Medical Case Manager

The Health Federation of Philadelphia; Philadelphia (Philadelphia County); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical with vision benefits

403(b) Retirement Plan

Paid time off

Job summary

The Health Federation of Philadelphia is seeking a Medical Case Manager to provide practical and emotional support to HIV/AIDS-affected clients in Philadelphia. You will help clients manage daily living activities, maintain medical stability, and ensure adherence to treatment plans under clinical guidance.

This role involves coordinating care with health systems, linking clients to services, and maintaining confidentiality.

Qualifications

• 2+ years direct service experience in a human service, health care, community, or educational setting.
• Experience with maternal, pediatric, and family health issues and insurance/medical assistance procedures with economically disadvantaged is preferred.
• Bi-lingual in English/Spanish or English/French is preferred.

Responsibilities

• Conduct initial pre-screening of patients to determine eligibility for services.
• Develop a comprehensive care plan with the patient focusing on short and long term health goals.
• Establish and implement a medical treatment plan with counseling on medications and appointments.
• Identify barriers to care and coordinate with Health System Navigators to remove them.
• Annual reassessment of the client care plan based on health changes.
• Provide referral services to promote adherence and access to care.
• Monitor follow-through with services and evaluate outcomes.
• Attend workshops and staff meetings to maintain licensure and knowledge.
• Complete special projects as directed by supervisor.

Skills

Case management

Patient counseling

Care coordination

Adherence counseling

Interpersonal skills

Tools

Microsoft Office

Spreadsheets

Databases

Job description

Equal Opportunity Employer
The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia’s employment practices, including recruiting, hiring, training, and promotion.

JOB SUMMARY

The Medical Case Manager will provide practical, educational, and emotional assistance to Philadelphia Health center clients affected by HIV/AIDS. The Medical Case Manager will support the client’s ability to manage activities of daily living to increase and/or maintain quality of life and obtain and maintain medical stability and medication adherence.

Medical Case Management services are provided under the direction of, or by referral from, a clinical provider and include client centered services that implement the clinical treatment plan, including linking clients with health care, psychosocial, and other services. The coordination and follow-up of medical treatments are key components of medical case management. These services ensure timely and coordinated access to medically appropriate levels of health and support services and continuity of care through ongoing assessment of the client’s and other key family members’ needs and personal support systems. Medical case management includes the provision of treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments.

The Medical Case Manager will have internal contacts with the entire administrative staff and external contact with clients, community resources, and the community. This position has access to sensitive information and is expected to handle such information with integrity and professionalism. This position has regular contact with members of the community and is expected to represent the City of Philadelphia in a professional manner. The Medical Case Manager will be based in the Philadelphia Health Centers.

The Medical Case Manager will report directly to an overseeing supervisor and participate in department activities as necessary, as well as any trainings or direction set forth by the health center.

JOB SPECIFICATIONS

• Conduct initial pre-screening of patients to determine eligibility for services and appropriateness of case management services.
• Develop a comprehensive care plan jointly with the patient that includes short and long term goals focused on attaining, maintaining, and achieving positive health outcomes.
• Establish and implement a medical treatment plan by providing counseling on medications, appointments and other treatment adherence issues.
• Work with patients and team to identify barriers to care and implement interventions with Health System Navigators to remove barriers to care.
• At least twice annually evaluate and update the client care plan based upon changes to health status and other factors detailed in the reassessment.
• Conduct risk reduction counseling and partner counseling and provide referral services with all patients to prevent HIV transmission.
• Refer and link clients to appropriate services within the system of care that promote positive health outcomes, treatment adherence, and greater self-sufficiency.
• Monitor the client’s follow-through with these services.
• Evaluate effectiveness of services based upon client outcomes in the scope of work.
• Other tasks as deemed necessary.
• Attend relevant workshops or join professional groups as necessary to maintain professional knowledge and licensure.
• Attend relevant staff meetings to promote communication and execution of goals.
• Complete special projects specific to the function of the department or as needed for the department as directed by Supervisor.
• Other duties as assigned within the scope of position expectations.

Education

Minimum Experience: 2+ years experience providing direct services to a diverse population in a human service, health care, community, or educational setting. Experience with maternal, pediatric, and family health issues and insurance/medical assistance procedures with economically disadvantaged are preferred. Bi‑lingual in English/Spanish or English/French is preferred.

Certification/License: N/A

Skills/Experience

Preferred skills

Basic understanding of the City of Philadelphia’s mission, vision, values, programs and services and business plan.

• Knowledge of basic patient management procedures for determining eligibility, assessing needs, identifying resources, making referrals, following up, and documenting client interactions and proactively supporting patient’s pursuit of goals.
• Ability to maintain appropriate and professional judgment in regard to interactions with clients and staff.
• Ability to maintain a respectful, nonjudgmental, and compassionate manner with clients.
• Knowledge of community resources and benefits that impact and/or benefit the targeted client needs.
• Ability to perform and assist with activities of daily living for assigned clients.
• Ability to travel with assigned client in and around assigned geographic area using public transportation.
• Ability to effectively use standard office equipment.
• Possesses strong interpersonal skills as demonstrated by compassionate, courteous, cordial, cooperative, and professional interaction with diverse groups of co-workers, external business partners, and the community.
• Ability to operate a computer and use a variety of common software programs including Microsoft Office, spreadsheets, and customized databases.
• Strong written and verbal communication skills and effectively communicate with individuals and groups.
• Ability to effectively interview and engage a client in appropriate programming.
• Ability to work in a team structure – demonstrating ability to collaborate and contribute to the team’s work.
• Adherence to all City of Philadelphia and departmental policies and procedures.
• Attendance at all City of Philadelphia in‑services as required.

Work Environment/Physical Demands:

• The noise level in the work environment is usually moderate.
• Work will be significantly in the community, primarily in the field – you will be required to travel throughout Philadelphia County.
• Position may require occasional trips to attend conferences, seminars, and meetings.
• Certain visits or work‑related appointments might be scheduled outside of traditional work hours as necessary.

Position Type and Work Schedule:

Monday through Friday 8:30 am to 5:00 pm.

Physical Demands:

• While performing the duties of this job, the employee will frequently stand; walk; sit; use hands to finger, handle, or feel objects, tools or equipment; reach with hands and arms; balance; talk or hear. The employee will occasionally climb stairs; stoop; kneel; crouch or crawl; taste or smell.
• The employee must occasionally lift and/or move up to 25 pounds.
• Operate related office equipment and use necessary tools.
• Use established universal precaution methods and equipment while completing duties.
• Specific vision abilities required by the job include frequent reading and close vision; distance vision; color vision; peripheral vision; depth perception; and the ability to adjust focus.

Salary and Benefits

Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include:

• Medical with vision benefits
• Flexible spending accounts
• Life, AD&D and long-term care insurance
• Short- and long-term disability insurance
• 403(b) Retirement Plan, with a company contribution
• Paid time off including vacation, sick, personal and holiday
• Employee Assistance Program

DISCLAIMER

The Health Federation reserves the right to modify, interpret, or apply this job description in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This job description in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains “at will.” The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals.