Health Services Community Liaison

Amida Care

23.07 To 23.07 (USD) Hourly

United States, New York, New York

April 04, 2024

Amida Care is a Diversity, Equity, and Inclusion employer committed to full inclusion and elimination of discrimination in all its forms. We strive to develop, promote, and sustain a culture that values equity and leverages diversity and inclusiveness in all that we do.

This position will be a part of a Health Navigation for Lost to Care, HIV Unsuppressed grant. The Community Liaison will be an individual who will use their lived experience to help engage members not in effective care. The Community Liaison will be responsible for outreaching and connecting members lost to care, with high emergency department (ED) and inpatient (IP) utilization and whose HIV is unsuppressed. The Community Liaison will outreach members who are in the ED or IP to attempt to reengage in care and provide connection to services. This position will function as a liaison between community providers and staff at assigned facilities and the Integrated Care Teams (ICTs) at Amida Care. This is primarily a field-based position at a community health center or hospital in the community.

ESSENTIAL FUNCTIONS

Outreach members admitted to ED/IP who also have a high viral load and are not in effective care for pre- and post-discharge engagement.
Assess members in hospital and identify their needs to support discharge planning in conjunction with ICT Care Coordinator.
Assist members in identifying a provider and site and scheduling a primary care physician appointment.
Support pre-planning for discharge and provide education and support through follow-up and reminder calls, as well as coordinating escorts/transportation to appointments as needed.
Function as bridge between Amida Care and providers, hospitals, and agencies within the community to facilitate seamless transfer of information about the status of members.
Facilitate obtaining essential documentation and information, such as HIV verification documentation, laboratory test results, appointment adherence, case management assessments, prior authorizations, medical records from the assigned site(s).
Work collaboratively with ICT for post hospitalization follow-up care.
Contact providers to confirm members kept post-hospitalization appointments.
Make referrals to Retention in Care Unit (RICU) for members not engaged in care or who did not keep initial PCP appointment after discharge.
Provide health promotion and education to individuals who need additional support.

OTHER RESPONSIBILITIES

Develop and maintain an intimate connection with Health Homes staff at assigned site(s) and collaborate with them to facilitate a smooth transfer of information and services.
Assist members in need of appointments for preventative care services, such as mammograms and colonoscopies, and coordinate scheduling, and provide follow-up to ensure appointments are kept.
Empower members to engage in healthy behaviors; encourage members' involvement in development of their Care Plans
Participate in ICT case conferences as needed.
Document all encounters in TEAM Connect in a timely fashion, while adhering to the documentation protocols of assigned site(s)
Perform other duties as assigned.

MINIMUM JOB REQUIREMENTS

Two (2) years' experience working with individuals living with HIV/AIDS or other chronic conditions with complex needs is required. Experience working within a Community Based Organization, ADHC or Health Homes, or Health Center is strongly preferred.
Ensure member confidentiality and adhere to Confidentiality and Health Insurance Portability and Accountability Act (HIPPA) policies and regulations policies and regulations.
Strong knowledge of Microsoft Office (Word and Excel).
Demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
Demonstrate appropriate behaviors in accordance with the organization's vision, mission, and values.