Case Manager

Cahaba Medical Care; Birmingham (AL); On-site; USD 45,000 - 65,000; Full time

Job summary

Cahaba Medical Care is seeking a Case Manager to provide comprehensive social services case management for patients and to connect them with resources through CMCF programs and community partners. The role focuses on helping patients access charity care and insurance enrollment, navigate transportation and medication access, and support care plans addressing social determinants of health.

The position serves Bibb County Schools and requires collaboration with clinical and billing staff, along

Qualifications

• Bachelor's degree in Social Work required.
• Social Work license or plan to obtain license (registered with Alabama Board of Social Work Examiners) required.
• Knowledge of behavioral health and social work concepts.
• Excellent organizational, interpersonal and communication skills.
• Strong computer skills with Microsoft Office, Google Apps, and Adobe.
• Ability to collaborate with internal management and external vendors/clients.
• High flexibility and willingness to handle daily tasks.

Responsibilities

• Administer Sliding Fee discount program with billing office, including uninsured/sliding scale fee plans.
• Identify uninsured patients and others needing Sliding Fee Discount assistance.
• Assist in enrollment of patients in Medicaid/Medicare and walk through enrollment process.
• Assist with care planning to address social determinants of health for chronic disease management.
• Provide case management for charity care and access to specialty care.
• Support providers during clinic hours with social issues affecting patient well‑being.
• Maintain an active local community resources list for patient use.
• Assist patients with obtaining medications through Patient Assistance Programs and low-cost options.
• Manage transportation program for appointments and refer to additional resources as needed.
• Provide crisis intervention services and refer clients to community resources.
• Complete training to become a Certified Application Counselor with Marketplace and Medicaid.
• Collaborate with RN/QIO on Case Management/Registry Management for patients.
• Support fundraising, community development or outreach efforts.

Skills

Behavioral health knowledge

Organizational skills

Interpersonal skills

Communication skills

Computer proficiency

Education

Bachelor's Degree in Social Work

Licensed Social Worker or eligible to obtain license (AL Board)

Job description

Case Manager

Reports to: Social Services Coordinator

Purpose:

Provide social services case management to patients in order to connect patients with resources available through CMCF programs or community partners.

**This position will service the Bibb County Schools**

Responsibilities:

• Administration of the Sliding Fee discount program, in coordination with the billing office, including the uninsured / sliding scale fee payment plans/hardship program
• Assisting the front office staff to identify all uninsured patients and other patients in need of the Sliding Fee Discount program.
• Assisting billing staff in identifying patients who are eligible for insurance (Medicaid, Medicare) and assist patients in walking through the enrollment process
• Assist with patient care planning including helping providers create individualized care plans to address social determinants of health for chronic disease management through individual psychosocial assessment and social service interventions.
• Provide case management regarding available charity care programs to assist patients in obtaining additional/specialty medical care, such as Bibb Charity Care, UAB Charity Care, Cooper Green and Project Access
• Assisting providers during clinic / patient care hours with ongoing social issues affecting the patients’ well‑being including financial problems, housing issues, and other community resource needs.
• Maintain an active list of community resources in the area serving to use as a resource for patients
• Assisting clinic and staff and patients with problems in obtaining needed medications through enrollment in Patient Assistance Programs for medications and researching other options for low cost medications
• Management of the transportation program for CMCF patients for CMC related appointment assistance. Also assess and provide patients resources for additional transportation resources as available in the area the patient resides.
• Provides crisis intervention services to patients in need
• Refers clients to appropriate community resources and advocates for patients by contacting these agencies when necessary on the patient’s behalf in coordination with the County and State in dealing with potential issues of abuse or misuse
• Complete training processes to become a Certified Application Counselor with the Marketplace and Medicaid
• Working with the RN / QIO on Case Management / Registry Management for patients
• Assist agency and social service team in any efforts regarding fundraising, community development or outreach
• Any other duties as assigned by the Social Service Coordinator

Required Skills:

• Bachelors’ Degree in Social Work
• Social Work License or plan to obtain license (must be, at a minimum, registered with the Alabama Board of Social Work Examiners)
• Knowledge of behavioral health and social work concepts
• Excellent organizational, interpersonal and communication skills
• Strong computer and internet research skills, including high comfort level with office software products (such as Google Apps, Microsoft Office, Adobe)
• Ability to work well with various levels of internal management and staff as well as outside vendors and clients
• High level of flexibility and willingness to help with the daily tasks