Location: CORE Center

Shift: 8:30 AM- 4:30 PM

The CCHIP Senior Case Manager (SCM) will provide a range of client-centered, confidential services that link clients with health care, clinical psychosocial, and supportive service for clients living with HIV/AIDS who are identified as having challenges with accessing and maintaining adherence to health care services. Works closely with the CORE Center medical team to stabilize clients' medically. Facilitates linkage to and maintenance of clients to their primary medical services. The SCM will also provide treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. The SCM will assure that client is connecting to other core services; dental, Mental Health and Substance Abuse treatment. The SCM provides benefits counseling to clients and assist in enrollment, verification and utilization of those benefits. The SCM will provide case management to special populations.

This is a grant-funded position. Grant 2025 CCH Ryan White Title IV-PT D will expire on July 31st, 2026, with the potential to be renewed.

General Administrative Responsibilities

Collective Bargaining

* Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals

* Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

* Document, recommend, and effectuate discipline at all levels

* Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements

* Initiate, authorize, and complete disciplinary action pursuant to CCH system rules, policies, procedures, and provisions of applicable collective bargaining agreements

Supervision

* Direct and effectuate CCH management policies and practices

* Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

* Contribute to the management of CCH staff and CCH' systemic development and success

* Discuss and develop CCH system policies and procedures

General Administrative Responsibilities continued

* Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary: hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct, or discipline employees pursuant to applicable Collective Bargaining Agreements

* Work with Labor Relations to discern past practice when necessary

TYPICAL DUTIES

* Completes initial intake and assessment of needs on new clients and clients returning to care.

o If opened for CM services, complete Aids Foundation of Chicago (AFC) intake documentation

o Make all initial referrals to behavioral health, health education, dental, and benefits.

o Assess benefits and complete necessary applications and referrals

o Maintains a caseload based on funder's requirements

* Follows special population requirements:

o Adolescent Clinic:

SS Organizes groups with the clients

SS Attends weekly team meetings and prepare to discuss clients

SS Works with client on a transition plan when being scheduled to transition to the adult clinic

o Women & Children Program:

SS Completes monthly and quarterly reports

SS Ensures availability for clients as needed for emergencies

SS Conducts community outreach for clients

SS Submits mileage reimbursement within 30 days of incurring

o Corrections/Re-Entry Case Management:

SS Maintains monthly contact with clients to reduce recidivism of individuals with HIV

SS Conducts outreach and home visits to engage clients in care

SS Completes monthly documentation and reporting to PROVIDE database system

o Care Coordination Services:

SS Meets daily for de-briefing with project connect team

SS Conducts hospital visits on designated days to complete assessments and address other needs, as needed

SS Works with multidisciplinary team for client while inpatient

SS Attends pre-clinic meetings where to open clients are scheduled

* Develops a comprehensive, individualized service plan

o Reviews with client, client will agree to the goals and objectives for the services plan that will include specific outcomes with expected completion dates and timelines

o Conducts periodic re-evaluations at least once every 6 months review whether the goals were met and should continue or discontinue and/or make new goals, if needed

o Collaborates with medical provider and other clinic staff to assure compliance with the service plan

* Maintains contact with client to assure medical and medication compliance

o Contacts client prior to scheduled medical appointments to remind them of their appointment

o Performs face-to-face contact with client at least once every three months and have phone contact with client monthly in between those face-to-face contacts

o Conducts outreach if client becomes non-compliant by doing phone outreach, sending a letter to last known address, and complete home visit to encourage compliance with medical and medication

o Advocates and reinforces education to client of the expectations of client around clinic appointments (ensuring client meets with CM at appointment), medication adherence and compliance to all referral to substance abuse and mental health services

o Identifies barriers to appointments and provide support to encourage adherence. For example, the CM will access for transportation needs and provide transportation, if needed

* Makes appropriate and timely referral to internal and external providers and coordinate services identified on service plan

o Makes referrals and document in electronic databases

o Follows up on referrals will be made to provide necessary information and support to facilitate the referral

* Meets with medical provider on a regular basis to mutually support client's compliance with appointments

o Presents during clients' scheduled medical appointments to advocate on client's behalf for any identified or assessed services

o Attends all pre-clinics to give updates on clients social service needs and collaborate with other providers

o Completes a CM care conference with a licensed provider on all active clients at least once every 6 months

