Vulcans, Golden Eagles, and Fighting Scots.

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