Medical Case Manager 1

Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:00 pm, Friday 8:00 am - 12:00 pm

Salary: $21.00 - 24.00 per hour based on experience.

About the role

We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STIs, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.

Benefits

• Competitive pay
• Generous paid PTO and sick time
• 11 paid company holidays
• Paid training and certification support
• Health, dental, and vision insurance with generous company contribution
• Paid life and disability plans
• Retirement plan with generous match of up to 8% of your contribution, plus an additional 1% match
• Tuition Reimbursement Plan
• Other voluntary plans available to support you and your family
• Career growth opportunities in a supportive environment

Responsibilities

• Coordinate and deliver comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines.
• Screen clients for program eligibility and conduct biannual reassessments for continued enrollment.
• Verify insurance coverage and coordinate required pre-authorizations.
• Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life.
• Act as liaison between patients and the care team to address identified needs.
• Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process.
• Perform comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment.
• Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery.
• Coordinate client access to primary medical care and treatment. Attend client medical appointments as needed.
• Submit timely and accurate monthly billing documentation in accordance with grant standards.
• Accurately document all client encounters within software applications within 48-72 hours.

Requirements

• Bachelor’s degree in social work, Nursing, Public Health, or related field.
• One year of HIV prevention/intervention experience.
• Must meet state requirements per jurisdiction.
• Must be able to operate a motor vehicle and have valid insurance and driver’s license.
• Must be able to pass a Level I and Level II background check as required.