The mission of Asociación Puertorriqueños en Marcha Inc. (APM), a nonprofit IRS 501(c)3 Latino based health, human services and community development organization located at Philadelphia, Pennsylvania, is to assists families achieve their full potential in life, by empower at-risk families in our community to make positive life choices that enable them to maximize their personal potential. Through collaborative programming with health, human services, housing and other community-based organizations. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s needs. It uses communication and available resources to promote high quality, cost-effective outcomes. The Case Manager will be responsible to ensure program quality and performance related to recruiting, screening, matching, monitoring, and closing the relationship with each program participants. Under the supervision of the La CASA Project Coordinator the Case Manager is responsible for providing a full range of culturally and language appropriate case management services to HOPWA clients and others, assigned to their caseload.
DUTIES AND RESPONSIBILITIES:
• Compiles a list of referrals resources for target populations to ensure continuity of health care. These referrals should include, but not be limited to, HIV testing, counseling, drug/alcohol, medical, family planning, housing, food, childcare, educational and legal.
• Provides initial psycho/social assessment to all new HOPWA clients.
• Performs intake, face-to-face needs assessment on clients. Obtains medical and demographic data and informed consent of each client.
• Assembles care plans together with client and other members of support team (primary care practitioner, mental health and drug and alcohol therapist), while ensuring confidentiality.
• Provides case management and advocacy by carrying a caseload (25-45) of asymptomatic / symptomatic persons with an HIV diagnosis. Available for home, hospital, and office visits.
• Coordinates home, hospital, and office visits, and provision of services according to the case management procedure.
• Coordinates with the client health care providers when closing a case or re-evaluating the service care plan.
• Participates in APM’s staff and supervisory meetings.
• Participates in training, supervision and staff development as required.
• Maintains accurate, timely record as required.
• Provides referral to all the needed services to clients and members of their support system as needed.
• Works with the case managers and other co-workers as a team to deliver case management services.
• In coordination with program coordinator the case manager establishes collaborative agreements within APM services and with other community-based organizations to increase access to mental health, drug and alcohol, primary care, and to other HIV related services.
• Performs other related duties as required by supervisor.
• Completes intake process as required by the case management procedure.
• Completes documentation and paperwork on completed Intakes within 24 hours of client interview, and other contacts.
• All paperwork on contact with clients and referrals made on behalf of clients completed per time frames established in the Case Manager Policy and Procedures Manual.
• Documents the minimum contact with each client assigned to caseload as per time frames outlined in the Case Manager Policy and Procedures Manual.
• Participates in bi-weekly (or as required) individual supervisory meeting.
• Participates in monthly staff meetings (or as required).
• Completes monthly statistical reports by the first of the month for the previous month worked.
• Maintains awareness and knowledge of resources, benefits and entitlement necessary to refer clients for services and to advocated for client needs.
• Eligible for targeted case management certifications (as required).
• Complies with all APM, Inc., Health Promotions/La CASA Project policies and regulations.
• Available to work after hours when needed.
• Associate or Bachelor's Degree in Social Work or related field.
• 1 year of case management experience required; 2 years preferred.
• Bilingual/Bicultural (Spanish/English).
• Understanding/knowledgeable of psychosocial and medical issues related to HIV disease.
• Knowledge of health and social resources.
• Excellent oral and written communication skills.