Case Manager, Medical

A reasonable estimate of the current compensation range is $25.00/HR–$27.00/HR. Individual total compensation for this position will be determined at the Company's sole discretion and depends on factors including skill set, experience, licensure, and other organizational needs. Position Summary The Medical Case Manager (CMC) provides comprehensive case management and care coordination for patients with complex physical, behavioral, dental, and social needs. While primarily managing an assigned panel, the support extends to all patients as necessary. The CMC is responsible for referrals, client interviews, data collection, confidential record-keeping, client recruitment, and assisting with establishing care at SNAHC. This role involves close collaboration with program stakeholders, healthcare providers, payors, social services agencies, and other community-based organizations to ensure seamless coordination of services and patient support. The role may need to float to other locations depending on business needs. Essential Functions Coordinate referrals to appropriate programs based on eligibility criteria, patient needs, and provider assignment. Assist with durable medical equipment (DME) referrals for the medical department. Ensure productivity goals are met weekly. Assess patients’ health status, regional resource utilization, and barriers to care to develop individualized care plans with short- and long-term goals. Maintain ongoing and effective engagement with assigned patients through in-person meetings, text/telephone communication, and community outreach. Provide in-person support to patients in waiting rooms and during appointments. Ensure all patients have accurate and up-to-date shared care plans. Connect clients to a variety of services and resources to address their comprehensive needs. Participate in medical team huddles to enhance communication between the care team, partner outreach, and housing agencies. Maintain clear and timely documentation of all patient interactions, care plans, and outcomes in accordance with program requirements. Participate in care coordination meetings with dental and behavioral health departments for internal case conferences. Track patient panels in the electronic Population Health Management System (i.e., i2i). Collaborate with patients to follow organizational guidelines through non-judgmental and caring interactions. Support quality improvement initiatives in accordance with the organization's mission and strategic goals, federal and state laws and regulations, and accreditation standards. Comply with all state and federal laws and regulations, including HIPAA, sexual harassment, scope of practice, OSHA, etc. May be required to travel between sites for coverage and/or meetings. Other duties as assigned. Skills And Abilities Excellent computer skills, preferably with Windows, including Microsoft Office Suite. Excellent telephone and communication skills. Must possess excellent organizational, writing, and verbal skills. Ability to work independently, set priorities, and work well under pressure. Ability to maintain a high degree of confidentiality. Ability to demonstrate superior professionalism when dealing with patients, subordinates, colleagues, community members and vendors. Ability to collaborate and convene across sectors and organizational levels. Competencies Communication and Relationships Initiative Planning and Organizing Safety Teamwork Program Specific Workflows #J-18808-Ljbffr Sacramento Native American Health Center, Inc.