HEALTHCARE CASE MANAGER

HEALTHCARE CASE MANAGER Full Time Professional Jackson Heights, NY, US Salary Range: $23.87 to $30.31 per hour. Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality services that enhance the quality of life and offers a welcoming environment for underserved and vulnerable populations. Position Summary: We’re looking for a compassionate, respectful professional full‑time Healthcare Case Manager for our Jackson Heights location . The successful candidate will ensure the quality care of the Apicha CHC’s patients by promoting quality and cost‑effective outcomes. Provide case management services to children, families, and adults to ensure the services they receive are appropriate for their specific needs. A Healthcare Case Manager also works with the patient’s support systems to make sure care arrangements are in line with the needs of the patients with the input of the Care Team from multiple disciplines. Job Responsibilities: Client Services and Direct Care – provide proactive primary case management to Apicha’s Primary Care Clinic including intake, comprehensive assessment/reassessment, and individualized care plan development to ensure access to medical care and other services, including communication with Apicha multidisciplinary care to ensure patients have positive health outcomes. Work closely with the multidisciplinary care team, patient’s families/social support, and other service providers with interdisciplinary approaches at regular intervals to ensure positive health outcomes and conduct monitoring and evaluation of progress. Engage patients and families in developing positive, trusting relationships to healthcare. Help manage emotional distress on the part of the patient or their family in resolving crisis situations. Use discretion and judgment when determining an appropriate course of action. Build and maintain professional relationships with patients and business relationships with outside service providers. Manage conflict, promote change and growth, and facilitate self‑management of all patients. Provide clinic‑based health education in conjunction with regularly scheduled primary care visits. Obtain prior authorization for pharmacy and/or medical services as required by patient’s health insurance plan. Represent Apicha CHC to promote services and recruit patients, specifically individuals with low income and/or community of color, including participation in events. Collaborate and coordinate services – use strong collaborative abilities to create care plans for patients by working with patients and their families to discover their specific needs and coordinating with outside companies to ensure proper care. Identify, coordinate and link patients with additional services such as specialty care, entitlements, mental health and substance use treatment, comprehensive case management, community follow‑up case management, AIDS Drug Assistance Program (ADAP), as needed and report outcome to the multidisciplinary care team with timely follow‑up. Respond to telephone, e‑mail, referral inquiries of services available at the Agency and other requests for information in a timely manner. Work as part of the multidisciplinary care team and for continuous quality improvement (CQI) activities as part of Department of Support Services. Communicate in a timely manner with the multidisciplinary care team (medical providers, therapist, patient’s legal guardian, psychiatrist, pediatrician, and other specialty case manager) about missed or rescheduled appointments and any special assistance required, e.g., interpreter, transportation, or cultural support to ensure continuity of care. Participate in internal and external meetings/trainings and assist as requested and appropriate. Maintain compliance – maintain patient records in an updated (real‑time), organized, and legible condition, complete and submit pertinent forms, reports, and summaries in a timely manner. Maintain accurate records of services rendered. Maintain accurate reporting in both electronic and paper records to meet all documentation and data reporting requirements of the center. Adhere to Apicha CHC policy and procedure as required, including NYC, NYS, and federal requirements, as well as Apicha’s Department of Support Services. Qualifications: Bachelor’s degree in a related field (e.g., health, nursing, mental health, child and family studies, public health, or other human services fields) with 2 years of qualifying experience required. Bachelor’s degree in a non‑related field with 4 years of relevant work experience may be considered. Experience working with target populations strongly preferred. Target populations include but are not limited to children and families, individuals with serious mental illness, developmental disabilities, serious substance use disorders (SUDs), individuals with high risk of or living with HIV/AIDS, chronic hepatitis, and other individuals with social needs. Fluency in Spanish or one of Asian languages preferred. Excellent written and verbal communication skills in English required. Ability to work effectively in both a collaborative and individual setting. Ability to use and adapt to various applications (Outlook, Word, Excel, PowerPoint, eCW, eICARE, AZARA, HCS, MAPP, Healthix, PSYCKES, etc.) required. Excellent customer service skills to assist in resolving patients and/or providers concerns. Ability to work flexible hours including some evenings and weekends required. Ability to multitask and manage multiple projects in a stressful environment is strongly recommended. At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City. We are proud to offer our team members a competitive employee benefits package which includes 11 paid holidays, vacation and sick leave, health insurance coverage, flexible spending account, life insurance, and an employee assistance program. #J-18808-Ljbffr