* Transitions clients out of medical case management into other appropriate programs

o Completes change of status after meeting all goals of the service plan and client deemed stable, transfers case into supportive case management or close

o If medically indicated, the client should refer to DRS services

o Maintains the client on their caseload until the client is accepted into the program

o Refers client to educational support groups if appropriate

o If client would like to transfer to another agency within the Case Management Cooperative, the appropriate transfer steps should be taken per AFC Standards of Procedure

* Adheres to Social Services Documentation Policy of all patient encounters and forms

o Documents face to face conversations, phone calls, and collateral contacts must be in the electronic medical record, and all other databases

o All client-related activities, referrals including approvals and denials should be in patient record and data base

o Enters data and paperwork will be submitted in compliance with the policies

o All transportation, food vouchers, cabs, Uber rides must be properly documented including client's signature of receipt

o Tracks any client or service trends and report in monthly supervision

* Maintains a working knowledge of community and internal program that would enhance the client's ability to be maintained in care

o Attends any workshop that would familiarize case manager with community programs

o Keeps a resource file of HIV/AIDS programs with contact information

o Remains current with AIDS Drug Assistance Programs (ADAP), CareLink, CountyCare, Medicare D programs and benefits programs that would benefit the clients

* Enhances professional development and maintain an area of specialization

o Discusses areas of specialization and interest with supervisor, seek and receive ongoing training in specialty area (ob/gyn, community outreach, women specific issues), periodically present cases or topics related to specialty area to case management department and/or social service staff

o Maintains professional competencies and complete at least 12 trainings per year

* Participates in all CORE Center and AFC mandatory training and meeting

o Completes and pass AFC Medical Case Management Certification within first 6 months of employment, maintains certification

o Attends and certificate of completion for all trainings will go in employee's record of all mandatory training. Any training that is missed should have supervisor's approval

* Participates in social services continuous quality improvement efforts

o Meets documentation requirements as outlined within the Social Services Department and throughout the CORE Center

o Develops quality improvement processes as assigned

* Adheres to CORE Center and social services specific policies and procedures

* Provides excellent customer service and professionals when interacting with clients and internal and external customers

o Responds to phone calls, emails, faxes and pages in according to the CORE policies

o Maintains open communication with supervisors and communicate concerns through the appropriate means

* Provides clinic coverage/general coverage when a shortage arises

* Facilitates groups upon request

* Performs other duties as assigned

MINIMUM QUALIFICATIONS

* Associate's degree in related human service, science, social science, or health education field from an accredited college or university with four (4) years of case management or related experience OR Bachelor's degree in related human service, social science, or health education field from an accredited college or university with two (2) years of case management or related experience

* Two (2) years of experience working with HIV/AIDS clients with multiple needs

* Experience and use of outreach/assessment approaches based on varied age-groups

* Proficiency using Microsoft Office including Access and similar data base programs

* Must obtain and maintain an Aids Foundation of Chicago (AFC) Medical Case Management Certification within first 6 months of employment

PREFERRED QUALIFICATIONS

* Bachelor's degree or higher in related human service, social science, social work, or health education field from an accredited college or university with two (2) years of case management or related experience (Must provide at time of interview)

* Licensed LSW or LCSW (Must provide at time of interview) Licensed LSW or LCSW

* Experience working in a primary care medical setting, hospital or outpatient setting, and/or with clients with multiple needs Experience working in a primary care medical setting, hospital or outpatient setting, and/or with clients with multiple needs

KNOWLEDGE, SKILLS, ABILITIES, AND OTHER CHARACTERISTICS

* Knowledge of HIV/AIDS and family issues, commitment to confidentiality, ethics, and a culturally sensitive approach to counseling

* Excellent verbal, written communication, and interpersonal skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups

* Strong customer service and empathy skills

* Ability to function autonomously and as a team member

* Ability to adhere to department policies and standards utilizing best practices

* Ability to maintain a professional demeanor and composure when challenged

* Ability to handle confidential information

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

VETERAN PREFERENCE PLEASE READ

When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.

• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"

• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

• A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage

• Basic Term Life Insurance

• Pension Plan

• Deferred Compensation Program

• Paid Holidays, Vacation, and Sick Time

• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER