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NeighborHealth · 1 hour ago

Med Case Mgr Coord/Quality & Data Perf Analyst

Boston, MA

Full-time

Onsite

Mid, Senior Level

$26/hr - $39/hr

4+ years exp

NeighborHealth is one of the largest community health centers in the country, committed to serving the greater Boston area. The Medical Case Manager Supervisor/Quality and Data Performance Analyst is responsible for overseeing the medical case management team and ensuring compliance with data reporting and program objectives.

Child CareElder CareHealth CareMedicalPrimary and Urgent Care

Responsibilities

Provide medical case management team with programmatic supervision to ensure effective team work, adequate support and cohesive communication

Ensure programmatic work flow efficiency and follow through

Work closely with Department Manager and Director on programmatic/funder compliance, reporting requirements, site visits and meeting program scope of services and objectives

Provide feedback to staff and provide input on staff performance

Attend and participate in funder required meetings/trainings

Act as part of clinical care teams to help clients navigate medical care and work closely and directly with medical care providers to ensure coordination of care

Link clients with health care and psychosocial services in a timely and coordinated manner via provision of information and active referrals

Coordination and follow up of medical treatments

Provide continuity of care through ongoing assessment of clients’ needs

Conduct readiness to start HIV medications Monitor clients’ adherence to HIV medications

Conduct initial psychosocial assessment of service needs

Track visits with Infections Disease Specialist (IDS), make appointments for routine HIV care

Monitor outside appointments via EPIC and re-schedule them if necessary. Ensure that specialists have information needed for appointment

Document face-to-face meetings, phone contact and other forms of communication in EPIC to ensure that all team members have access to information and enter in e2Shine as needed

Remind clients of internal and outside appointments by phone or letter

Ensure that interpreters are scheduled when needed. When interpreters are not available, serve as an interpreter for the NP and IDS

Share information collected during assessment and reassessments with medical and mental health team members to promote positive prevention, harm reduction and treatment adherence during

Assess clients' needs and personal support systems with the goal of developing personalized care plans (ISP), incorporating both short and long-term goals

Present ISP to care team after initial assessment and subsequent reassessments, and incorporate ISP into comprehensive care plan for the client

Coordinate services required to implement the care plan ensuring non-duplication

Monitor and re-assess the clients' needs at set intervals and revise care plan accordingly

Develop linkages with local organizations to exchange information on program-related matters and resources/benefits to strengthen collaborative relationships

Maintain current, accurate and confidential documentation on patient visits and contacts, including implementation of service plan, in compliance with state and federal regulations

Collect documentation/ data necessary for meeting service eligibility criteria, program implementation, evaluation, and reporting

Prepares for and actively participates in weekly clinical supervision; presents actual case material for discussion, and uses supervision to identify and work on professional goals

Participate in the process of grant writing activities related to the case management function and service reports re: patient utilization and outcome measures

Utilizes feedback from clinical supervision to improve work performance

Participates in required departmental activities and meetings

Flexibility to adapt to changes in department needs, scheduling and job content

Work with IT analyst to define data elements needed for compliance reporting

Work with IT analyst to define workflows for capturing required data elements

Responsible for maintaining all documentation related to the definition of required data elements

Collaborate on training materials for workflows to capture required data elements

Participate in training for staff and provide ongoing support for data integrity

Perform periodic data integrity checks to ensure ability for timely compliance reporting

Follow up with staff to ensure accountability for data integrity of all data elements needed for compliance reporting

Primary liaison for technology vendors and regulatory entities

Responsible for interpreting all regulatory changes pertaining to compliance reporting for IT analysts to define solutions for new or changed data elements

Responsible for mapping and updating of the system based on regulatory changes and needs of the department

Responsible for troubleshooting any issues with data and working on resolutions with IT and Project shine staff

Responsible, in conjunction with IT, for all updates and upgrades of RDE software

Responsible for the timely reporting of data elements to all regulatory agencies

Qualification

HIV Case Management CertificationData Integrity ManagementHuman Services ExperienceSubstance Abuse CounselingMicrosoft WordMicrosoft AccessCrisis Intervention SkillsBilingual CommunicationInterpersonal SkillsDocumentation Skills

Required

Minimum of four years of Human Services delivery experience and/or a Bachelor's Degree

Experience working with clients who are HIV positive, have a substance use history and/or have mental health issues

Knowledge and experience working with diverse communities, specifically men that have sex with men (MSM), recently arrived immigrants, injection drug users and their partners, and adolescents

Successfully complete course/background in medical terminology

Good documentation skills

Good understanding of substance use and abuse

Demonstrated ability to coordinate services, information and referrals for clients in need of case management services

Good crisis-intervention and assessment skills

Strong interpersonal skills

Good verbal and written communication skills

Experience with Microsoft Word and Access