Medical Case Manager

Job Description

Job Description

We are seeking a Medical Case Manager to join our community-based organization! Medical Case Managers are members of the interdisciplinary team within the Health Access Services department, serving patients at one or more of Philadelphia FIGHT's Community Health Center sites.

This position provides both short- and long-term medical case management services to patients with chronic or complex health conditions, and/or socio-economic vulnerabilities (e.g., chronic conditions driven by social determinants of health, Hepatitis C, HIV, etc.). The position is essential in ensuring that services are aligned with Philadelphia FIGHT's mission to advance health equity and promote the well-being of the communities we serve.

About the Role:

• Schedule: Full-time, Monday - Friday (9:00 - 5:00 PM).
• Location: Philadelphia FIGHT Community Health Centers 1233 Locust St, Phila, PA 19107
• Compensation & Benefits:
  • FSLA exempt with annual salary of $58,000-60,000 per year
  • 3 weeks of PTO (4 weeks after 1st year) + 11 paid holidays.
  • Comprehensive Medical, Dental, Vision & Prescription Coverage.
  • Employer-funded Short-Term Disability coverage and Life & Accidental Death and Dismemberment (AD&D).
  • Flexible Spending Accounts (FSA) and Health Reimbursement Arrangements (HRA) with employer contribution.
  • 403(b) Retirement Savings Plan with options for basic plan or Roth 403(b) contributions with employer matching up to 4%.
  • Discounted education options with partnered institution Pierce College.
  • And a multitude of other employee perks, including but not limited to, the option to contribute to medical discount programs, legal services, charitable contributions, and pet insurance coverage!

Qualifications:

1. Bachelor's degree required in a Social Services related field.
2. 1+ years of related experience.
3. Must possess basic computer skills to perform job duties including desktop computing, electronic medical records, e-mail, time sheet management, reporting, internet research, etc. using relevant software such as HRIS and Microsoft Word, Excel, etc.
4. Discretion, initiative, and ability to maintain HIPAA compliance.
5. Due to a high volume of Spanish speaking patients, bilingual candidates (Spanish/English) are strongly preferred.
6. Knowledge of de-escalation methods or willingness to be trained in these methods.
7. Must be able to exercise good judgment and identify when to escalate issues as appropriate.
8. Ability to handle stressful situations while providing exceptional customer service.
9. Must be able to demonstrate judgment, patience, integrity, organization, and prioritization in a multi-task environment.
10. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs.
11. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices such as OSHA, HIPAA, HRSA, CLIA and funding body regulations.
12. Strong skillsets in interpersonal relationships and teamwork, attention to detail, dependability, customer service, time management, autonomy and problem solving.
13. Candidates must possess strong communication skills, the ability to multi-task and excellent attention to detail and follow-up skills.
14. Ability to remain solution-focused and respectful in all interactions with staff, co- workers, vendors, and patients.
15. Excellent problem-solving and conflict resolution skills.
16. Ability to display a non-judgmental attitude.

Responsibilities:

1. Manages a caseload of clients living with chronic or complex health conditions and/or socio-economic vulnerabilities (e.g., chronic conditions driven by social determinants of health, Hepatitis C, HIV, etc.).
2. Identifies and advocates for clients engaged in care within one or more of Philadelphia FIGHT's Community Health Centers sites related to shelter/housing, utility assistance, food assistance, clothing banks, medication assistance programs, substance use and/or behavioral services, etc.
3. Assesses un- and under-insured clients' eligibility for Pennsylvania public benefits (e.g., Medicaid, MAWD, CHIP, SPBP, etc.).
4. Maintain regular contact with clients, guided by program requirements, client needs, and care goals.
5. Conduct biopsychosocial assessments and develop individualized, goal-oriented, and strengths-based service care plans at intake; reviews and updates quarterly in collaboration with the care team.
6. Provides benefits assistance and enrollment for clients via COMPASS.
7. Follows up on benefit applications and advocate on behalf of clients with the County Assistance Office.
8. Provides trauma-informed therapeutic support, including crisis interventions in collaboration with behavioral health and medical providers.
9. Maintains client files by accurately and timely documenting all client interactions medical records to the electronic medical record system, including benefit applications, appointment adherence, medical treatment plans, medication adherence, and any subsequent follow up.
10. Identifies and advocates for population-specific support services for those who need gender-affirming care, immigrants, clients who are blind, deaf/hard of hearing, have cognitive abilities, etc.
11. Supports clients at medical appointments or during home visits as needed to ensure continuity of care.
12. Participates in on-call rotation during regular office hours.
13. Serves as a mandated reporter for minor patients in cases where harm is perceived or evident.
14. Supports department operations by providing cross-coverage for Health Access Services staff (e.g., Medical Case Managers, Benefits Access Navigators, Assistant Case Managers, receptionists, etc.).
15. Abides by all compliance standards and operational activities, including but not limited to, completing training, attending all required staff meetings, supervision meetings, participating in events, etc.
16. Assists with special projects, organizational events, staff coverage, etc., when needed.
17. Other duties as assigned to fulfill FIGHT's mission.

FIGHT is an EEO, Affirmative Action, LGBTQ, people living with HIV/AIDS, and protected veterans' institution. We are dedicated to recruiting, hiring, and retaining employees from many backgrounds.

We recognize that an inclusive workforce with a variety of views, perspectives, and backgrounds is an integral part in our organizational success. We encourage and embrace a diverse workforce that provides us with unlimited ideas and innovative solutions.