Case Manager

1 month ago

Boone, United States HIGH COUNTRY COMMUNITY HEALTH INC. Full time

Job Type

Full-time

Description

Job Summary: A Case Manager instructs individuals and families in the community about health education and disease prevention utilizing a team-based approach. Case Managers work to provide medical case management services to eligible patients within

the Federally Qualified Health Center (FQHC).

Job Responsibilities and Role on Care Team:

This position will provide case management services to patients within the organization by following applicable guidelines and best practice care models. The case manager will function as an integral member of an interdisciplinary team which may include the

following: medical provider, behavioral health clinician, clinical pharmacist, and supportive services staff. This position description should not be interpreted as all-inclusive. It is intended to identify the major responsibilities and requirements of this position. The incumbent may be requested to perform job-related responsibilities and tasks other than those stated in this description.

Essential Job Responsibilities:

  • Excellent customer service skills
  • Data management and organizational skills maintaining spreadsheets to track care managed patients
  • Provide medical case management services to identified patients within the clinic, following guidelines established by Health Resources and Services Administration (HRSA) and other entities
  • Provide case management services to an average caseload size of 60 patients
  • Develop a comprehensive Individualized Service Plan (ISP) or Care Plan; providing ongoing monitoring of ISP or care plan with each patient to assess the efficacy of the plan and coordinate services to meet goals of the service plan; setting goals, identifying barriers to meeting goals, provide patients with the created self-management plan, and discuss plan with the patient's provider
  • Ability to communicate with people with various levels of medical knowledge in both written and verbal forms
  • Computer software proficiency
  • Perform periodic re-evaluations and revisions/adaptations of service plans
  • Provide adherence and retention counseling to ensure patients maintain healthcare
  • Identify gaps in core and supportive services, including care resources, mental health, substance abuse, housing, nutrition, and transportation
  • Coordinate referrals and follow-up for medical and non-medical services
  • Actively participate as part of an interdisciplinary care team to assess patient care needs and coordinate service referrals
  • Assist patients with applications and ongoing eligibility for medication access programs as needed to support clinic staff
  • Assist self-managed patients with social service questions and related needs
  • Develop network of additional community resources while working with the Patient Resource Specialist (PRS) and the interdisciplinary team.
  • Document patient information, activities, referrals and consultations in a timely and accurate manner, through the use of the agency's electronic medical record and related reporting software
  • Abide by all state, federal laws and agency policies as related to confidentiality and Health Insurance Portability and Accountability (HIPAA)
  • Assist the agency administration in the development of long-range plans, including goals and objectives, as directed by supervisor
  • Abides by all agency policies and procedures, including conflict of interest policy
  • Additional duties as assigned


Requirements

Travel Requirements: This position could potentially be asked to rotate and work at different sites within HCCH to assist with meeting patient's identified needs.

Education/Experience: Prior experience working with an electronic medical record system ideal but not required. Proficiency in Microsoft Word, Excel, and PowerPoint.

Bachelors degree in a related field and at least 2 years' experience, or at least 5 years of direct work experience, including medical office outpatient administration/supervision.

Knowledge/Skills/Abilities:

1. Knowledge of medical office/electronic health record software

2. Excellent verbal and non-verbal communication skills with clients, coworkers,

team members and management staff

3. Ability to be flexible and work with changing priorities in a fast-paced environment

4. Requires excellent problem-solving and critical-thinking skills

5. Must be able to interact with individuals of all cultures, education, and levels of authority

6. Must be able to function as part of a team

7. Basic medical terminology required

Work Hours:

Full-time: 36-40 hours/week (Monday through Friday)

Pay:

$20.00-$23.00/hour

JOB FACTORS:

Physical Requirements: Requires extended periods of sitting. Some lifting less than 25

pounds. Potential driving to designated sites. Must be able to work within and on a

computer system for extended periods.

Salary Description

$20 - $22

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