Medical Case Manager I jobs in United States
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CAN Community Health · 1 week ago

Medical Case Manager I

CAN Community Health is seeking a Medical Case Manager I to coordinate and deliver comprehensive case management services to clients affected by HIV, Hepatitis C, STIs, and other infectious diseases. The role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes.

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Diversity & Inclusion

Responsibilities

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
Acts 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
Performs 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
Coordinates client access to primary medical care and treatment. Attends client medical appointments as needed
Submits timely and accurate monthly billing documentation in accordance with grant standards
Accurately document all client encounters within software applications within 48-72 hours
Responsible for testing as needed

Qualification

Bachelor’s degreeHIV prevention experiencePhlebotomySocial workPublic HealthNursing

Required

Bachelor's degree in social work, Nursing, Public Health, or related field
One year of HIV prevention/intervention experience
Please refer to 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

Preferred

Experience with Phlebotomy helpful

Benefits

Generous paid PTO and Sick time
11 Paid Company Holidays
Paid training and certification support
Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%
Tuition Reimbursement Plan
Other voluntary plans are available to support you and your family
Career growth opportunities in a supportive environment

Company

CAN Community Health

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CAN Community Health is a nonprofit organization that provides hope, encouragement and inspiration to people suffering from HIV.

Funding

Current Stage
Growth Stage

Leadership Team

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Rishi Patel, PharmD, MBA, AAHIVP
President & CEO at CAN Community Health, Inc.
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Mary Lifland
Chief Financial Officer
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Company data provided by crunchbase