Description of Position:
The primary job function is to assist clients with the navigation, enrollment and orientation of the Non-Medical Case Management programs. Ensure support services have been provided to clients. Provide referrals to other eligible and applicable programs and assist clients through regular engagement with program compliance and retention.

Essential Job Functions:
HIV Linkage to Care

• Identify and coordinate clients newly HIV diagnosed or those re-engaging into care.
• Assess potential barriers to care and the impact of HIV stigma with newly HIV diagnosed and re-engaging clients.
• Screen clients for mental health, case management, and substance abuse services and refer for
  further services as needed.
• Schedule medical appointments with long-term care providers.
• Enter client encounters into EHR systems.
• Coordinate with the clinical team to ensure new patient laboratory tests are collected.
• Conduct Ryan White eligibility determination.
• Facilitate linkage to a long-term care provider by reviewing provider options with the client and
  making appropriate referrals.
• Keep up-to-date information about appointment availability of public and private HIV providers
  in Palm Beach County.
• Conduct follow-up calls with clients.
• Collaborate/consult with community partners for care coordination.
• Monitor show rates for all appointments including follow-up with the long-term care provider to
  verify that the initial medical visit occurred.
• Contact pharmacy to check that antiretroviral prescriptions were filled.
• Monitor health outcomes of clients and assist with data collection and reporting.
  Hep B/C & Prevention Linkage to Care
• Monitor referrals of clients referred to PrEP/PEP and HEP programs.
• Assessment of clients' level of risk to determine appropriateness for PrEP, PEP & HEP
  medications.
• Assess and address clients' knowledge, attitudes, and beliefs regarding PrEP, PEP & HEP.
• Engage high-risk individuals in discussions regarding HIV risk reduction and PrEP, PEP & HEP to
  educate them in what is required of them to ensure the most effective use of PrEP, PEP & HEP
  medications.
• Assess clients' health insurance status.
• Assist clients with insurance enrollments, pharmaceutical assistance, insurance prior
  authorizations, pharmacy navigation.
• Schedule follow-up visits for monitoring possible side effects of PrEP, PEP & HEP, Coordinates,
  support and follows up on medical treatments.
• Complete client assessments and review medical records as needed for clients enrolled in the
  PrEP/PEP and Hep C programs.
• Ensure laboratory tests are requested and in the system for all clients every three months.
• Assists clients in Monarch’s PrEP/PEP, and Hep C programs with support services.
• Ensure client engagement and rapport within client interaction in order to help each progress in
  their medical treatment and assist with retention and compliance.
• Assist with care planning activities (e.g., scheduling appointments, tracking, monitoring
  appointment adherence, identifying service gaps, case closure, etc.) for PrEP/PEP and Hep C
  clients.
• Determine individual needs and eligibility for various medical and social services, enrolling them
  into available community programs.
• Ensure timely completion of all PrEP/PEP and Hep C program-related data entry into EHR.

Required Knowledge, Skills and Personal Qualifications:
1. High school diploma
2. Phlebotomy Skills
3. Excellent interpersonal, oral, and written communications and presentation skills
4. High enthusiasm, creativity and innovative
5. Experienced in working with indigent and culturally diverse populations.
6. Electronic Medical Record system knowledge
7. Cooperates as a team player.
8. Possesses problem solving and decision-making abilities.
9. Ability to work without close supervision.
10. Utilizes good time management techniques.
11. Follows through to completion of assigned tasks.
12. Proficiency in word processing and spreadsheet database
13. Abides by all policies and procedures.

Preferred Qualifications:

1. Bi-Lingual preferred.

2. Social Work, Minimum two years of experience in the field.

3. Associate or Bachelor degree in Social Work, Psychology and related field.

4. Experience working with clients living with HIV and other diagnosis.