Statement of Purpose: The PrEP Case Manager facilitates a collaborative process of assessment, planning, and advocacy for options and services to meet an individual's health needs through communication and available resources. The PrEP Case Manager supports PrEP patients to remain treatment adherent, promotes patient independence and self-sufficiency, and facilitates timely access to comprehensive medical care and social services that help minimize a patient’s vulnerability to acquiring HIV, STIs, and Hepatitis C. The PrEP Case Manager role mirrors the intensity and principles of a Ryan White Case Manager. This position will be based in Phoenix, supporting Arizona patients in-person and via telehealth, and Nevada patients via telehealth. This is a grant-funded pilot program intended to provide PrEP patients with case management services aligned to local case management services funded by the federal Ryan White program. 

Career Path: PrEP Case Managers manage a varying degree of work depending on the size and scope of the location(s) they are assigned to. This position is classified as a Medical Case Manager Level 1. A PrEP Case Manager can directly affect their career path (level) based on their work to increase the size and scope of their clinic(s). Levels are reviewed annually as part of the annual review/merit cycle.

CAN Values:

1. Recognize and affirm the unique and intrinsic worth of everyone.
2. Treat all those we serve with compassion and kindness.
3. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way I live my life.
4. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.

Primary Tasks:

1. Promotes and practices with integrity CAN Community Health, Inc.’s mission, vision, and values as listed above.
2. Complies with and enforces all established CAN policies and procedures.
3. Completes acuity assessments of Social Determinants of Health and documents to identify barriers and risk factors to treamernt engagement and success (e.g., food and housing needs, low socio-economic status and/or lack of health insurance, mental health and substance use issues, etc.) using an eCW template.
4. Classifies patients based on their acuity of needs and develops and implements individualized care plans. Follows up with patients to evaluate the progress toward completing care plans goals as calendarized according to the patient’s acuity level. Conducts annual acuity screenings.
5. Provides assistance with referrals and coordinates external services. As needed, assists with making referral appointments and reminders, evaluating health care coverage and assistance program eligibility, completing enrollment and other forms, obtaining needed documentation, arranging transportation, etc.
6. Facilitates completion of prior authorization documents for PrEP medication access assistance.
7. Educates patients on the organization’s 340B pharmacy options, benefits, and services. Promotes and refers patients to CAN’s 340B eligible pharmacies.
8. Collaborates with clinic team members to coordinate patient services.
9. Complies with 340B program requirements.
10. Determines, maintains, and optimizes all forms of patient communication (portal, email, phone, social media, etc.) to engage with patients on a regular, scheduled basis to ensure continuity of access and engagement.
11. Ensures that all web-enabled patients have access to and can navigate CAN’s EMR patient portal for improved communication with patient.
12. May conduct offsite visits for patients, and/or attend referral appointments with patients in accordance with current CAN policies and procedures.
13. Identifies patients at risk for falling out of care and those with unaddressed quality-of-care items which elevate the risk of disengagement.
14. Accurately documents all client encounters within software applications, completes and submits billing documentation, and maintains client case management files. Ensures all client information is entered into CAN’s EMR and other data systems in a timely manner. Collects and prepares data for performance monitoring, CAN dashboards, and grant compliance. Ensures the integrity of case management records through the audit review process.
15. Completes community engagement activities to develop and maintain formal and informal relationships with community-based organizations, health programs, hospitals, tribal entities, private businesses, etc.
16. Develops and maintains communication with pharmaceutical community liaisons.
17. Maintains a referral directory of local resources for medical care and supportive services.
18. Represents CAN Community Health at local, state, and national conferences and meetings, as deemed necessary. Participates (as a member or guest) of local and national HIV prevention planning bodies, PrEP coalitions, and community resource networking groups, associations, etc.
19. Complies with all programs requirements and remains current with all program changes.

20. Completes all required training and meetings.

21. Participates in achieving clinic community engagement goals.

22. Anticipates needs and set priorities to handle a changing environment.

23. Ensures confidentiality is maintained regarding patient/client information, in accordance with HIPAA and CAN professional and departmental standards.

Secondary Tasks:

1. Cross trains for effective team participation.
2. Practices safety, environmental and/or infection control methods.
3. Continues professional training and education to advance skills/knowledge of HIV and related disease processes, medications, and treatments.
4. Participates in the CAN’s quality improvement and performance measurement processes.
5. Utilizes resources and supplies in a cost-effective manner.
6. Demonstrates courtesy and respect in all interpersonal relationships with CAN clients, staff, and visitors.
7. Remains compliance with CAN’s professional standards & regulatory requirements.
8. Performs all other duties as assigned.

Travel Requirements:

Moderate in-state and occasional out-of-state travel required, and travel in the community on evenings and weekends as-needed in service. 

Responsible to:

The local Practice Administrator, with functional guidance by Prevention and Medical Case Management leadership.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Required Education/Professional Experience:

1. College degree and/or three (3) year minimum of relevant work experience.
2. Experience working with priority populations.
3. Preferred Education/Professional Experience:
4. Three (3) years plus in HIV programmatic experience.
5. Knowledge of generalist social work practice.
6. General Nursing, Medical assistant, Pharmaceutical Industry, Insurance, Public health, and/or Case Management experience in relevant industry.
7. Bilingual in Spanish.

Knowledge, Skills and Abilities Required:

1. Promotes teamwork, productivity, and delivery of high-quality care.
2. High comfort working in a diverse, busy environment with changing priorities.
3. Knowledge of HIV medical terminology, procedures, medications, and treatment practices.
4. Requires daily travel to assigned clinic locations and community meetings throughout area. May require travel to meet a patient at their preferred meeting location, and/or to accompany a patient to a referral appointment.
5. Ability to accurately coordinate several tasks at one time.
6. Able to work autonomously.
7. Strong interpersonal skills and the ability to work effectively with a diverse population.
8. Knowledge of community health services and agencies.
9. Demonstrates visual and auditory acuity.
10. Computer skills and proficiency in Microsoft Outlook, Office (EXCEL, VISIO, Word, PowerPoint).
11. Ability to self-motivate.
12. Demonstrates experience with Ryan White, CDC, and 340B mandates, documentation, and compliance.
13. Demonstrates appropriate organizational skills.
14. Demonstrates excellent communication, intervention, and people skills.
15. Ability to effectively utilize problem-solving and decision-making techniques.
16. Ability to make effective judgments and decisions based on objective criteria.
17. Demonstrates knowledge of documentation protocols.

Physical Requirements:

Exerts up to 20 lbs. of force occasionally and/or up to 10 lbs. of force frequently, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.

Work requires close visual acuity to perform an activity such as preparing and analyzing data and figures; transcribing; viewing a computer monitor; extensive reading; visual inspection involving small objects, and/or operation of clinical equipment, devices, and tools.

Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.

Machines/Equipment and Tools Used:

1. Standard office equipment including computers, fax machines, copiers printers, telephones etc.
2. Must have a valid driver's license and be able to operate a motor vehicle. If using a personal vehicle, must maintain insurance coverage and service maintenance for the vehicle.

CAN Community Health is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.