Medical Case Manager I
Company: CAN Community Health
Location: Fort Worth
Posted on: October 2, 2024
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Job Description:
Description:CAN Community Health, one of the nation's largest
providers of HIV Services, has an exciting opportunity for a
Medical Case Manager in our clinic located in Arlington, TX.
We are looking for someone who is passionate about serving the
needs of individuals impacted by HIV and other infectious diseases.
You will become part of our professional team that drives home our
Company's Mission and Values. We offer a good quality of life with
an excellent daytime schedule, competitive pay with a bonus plan,
premiere benefits package with a retirement plan with a generous
company matching contribution. We have received recognition in
2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for
Award.
CAN is a Drug-Free Workplace. All potential hires will be required
to take and clear a pre-employment drug screen upon job offer.
Starting Rate: $40K or higher based on experience
You can find out more about us by visiting our website at
www.cancommunityhealth.org. Apply Today!
Statement of Purpose: Provides outpatient HIV medical case
management services and patient advocacy through education,
counseling, advocacy, benefits assessment and enrollment, and
coordination of services. Ensures patient access to essential
medications, medical care and support services.
Primary Tasks: 1. Screen all clients for program eligibility,
completes annual reassessments for referrals to Central
Eligibility.2. Verifies insurance coverage and coordinates
pre-authorizations.3. Develops, coordinates and implements
individual plans of care biannually.4. Provide referrals, linkage
and coordination of services to community partners in accordance
with local, state and federal program guidelines.5. Responsible for
Ryan White, HOPWA and ADAP case management and all other case
management assignments.6. Ensures the integrity of case management
records through the audit review process.7. Accurately document all
client encounters within software applications such as CAREWare or
Provide Enterprise.8. Submits timely and accurate monthly billing
documentation and maintains client case management files.9.
Processing paperwork for Patient Assistance Program, as needed.10.
Complies with all program requirements as well as up to date with
all changes of the programs.11. Collaborates with clinic team
members to coordinate patient services.12. Processes documentation
required by state and local funding sources as required.13.
Maintains confidentiality regarding patient and/or family in
accordance with professional standards and applicable laws.14.
Promotes and practices CAN Community Health, Inc.'s mission and
values, and follows its policies and procedures.15. Ensures
confidentiality is maintained by case management team regarding
patient/client information in accordance with HIPAA, professional
and departmental standards.
Secondary Tasks:1. Cross trains for effective team participation.2.
Develops and fosters networking relationships with community and
support resources.3. Practices safety, environmental and/or
infection control methods.4. Continues professional training and
education to advance knowledge and skills of HIV/AIDS.5.
Participates in continuous quality improvement of services rendered
to CAN clients.6. Utilizes resources and supplies in a
cost-effective manner.7. Demonstrates courtesy and respect in all
interpersonal relationships with CAN clients, staff and visitors.8.
Maintains professional manner in all aspects of job tasks.9.
Performs all other duties as assigned.
Knowledge, Skills and Abilities Required:1. Effective communication
and interpersonal skills with patients, visitors and staff
members.2. Ability to utilize problem-solving techniques, a
self-starter, work effectively, organized and perform multiple
tasks simultaneously.3. Ability to read, understand, follow and
enforce safety procedures.4. Demonstrates appropriate
organizational skills.5. Willingness to utilize computer software
programs.6. Accurately coordinate several tasks at one time.7. Able
to work with minimal direct supervision.8. Must be able to travel
to conferences, trainings, meetings, etc.
Education/Professional: - Bachelor's degree from an accredited
school or equivalent experience in social services. - HIV
prevention and intervention experience.
CAN Required Trainings:General Orientation HIV/AIDS Violence in the
WorkplaceSexual Harassment HIPAA Health Stream Courses (as
assigned)Basic Annual Safety Training
Physical Demands:1. Neat professional appearance2. Exerts up to 10
lbs. of force frequently, and/or a negligible amount of force
frequently or constantly in lift, carry, push, pull, or otherwise
move objects, including the human body. Involves sitting most of
the time but may involve walking or standing for brief periods of
time.3. Requires expressing or exchanging ideas by means of spoken
word, visual and auditory acuity.
Machines/Equipment & Tools Used:1. Computer Equipment2. Multi-line
Telephone3. Fax & Other Business Machines / Technology4. Ability to
Operate a Motor Vehicle
Other Duties:Please note this job description is not designed to
cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of an employee for this job.
Duties, responsibilities and activities may change at any time with
or without notice.
Responsible To: Senior Director of Grants Management
Must pass a drug screening and Level II background check including
finger printing and a comprehensive review of criminal history.
CAN Community Health is an equal opportunity employer that is
committed to diversity and values the ways in which we are
different. All qualified applicants will receive consideration
without regard to race, color, religion, sex, sexual orientation,
gender identify, national origin, disability, veteran status, or
other characteristics protected by applicable law.Requirements:
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Keywords: CAN Community Health, Lewisville , Medical Case Manager I, Executive , Fort Worth, Texas
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