Program Supervisor Medical Case Management

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 450 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. To help further the mission of Harbor, we are seeking a Program Supervisor to join our Community Programs Case Management Team at the Daniel Driscoll Neponset Health Center.

We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!

Role: 

The Program Supervisor, Medical Case Management works as part of the Client Services team and provides oversight and day-to-day supervision of the Client Services medical case management staff at Harbor Health. The Medical Case Management Program provides people living with HIV with comprehensive services to maintain adherence to medication and achieve viral suppression.

This role ensures medical case management clients living with HIV receive responsive, timely support services and Case Managers remain up-to-date with required assessments, reporting, and communication, as well as engaged and active team members. The day-to-day functions of the Medical Case Management Program include managing case assignment, providing supervision and case consultation, auditing documentation, reviewing Case Managers’ documentation and clients’ charts. The supervisor serves as an active point of patient and client contact, communication, and assistance. This is a grant funded position.

Responsibilities include:

• Manages the day-to-day functions of the Medical Case Management Program serving people living with HIV, including the implementation of work plans to meet service delivery targets and quality goals; management of policies, workflows, and processes; conducting case management and chart file reviews; and HIV Drug Assistance Program and reassessment oversight.
• Maintains a caseload of clients, including providing intake, assessment, individual services plans and ongoing case management for patients living with HIV/AIDS.
• Hires, trains, provides performance management and administrative supervision to Medical Case Managers and Resource Access Assistant, fostering a positive, collaborative, team-oriented approach.
• Provides direct clinical supervision to Case Managers or arranges for clinical supervision from a licensed provider.
• Interacts with clients and patients, participating in client engagement activities and communications, responding to case management questions and complaints, assisting with connection to care and support, and responding to clients in crisis as needed.
• Develops and manages the Ryan White new diagnosis report, including weekly review, engaging new clients, conducting intake, and assigning new clients to Case Manager, and coordinating with the clinical team.
• Supports and manages E2 Boston reporting, including monthly outcome reports and utilizations, quarterly completion reports, annual RSR reports, and ensuring Case Managers address and update errors or missing data in a timely manner.
• Develops, manages, and distributes monthly calendar of in-person office hours, ensuring Case Manager communicate regarding changes and maintain schedule to achieve in-person hours goals.
• Manages HIV Drug Assistance Program (HDAP) application flow, including reviewing monthly HDAP approval and recertification list and monitoring Case Managers completion.
• Monitors Ryan White Pool to ensure timely responses to client needs and clear, collaborative inter-team communication occurs.
• Ensures medical Case Managers complete Ryan White Dental applications and assessments, coordinating with dental program specialist and resource access assistant as needed.
• Oversees client reassessment tracking, including communication to Case Managers, approvals of reassessments and ISP in EMR/EHR, and maintaining master list of reassessments.
• Completes trainings required by grant funders and Harbor Health in a timely manner and ensures medical Case Managers participate in on-going trainings to enhance services knowledge and improve client experience, as well as maintain required certifications and compliance requirements (e.g., BLS certification, MassHealth Certified Application Counselor, Compliatric).
• Supports preparation for quarterly and monthly calls and meetings with grant funders and preparation for site visits as needed.
• Collaborates with Harbor Staff and other Client Services team members to identify opportunities to further develop, streamline, improve, and expand client communication and medical case management program services in Harbor’s geographic areas.
• Understands and supports program budget management.
• Actively participates in development of grant funding proposals related to medical case management programs for people living with HIV.
• Attends biweekly multidisciplinary patient review meetings and actively leads medical case management weekly team meetings, as well as attends monthly clinical supervision meeting and preparation meetings related to patient clinical review.

Requirements: 

• Bachelor’s degree required in Social Work, Public Health, Human Services or related field
• BLS (Basic Life Support for Healthcare Providers) Certification required
• Current Massachusetts LCSW license and eligible for Massachusetts LICSW (independent licensure) preferred
• 5-7 years of experience in medical and/or non-medical case management required
• Knowledge of chronic illness preferably with people living with HIV/AIDS required
• Experience using an electronic medical record (OCHIN/EPIC) required
• Experience with e2 Boston preferred
• Prior experience in complex case management and high-risk care management preferred
• Supervisory experience preferred
• Experience in a medical, community health or healthcare setting preferred
• Knowledge and proficiency in HDAP preferred
• Experience with Ryan White funded programs and/or grant-funded programs preferred
• Excellent communication and client/customer service skills.
• Must be able to travel between Harbor Heath sites in a timely manner

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.