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Medical Case Manager - Oak Lawn Health Center
Job Code:2020-CLINIC-034
Location:Dallas, TX
Employment Type:Non-Exempt (Hourly)

Job Responsibilities:

General Description:

The Medical Case Manager provides treatment adherence and a range of client-centered services that link clients with health care, psychosocial, and other services. The coordination and follow-up of medical treatments is a component of medical case management. These services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care, through ongoing assessment of the client’s and other key family members’ needs and personal support systems. A critical component of the MCM includes the provision of treatment adherence counseling to ensure readiness for, and adherence to, complex HIV/AIDS treatments. Key activities include (1) initial assessment of service needs; (2) development of a comprehensive, individualized care plan; (3) coordination of services required to implement the plan; (4) client monitoring to assess the efficacy of the plan; and (5) periodic re-evaluation and adaptation of the plan as necessary over the life of the client. It includes client-specific advocacy and/or review of utilization of services. This includes all types of case management including face-to-face, phone contact, and any other forms of communication.


Specific Responsibilities of the Job:


  • To perform a medically focused form of case management.
  • Assess the medical needs of Persons Living with HIV (PLWH) including behavioral risk screening followed by risk reduction interventions for PLWH at risk of transmitting HIV.
  • Develop and review a care plan based on client’s needs and choices, with goals and strategies for completion based on DSHS Medical Case Manager Standards of Care.
  • Link and coordinate client care to ensure that quality medical care is received, including medical, mental health, vision and dental care. Implement the care plan through time-lined strategies.
  • Coordinate with client’s medical providers including any sub-specialists. Coordinate with the non-medical case manager regarding patient barriers to care, adherence with medical appointments, and other information useful to care coordination.
  • Provide education about medical therapies including the benefits and side effects of adherence in coordination with clinician.
  • Provide interventions to improve adherence to medical therapies and compliance with medical appointments. This may include reminder calls and contacting clients who do not show for appointments; as well as clients who are not taking their medications as prescribed.
  • Assure services are delivered in a culturally competent manner with attention given to the accommodation of individuals with special needs.
  • Participate in quality management program activities, staff development and meetings and retreats as scheduled.Document patient outcome measures in accordance with Agency procedures. This does not include compiling the outcome measures reports.
  • Participate with training new staff members, Agency mailings, LifeWalk, fundraisers and other special events as necessary.
  • Perform HIV testing according to protocol.
  • Other duties as assigned.


Direct Reports:


Job Qualifications:

Required Knowledge, Skills and Abilities:

  • Must have medical knowledge of HIV/AIDS, as well as sensitivity to PLWH.
  • Strong verbal and written skills with health professionals, patients and their families.
  • Ability to perform independently while working in an interdisciplinary team environment.
  • Ability to develop and communicate appropriate educational materials for all levels of health literacy and preferred learning modalities.
  • Proficiency in Word, Excel, and Outlook.
  • Must be able to lift 50 pounds.


    Education and Experience:

  • Bachelor’s or Master’s degree in nursing preferred with appropriate Texas licensure in good standing. As an alternative, a minimum of 2 years’ experience performing medical case management, case management or client advocacy may substitute for each year of college education.
  • Must complete a minimum of 12 hours of continuing education in relevant topics annually.
  • Bilingual preferred.