Case Manager - ECM Program

About the Role

The Case Manager will assist patients in understanding recommendations from their health care providers, perform patient care functions, manage medical calls, update medical records, and support continuity of treatment planning.

Responsibilities

• Discharge patients and arrange referrals or follow-up appointments.
• Act as a patient advocate and liaison for specialty providers and social service referrals.
• Schedule patients' appointments for continuity of care and other referrals.
• Provide health education to patients as requested by providers.
• Adhere to HIPAA guidelines and document follow-up on providers' recommendations.
• Document pertinent patient data and ensure timeliness of services rendered.
• Assist with the collection of transportation vouchers/tokens and translation when necessary.
• Support back-office functions and maintain activity/referral logs.
• Maintain data/logs for mammograms, Paps, STDs, and other health screenings.
• Generate and route data forms to appropriate destinations (billing, medical records, etc.).
• Review superbill forms and maintain ergonomic safety precautions.
• Attend in-services, training, and staff meetings.
• Maintain complete and accurate patient records, including electronic data entry for billing and processing of Managed Care, Family PACT, Medicare, Medi-Cal, CHPD, CPSP, or MHLA.
• Assist with patient flow, including greeting patients, managing appointments, answering phones, and directing patients.
• Follow daily/weekly/monthly assignments as directed by supervisor.
• Utilize systems such as CAIR and VFC as directed by supervisor.
• Assist with immunization inventory, ordering, and reporting.
• Maintain supply inventory and destruction logs.
• Participate in cross-training for front office duties, assisting the Referral Coordinator and Pharmacy Technician as needed.
• Order and process electronic lab tests per clinic policy.
• Assist in glucometer training for diabetic patients as ordered by providers.
• Perform clerical duties, including correspondence, filing, photocopying, faxing, and phone management.
• Perform other duties as required by supervisor.

Requirements

• Case Management certificate or 1 year of experience in a related position.
• Medical Assistant training and certificate of completion.
• Minimum of one year of experience in the medical field.
• Annual CPR certification (adult, child, infant, and obstructed airway).
• Experience with electronic health records preferred.
• Experience in medical front office procedures preferred.
• Ability to demonstrate high performance and professional behavior standards.
• Strong teamwork and communication skills.
• Ability to relate and communicate well with diverse cultural and ethnic groups; bilingual preferred.

Special Requirements

• Reliable automobile for job use (mileage reimbursed).
• Valid California Driver License and automobile insurance coverage.
• Subject to a criminal background check before employment.
• TB clearance, renewed annually.
• Annual Influenza Vaccination, TB, and COVID vaccination requirements.

Pay

The pay scale represents a good-faith estimate of the salary or hourly wage range the employer reasonably expects to pay for the position upon hire. Actual compensation within the posted range will depend on experience, skills, and internal equity.