Medical Social Worker/Case Manager

Job Description Job Title: Social Worker Access to Care At initial and annual intakes identify medical coverage, household income and potential barriers to care (housing, transportation, financial, mental health, substance use, etc.) Assist in the enrollment and maintenance in any primary (e.g. Medicaid) or supplemental (e.g. OHDAP) coverage as needed to cover all medical expenses (i.e. benefits assistance) Make reminder calls for medical and mental health appointments, assisting patient to overcome any barriers to keeping appointment Verify and document patient coverage for on-site and referral appointments Make referrals for any issues that will impede access to care Participate in outreach activities Retention in Care Assist patient in overcoming any barriers to returning to care (e.g. transportation solutions, mental health referrals, etc.) Use self-management model to assist patients in goal setting that will contribute to retention in care, reduce barriers to care (e.g. drug rehab, getting a driver’s license) Optional (strongly encouraged) attendance at monthly Ministry Café Utilization/Quality of Care Review charts/case notes before clinic so that all areas of concern are addressed at visit Conduct mental health assessments and refer patients to counseling and/or substance use programs as indicated Make follow up calls to patients that have missed their appointments. Provide transportation assistance to appointments for clients that need a staff person present. Use self-management model to assist patients in goal setting that will contribute to improved quality of medical care & quality of life Collaborate with clinic staff, Ryan White Part B case managers and outside agencies Participate in Quality activities as part of interdisciplinary staff meetings Fulfill medical records request for SSA Complete Physician Reports Coordinate patient education Obtain patient’s proof of incomes General Maintain patient confidentiality Document/chart patient progress immediately and accurately Perform work in a timely and productive manner Take action to improve knowledge, skills and performance based on feedback or on self-identified needs; maintain professional license Maintain patient documentation Document patient contact Document pertinent information from other agencies/providers. Maintain daily log Report job-related or patient-related concerns to Clinic Director Assist with Ministry fundraising when asked Performs other duties as necessary Job Type: Full-time Work Location: In person