CCHIP INTEGRATED CARE SPECIALIST

Cook County Health · Chicago, United States

CCHIP Integrated Care Specialist

The CCHIP Integrated Care Specialist (Specialist) will conduct HIV Testing, outreach (HIV awareness/lost to care), recruitment, and linkage to care service providing enhanced care coordination services to persons living with/affected by HIV/AIDS. The Specialist will work closely with newly diagnosed and those vulnerable to HIV ensuring proper continuation and expansion of pre-exposure prophylaxis (PrEP) patient navigation and adherence counseling program at Cook County Health (CCH) Ambulatory & Community Health Network (ACHN) Clinics. The Specialist will promote program enrollment and the use of antiretroviral's (ARV) for HIV treatment and prevention. The Specialist conducts retention/case finding activities, under supervision, to locate newly diagnosed and lost to care clients. The Specialist will work with a team of peer educators and staff who will assist with community outreach, HIV testing and health education onsite at ACHN locations and throughout eligible metropolitan area. This is a grant-funded position.

Typical duties include conducting outreach, recruitment, HIV Testing, pre/posttest counseling, and risk reduction counseling on at risk populations in clinical settings at assigned ACHN locations, including prevention and treatment. Conducting case reporting, partner services, health outcomes as required. Conducting linkage to care, health education/literacy assessment, specialty care referrals and enrollment and eligibility verification activities on newly diagnosed persons and or out care persons, which may include HIV, STI, PrEP, & DoxyPEP education. Conducting sessions with individuals newly diagnoses with HIV to link them to EIS services. Conducting community case finding activities, including outreach and home visits. Participating in daily/weekly case conferences and planning with care team. Engaging newly diagnoses and/or lost to care patient in primary care. Identifying PrEP eligible clients and links them to appropriate services. Assisting in the implementation of PrEP services and appointment scheduling in primary care for PrEP ensuring clients receive education about coverage programs. Providing individual- and relationship-based HIV and STI counseling. Documenting services rendered primarily within CCH Electronic Medical Records System (EMR). Providing education about Post-Exposure Prophylaxis (PEP), and other effective biomedical and prevention interventions. Referring eligible, interested clients to primary care medical services at CCH sites to further discuss PEP and other preventive care with an SSHARC medical provider. Participating in weekly case conferences and planning with care coordination team in person or by phone. Developing a service plan of action for meeting client's assessed needs, documenting health education sessions, and completing accurate charts and electronic medical records in preparation for Ryan White Chiago Department of Public Health (CDPH) Audits. Making referral and linkages to HIV medical care, assist client with gathering necessary eligibility documentation for Ryan White services (including but not limited to Identification and/or birth record documents, residency documentation and income Verification). Documenting attempts, client encounters, and services delivered into the electronic medical record as prescribed. Maintaining records and logs related to this function as indicated. Documenting EIS, Outreach and NMCM services in CAREWare for applicable client. Entering client encounters and services delivered into the CAREWare System and electronic medical record as prescribed under this enhanced care coordination model. Under supervision, conducting retention and appointment reminders. Making appropriate referrals to prevention targeted testing program. Assisting with HIV navigation Services. Adhering to all applicable State, local, and Federal law. Participating in Quality Improvement activities. Participating in continuing education in HIV to remain current. Performing other duties as assigned.

Minimum qualifications include a high school diploma or GED equivalent with one (1) year of experience in HIV related health services. Demonstrated cultural competence and/or experience with diverse populations is required. Must be able to work non-traditional work hours including nights or weekends, as requested is required. Must be able to obtain Chicago Department of Public Health (CDPH) or Illinois (IDPH) HIV Testing & Counseling certification within three (3) months of starting this employment, is required. Proficiency using Microsoft Office (Word, Excel) is required.

Preferred qualifications include an associate's degree or higher from an accredited college or university, experience in HIV care and support services, proficiency using CAREWare, and Disease Intervention Specialist (DIS) certification.

Knowledge, skills, abilities and other characteristics include 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. Demonstrates good computer and typing skills. Demonstrate good phone and email etiquette skills with strong response times. Ability to multi-task and meet deadlines in a fast paced and stressful environment. 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. Must be able to stand and sit for prolonged periods of time. Must be able to lift 20 lb. boxes occasionally, frequent walking, occasional bending.

Physical and environmental demands include 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.