The SLW/Social Services Coordinator provides support for Avenue 360 Patients and Social Services Department. The holder of this position provides assistance to Social Services patients, including scheduling, triaging clinic patients needing to access Social Services, cancelling Patient Assistant Programs, and coordinating auxiliary services on behalf of patients. As well as provides support to, case coordination for, and behavioral health services to People living with HIV/AIDS (PLWHA). The holder of this position will provide out-of-care clients with individualized information and referral to connect them into ambulatory outpatient medical care and other core medical services.

Duties and Responsibilities:

· Maintains a regular and predictable work schedule.

. Accept incoming phone calls from patients calling regarding Social Service services and/or respond via work que tasks within EMR

· Conducts follow up phone calls no show clinic appointments

· Assists patients with scheduling appointments.

· Coordinates file retention and storage efforts

· Complies and processes departmental supply orders.

· Communicates with others (internally and externally) to provide, exchange, or verify information, answer questions and address issues of clients.

· Accomplishes brief assessments and service planning, when brief assessment indicates need for comprehensive biophysical assessment, SLW coordinates with BH providers to ensure that patient receives the correct level of care.

· Participates in multidisciplinary case staffings in order to ensure coordination of care and high-level services provided to patients of the health center.

· Familiarity with HIV/AIDS, substance abuse services and treatment, homeless services, and other community resources.

· Objectivity and self-discipline to avoid emotional involvement in situations that are frequently emotional and high-charged.

· Keeps abreast of new knowledge and techniques related to the practice of case management and new medical treatment modalities as they might affect the social adjustment or lifestyle of clients via literature, professional settings and staff development activities.

· Documentation of services and referrals provided in client record and required database(s) including entry in EMR, CPCDMS, GPRA, etc.

· Performs quality management/assurance activities.

· Assists with compiling monthly, quarterly, and yearly reports.

· Other duties as assigned.