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Our mission is to provide access to comprehensive care and coordinated services that facilitate positive health outcomes and general well-being for our members. This true integrative care model addresses psychosocial, housing, behavioral and medical services directly evolving around the needs of each member.</p><p>We are a community of individuals from diverse peoples who work together to actively foster a fair, equitable, inclusive environment where all employees receive an invitation to belong. Visit <a href="https://Amidacareny.org">Amidacareny.org</a> for more information about the Amida Care culture.</p><h4>We are actively seeking a highly motivated, innovative and experienced individual to join our team as the TGNB Case Manager Coordinator. Compensation will be commensurate with experience.</h4><h2>Position Summary:</h2><p>This position is responsible for obtaining and logging case management (CM) assessments/reassessments and HIV Risk assessments for a targeted cohort of Amida Care’s HIV-Negative, Transgender and Non-binary (TGNB) membership. This position will also be responsible for conducting essential case management responsibilities for this portion of the membership, including TGNB health navigation, HIV prevention health education, and referrals to community partners to address essential social determinants of health. Additionally, this position will work with external case management agencies and care teams to collaborate on case management needs and to obtain and record necessary documentation. and progress notes received from external case management agencies, by educating sites and collecting documentation.</p><h3>Responsibilities:</h3><ul><li>Conduct telephonic reassessments and HIV risk assessments every 180 days for assigned caseload.</li><li>Refer members to the appropriate case management agency after assessment completion, if requested by member.</li><li>Perform monthly generation and on-going review of case management site rosters, and identify members who are actively receiving case management.</li><li>Obtain comprehensive psychosocial case management assessments/progress notes for those active members assigned to a case management agency.</li><li>Document elements of the assessment, including the needs identified and members input.</li><li>Review and address Gaps in Care with members and providers as applicable.</li><li>Refer members deemed as unreachable to the Retention in Care Unit (RICU).</li><li>Refer members to external agencies as requested through Unite Us, and perform referral follow-up.</li><li>Educate members and providers regarding Plan benefits, policies, and support services available to members.</li><li>Provide direct individual interventions including elements of case management and advocacy, referral and follow-up meetings in-person or by telephone.</li><li>Assist in strengthening transgender programming and HIV prevention programming across all Amida Care departments.</li><li>Participate in meetings with the Gender Identity Support Team (GIST) and the HIV Preventio Program and assist with related projects as directed.</li></ul><p>Amida Care is Diversity, Equity and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. 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