Case Manager – Medical

Case Manager – Medical Overview

• The Case Manager – Medical will provide direct case management to patients, ensuring access to and retention in medical care.
• Collaborate with multidisciplinary teams to develop individualized care plans and achieve positive health outcomes.
• Coordinate patient access to specialty care, entitlements, and mental health services.
• Ensure accurate reporting and documentation in both electronic and paper records.
• Facilitate early access to treatment for specific communities, including Asians and Pacific Islanders living with HIV/AIDS.
• Work collaboratively within the organizational structure to meet quality improvement goals.
• Engage in proactive case management activities, including intake and reassessment processes.
• Maintain compliance with health codes and organizational policies regarding immunizations and disease prevention.

Case Manager – Medical Key Responsibilities & Duties

• Conduct comprehensive assessments and develop individualized care plans for patients.
• Coordinate patient access to additional services, including specialty care and substance use treatment.
• Obtain prior authorizations for pharmacy or medical services not covered by insurance.
• Maintain accurate and compliant documentation and reporting in medical records.
• Recruit specific communities to facilitate early access to treatment and social services.
• Participate in continuous quality improvement activities within the clinic.
• Collaborate with primary care providers and multidisciplinary teams to ensure patient health outcomes.
• Handle multiple tasks effectively in a fast-paced environment.

Case Manager – Medical Job Requirements

• Bachelor’s degree in social science, psychology, social work, or health-related field required.
• Minimum of three years of relevant work experience in case management preferred.
• Experience working with communities such as people living with HIV/AIDS, immigrants, and LGBT individuals required.
• Fluency in one or more Asian languages is preferred.
• Proficiency in office software and electronic medical records systems required.
• Ability to work flexible hours, including evenings and weekends, as needed.
• Strong communication skills and attention to detail are essential.
• Proof of immunization or immunity to certain communicable diseases is mandatory.