Lead Medical Case Manager

About the role

The Lead Medical Case Manager (LMCM) position at Positive Impact Health Centers is designed for individuals who want to make a significant impact in the community. This role involves providing medical case management services to eligible adult clinic patients, ensuring compliance with funding guidelines and best practice care models.

Responsibilities

• Provide medical case management services to identified patients of the clinic program, following medical case management guidelines established by HRSA/Ryan White and the Metropolitan Atlanta HIV Health Services Planning Council.
• Provide instruction and supervision to assigned staff regarding Federal, State, health district, and agency standards, procedures and policies.
• Ensure that assigned staff are performing day-to-day operations, including but not limited to the coverage of the departmental Resource Line and the scheduling of patient enrollment visits.
• Develop a comprehensive Individualized Service Plan (ISP) and assign clinic patients to Medical Case Managers (MCM) for medical and non-medical services, utilizing Acuity Level scores and service needs while also maintaining equitable caseload sizes for MCM staff.
• Participate in weekly interdisciplinary Case Conference meetings, leading the meeting as needed.
• Participate in daily huddles with assigned care team, and assist with documentation of summary.
• Absorb and respond to dedicated resource line.
• Collaborate with Site Coordinator and Data Team to collect data and review reports for assigned care team to measure patient acuity and health care outcomes, and staff productivity.
• Absorb and assist with the orientation of new medical case managers at the designated PIHC Center.
• Absorb and assist with the interdisciplinary care team regarding patients’ ongoing need for care and referrals.
• Absorb and assist with the management of the EMR Medical Case Management pool and assign clients to medical case manager accordingly.
• Document patient information, activities, referrals and consultations in a timely and accurate manner, through the use of the agency’s electronic medical record system and related reporting software.
• Abide by all state, federal laws and agency policies as related to confidentiality and Health Insurance Portability and Accountability Act (HIPAA).
• Organize and lead weekly team meetings.
• Maintain and monitor time and attendance of assigned staff in agency’s electronic payroll system.
• Complete performance evaluations with assigned staff.
• Abides by all agency policies and procedures, including conflict of interest policy.
• Additional duties as assigned.

Qualifications

• Master in Social Work (or related social services degree) with at least 2-year experience providing medical case management or medical social work OR Bachelor in Social Work (or bachelor’s degree in a related social services field) with a minimum of 5-year experience supervising social services providers.
• Fluency (written and verbal) in Spanish strongly preferred, but not required.
• Administrative or supervisory experience required.
• Minimum of 2-year experience in a service delivery setting, with an emphasis on locating, coordinating and developing supportive services for identified clients across a broad psychosocial continuum is required.
• Previous professional experience with Electronic Medical Record (EMR) system documentation preferred.

Preferred Knowledge, Skills, Abilities & Other Aptitudes (KSAOs)

• Ability to handle conflict and crisis in a professional manner.
• Excellent verbal and written communication skills.
• Advanced computer knowledge, especially MS Office, with the ability to learn many different computer software packages.
• Excellent interpersonal skills.
• Demonstrated leadership and management skills.
• The ability to prioritize tasks and manage time efficiently.
• The ability to be flexible as to the changing needs of the Center.
• The ability to work in a multidisciplinary team.

Physical Demands

• Sit and talk or hear.
• Occasionally lift and/or move up to 30 pounds.
• Specific vision abilities required by this job include close vision and the ability to adjust focus.