The Retention Specialist addresses individual barriers preventing some persons living with HIV from engaging and adhering to HIV care and treatment in Evergreen Health’s Primary and Specialty Care Services. They perform assessments surrounding treatment readiness, barriers to care including perceptions, service plan development, insurance issues, routine contact and linkage to support services especially those onsite (care coordination, pharmacy, nutrition, transportation, housing, counseling, risk reduction groups etc.) and advocacy, outreach and support. As part of the Essential Functions for this role, the Retention Specialist:
· Works collaboratively with the entire Retention & Adherence Program (RAP) Team with the goal of improving health outcomes by increasing the number of patients who remain in primary care and helping patients achieve sustainable viral load suppression
· Directly provides services according the established AIDS Institute’s Retention and Adherence Services Program Standards including assessments/reassessments, service plans, coordination, monitoring of medical treatment, education, patient self-management etc.
· Provides linkage and referrals to all other appropriate wrap-around services and programs available throughout the Evergreen Association and the community to address any identified barriers or challenges
· Ensures patient retention in care through monitoring, patient reminders and identifying and addressing any barriers directly, or through referrals if necessary
· Reviews, understands and has a working knowledge of the appropriate grant work-plan from which program funding is obtained including all deliverables and required data/statistical requirements
· Provides community-based care coordination; medical, psycho-social, and other services on-site and in coordination with other providers; represents patient when advocacy is necessary
· Maintains complete, current and accurate patient files through the electronic medical records system (Medent) complying with agency protocols and confidentiality policies
Qualified Candidate will have Bachelor’s degree and one (1) year of experience with qualifying* experience OR an Associate’s degree with two (2) years of qualifying* experience. Qualifying* experience is verifiable experience working in care coordination/case management with the following populations: Persons with a chronic illness, and/or persons with a history of mental illness, homelessness, or chemical dependence. Experience with families preferred. Candidate must be able to communicate clearly and professionally in writing and verbally (in person and via phone), and demonstrate proficiency with EMR and MS Office software (Outlook, Word). Candidate must demonstrate excellent organizational and time management skills, attention to detail, and be able to work independently. Must possess valid NYS driver license, insurance and dependable car. Sensitivity to HIV/AIDS and lifestyle and addiction issues is essential.
Job Type: Full-time
Required education: Bachelor’s (with 1 year experience) OR Associate’s (with 2 years experience)
Required experience: Care Coordination/Case Management
Additional requirements: Valid NYS driver’s license and insured, dependable car