What are the responsibilities and job description for the EIS Medical Case Manager position at Little River Medical Center?
Early Intervention Services (EIS) – Medical Case Manager
POSITION SUMMARY
Little River Medical Center's EIS team aims to provide access to health care services and medication for people diagnosed with HIV/AIDS and to strengthen skills to achieve optimal treatment adherence with the goals of viral suppression and reduced HIV-related mortality.
The EIS Medical Case Manager provides comprehensive, patient-centered medical case management services to people living with HIV (PLWH) served by Little River Medical Center (LRMC). Services are delivered in accordance with the Ryan White HIV/AIDS Program (RWHAP) and HRSA/HAB guidelines and are aligned with Patient-Centered Medical Home (PCMH) principles and national Ending the HIV Epidemic (EHE) priorities.
The position supports equitable access to HIV primary care, sustained engagement in treatment, viral suppression, and improved health outcomes through coordinated medical, behavioral health, and supportive services. Care is delivered using trauma-informed, culturally responsive, and nondiscriminatory practices that advance health equity and reduce barriers to care for historically underserved and marginalized populations.
WHY LRMC:
Little River Medical Center is a non-profit community health center within Horry County. At Little River Medical Center, we strive to offer exceptional health services and deliver quality, compassionate care to everyone. We provide a wide range of affordable health and support services for every family.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
Medical Case Management & Care Coordination
- Provide Ryan White–compliant medical case management services, including intake, eligibility determination, comprehensive assessments, individualized service planning, ongoing reassessment, and care coordination.
- Coordinate HIV primary care, specialty care, behavioral health, substance use services, and supportive services based on patients’ needs and acuity.
- Facilitate referrals and warm handoffs to LRMC PCPs, dental and behavioral health, as well as external community-based providers consistent with PCMH care coordination standards.
- Support patients with appointment scheduling, medication adherence, health literacy, and navigation of healthcare and social service systems.
Retention in Care, Viral Suppression & EHE Alignment
- Promote continuous engagement in HIV medical care and adherence to treatment plans to support viral suppression and improved health outcomes.
- Conduct outreach, follow-up, and re-engagement for patients who are newly diagnosed, out of care, or at risk of disengagement.
- Support EHE-aligned strategies by addressing structural and social barriers that impact access, retention, and equity in HIV care.
PCMH & Integrated Care Team Participation
- Function as an integral member of the interdisciplinary care team within LRMC’s PCMH model.
- Collaborate with primary care providers, nurses, behavioral health clinicians, pharmacists, outreach staff, and community partners to deliver coordinated, whole-person care.
- Participate in interdisciplinary case conferences, care coordination meetings, and population health management activities.
- Support team-based workflows that emphasize access, continuity, coordination, quality, and patient-centeredness.
Documentation, Compliance & Reporting
- Maintain accurate, timely, and compliant documentation in the electronic health record (EHR) and Ryan White data systems.
- Ensure compliance with Ryan White HIV/AIDS Program requirements, HRSA/HAB policies, eligibility standards, and scope-of-project guidelines.
- Support data collection and reporting activities, including Ryan White Services Report (RSR), UDS-aligned HIV quality measures, and internal quality dashboards.
Quality Management, Advocacy & Health Equity
- Participate in Ryan White Clinical Quality Management (CQM) and Continuous Quality Improvement (CQI) activities.
- Assist with HRSA and State DPH site visits, audits, and program monitoring activities.
- Advocate for patients to address barriers related to stigma, discrimination, social determinants of health, and healthcare access.
- Deliver services using trauma-informed, strengths-based, and culturally responsive approaches aligned with PCMH and EHE equity goals.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The qualifications below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
An HIV Medical Case Manager must meet one (1) of the following qualifications:
- Hold a master's degree from an accredited college or university in a Human Services field including, but not limited to, Social Work, Sociology, Health Education, Child and Family Development, Counseling, Psychology, or Nursing; or
- Hold a bachelor's degree from an accredited school of Social Work; or
- Hold a four-year degree from an accredited college or university in a Human Services field or related curriculum, including at least fifteen (15) semester hours in courses related to Social Work or Counseling and six (6) months of Social Work or Counseling experience; or
- Hold a four-year degree from an accredited college or university and one (1) year experience in Counseling or in a related Human Services field that provides experience in techniques of Counseling, Casework, Health Education, Group Work, or Community Organization; or
- Be a licensed Registered Nurse, Social Worker, or Certified Substance Abuse Counselor and have two (2) years of experience working in Human Services
LRMC offers benefits such as:
- Medical, Vision & Dental insurance.
- Employer matched 403B Retirement Plan.
- Paid Vacation time, Sick time, & Holiday's. As well as paid qualifying Administrative Leave.
- Employer Paid Health Benefits: Life / AD&D Policies, Short/Long Term Disability, and a Employee Assistant Plan.