Case Manager

Case ManagerThe HealthCare Connection is seeking a Case Manager to support our high-risk and complex patient population. In this role, you will provide case management and outreach services, helping patients overcome barriers related to social determinants of health and guiding them toward improved health outcomes and quality of life. The Case Manager will assess patient needs, develop individualized care plans, and connect patients and families with essential community resources. This role requires strong collaboration with an interdisciplinary care team to ensure coordinated, patient-centered care.Identify at-risk patients experiencing challenges related to social determinants of health using screening tools (e.g., PRAPARE)Conduct comprehensive assessments of patient and family needs, including physical, psychosocial, educational, and resource-related factorsAssist in coordinating care plans in collaboration with healthcare providers and interdisciplinary teamsDevelop and facilitate patient-centered care plans in alignment with Primary Care Providers and Behavioral Health ProvidersEnsure effective communication and coordination to avoid duplication of servicesProvide referrals and support for mental health and substance use treatment programsAdvocate for patients by assisting with problem-solving, education, and self-management coachingSchedule and ensure completion of follow-up appointments, screenings, and referralsMaintain accurate documentation and patient tracking systems, including services provided and outcomesBuild and maintain relationships with community agencies and external resourcesServe as a resource and liaison for patients, families, and the healthcare teamEducation:Bachelor's degree in Social Work, Sociology, Psychology, or a related field requiredExperience & Skills:One or more years of recent case management experience preferredExperience working with pediatric and adult populationsKnowledge of community resources and social service systemsExperience with Microsoft Office; familiarity with EMR systems preferredStrong interpersonal, communication, and organizational skillsAbility to work effectively with diverse populationsBilingual skills preferredA compassionate professional dedicated to improving patient outcomesStrong advocate for patients and familiesTeam-oriented individual who thrives in a collaborative environmentAbility to manage multiple priorities and adapt to changing needs