Case Manager

Case Manager Overview

• The Case Manager ensures quality care by promoting cost-effective outcomes for patients.
• Provide case management services to children, families, and adults tailored to their specific needs.
• Collaborate with multidisciplinary teams to ensure comprehensive care and positive health outcomes.
• Engage patients and families to build trusting relationships and resolve crises effectively.
• Manage over 100 cases in a fast-paced environment, ensuring timely and detailed communication.
• Conduct assessments and develop individualized care plans for patients, ensuring access to necessary services.
• Promote health education and self-management strategies during primary care visits.
• Represent the organization at events to recruit patients and promote services.

Case Manager Key Responsibilities & Duties

• Provide proactive primary case management, including intake, assessment, and care plan development.
• Coordinate with multidisciplinary teams to ensure continuity of care for patients.
• Link patients to additional services such as specialty care, entitlements, and mental health support.
• Respond promptly to inquiries and referrals, ensuring timely communication and follow-up.
• Maintain accurate and updated patient records, meeting all documentation requirements.
• Participate in internal and external meetings and training sessions as required.
• Assist patients in obtaining prior authorizations for pharmacy and medical services.
• Adhere to organizational policies and compliance requirements at all levels.

Case Manager Job Requirements

• Bachelor’s degree in a related field with 2 years of qualifying experience required.
• Experience working with target populations such as children, families, and individuals with specific health conditions preferred.
• UAS-NY certification required within one month of hire.
• Fluency in Spanish or an Asian language preferred.
• Proficiency in various applications such as Outlook, Word, Excel, and healthcare-specific software required.
• Strong communication skills and ability to work in collaborative and individual settings.
• Ability to work flexible hours, including evenings and weekends.
• Excellent customer service skills to address patient and provider concerns effectively.