MEDICAL CASE MANAGER

Apicha Community Health Center; New York (NY); On-site; USD 38,000 - 39,000; Full time

Benefits offered by this job

12 Paid Holidays

Vacation and sick leave

Health Insurance

Flexible Spending Account

Life Insurance

Employee Assistance Program

Job summary

Apicha Community Health Center in New York, NY seeks a Medical Case Manager to provide direct case management for patients at our Manhattan Primary Care Clinic, ensuring access to medical care and retention in services.

Responsibilities include coordinating services, obtaining prior authorizations, maintaining records, and supporting HIV/AIDS outreach among Asians and Pacific Islanders, while collaborating with a multidisciplinary team and offering flexible hours.

Qualifications

• Bachelor's or equivalent in related field or 1 year relevant LPN experience.
• Experience with HIV/AIDS, Asians and Pacific Islanders, immigrants or LGBT groups preferred.
• Excellent written and verbal English communication.

Responsibilities

• Provide proactive case management to ensure access to medical care and retention.
• Coordinate services including specialty care, mental health, ADAP, and follow-up.
• Obtain prior authorizations for services not covered by insurance.
• Maintain accurate EMR and paper records per agency requirements.
• Engage Asians and Pacific Islanders living with HIV/AIDS for early treatment access.
• Collaborate with multidisciplinary team for CQI activities.
• Perform other duties as assigned.

Skills

Case management

Communication

Team player

Attention to detail

Education

Bachelor's degree in social science, psychology, social work, health

LPN with 1 year of relevant experience

AA/AS in health or human services

Tools

Word

Excel

PowerPoint

Electronic medical record (EMR)

eClinical Works

AIRS

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

MEDICAL CASE MANAGER

Full Time Professional New York, NY, US

Salary Range: $27.30 To $28.53 Hourly

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, culturally competent services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.

We are seeking a Medical Case Manager for our Manhattan location.

Position Summary:

Provide direct case management to patients of APICHA’s Primary Care Clinic to ensure access to and retention in medical care.

Duties and Responsibilities include:

• 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 primary care provider (PCP) at regular intervals to ensure patients have positive health outcomes.
• Coordinate and link patients with additional services, e.g. specialty care, entitlements, mental health and substance use treatment, community follow-up case management, AIDS Drug Assistance Program (ADAP), as needed and report outcome to PCP and multidisciplinary care team.
• Obtain prior-authorization for pharmacy or medical services that are not covered by patient’s health insurance plan
• Maintain accurate reporting in both electronic and paper record to ensure and meet all documentation and data reporting requirements of the agency.
• Identify and recruit Asians and Pacific Islanders who are living with HIV/AIDS to facilitate early access to treatment and social services.
• Work as a part of Clinic multi-disciplinary team and Client services Department for continuous quality improvement (CQI) activities.
• Other activities as assigned.

Qualifications:

• Bachelor’s degree in social science, psychology, social work, health or equivalent experience or LPN with 1 year of relevant experience required. AA/AS in health or human services field with 3 years of relevant work experience maybe considered equivalent of 1 year of bachelor’s degree. Bachelor’s degree in non-related field with 5 years of post-bachelor’s relevant work including customer services experience maybe considered.
• At least one year of case management experience preferred.
• Experience in working with at least one of the following communities is required: people living with HIV/AIDS, Asians and Pacific Islanders, immigrants, LGBT individuals, and families with children.
• Fluency in one or more Asian language preferred.
• Excellent written and verbal communication skills in English required
• Independent and good team player with good attention to details required.
• Ability to handle multiple tasks and stressful environment.
• Ability to work well within the organizational structure required.
• Ability to work flexible hours including some evening and some weekends required.
• Ability to use common office software. (Word, Excel, Power Point).
• Ability to use electronic medical record required. Familiarity with eClinical Works and AIRS is a plus.
• Proof of immunization or immunity to certain communicable diseases (including influenza during the flu season) and testing for tuberculosis is required. These certifications are required by the NYC DOHMH Health Code, NYSDOH and OSHA

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 as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.

Attachments (1)

Medical Case Manager - Job Description (updated).pdf