Medical Case Manager

Options for Community Living, Inc.; Town of Islip (NY); On-site; USD 42,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Generous PTO: Wellness & Vacation days

403(b) retirement plan with employer匹§

Job summary

Options for Community Living, Inc. is seeking a Medical Case Manager to join our team on Long Island. The role focuses on coordinating medical care for residents in our community residence program, including those with complex health needs.

An ideal candidate has an associates degree (or 60 college credits) in health, human services or education, or is an LPN with two years of qualifying experience. Valid driver’s license and a vehicle are required.

Qualifications

• Associate's degree (or 60 college credits) in health, human services or education, OR LPN and 2 years of qualifying experience.
• Bachelor's degree in health or human services (OR RN) preferred, and 1 year of qualifying experience.

Responsibilities

• Coordinate and liaise with medical providers for residents in the community residence program.
• Problem-solve to manage acute and chronic medical conditions.
• Liaise with Home Health Aides and coordinate referrals to Home Health care agencies.
• Complete and follow through all steps related to the referral process for in-home care services.
• Arrange group visits by providers who do house visits (podiatrists, dentists, etc.).
• Develop strategies with staff to meet special needs of participants.
• Complete referrals for meal services based on medical need.
• Implement safety guidelines and collect health-related outcomes data.
• Assist with discharge planning and transportation to medical appointments.

Education

Associate's degree / 60 college credits

LPN with 2 years experience

Bachelor's degree in health or human services (or RN) preferred

Valid driver's license and clean driving record

Qualifying experience in case management for mental illness/homelessness/chemical dependence

Job description

Options for Community Living, Inc. is committed to helping Long Island’s most vulnerable families and individuals live healthier, more stable, and productive lives. In 1982, Options was established to respond to the need for housing in the community for people with serious mental illness. Today, Options serves over 2,000 adults and children annually and manages more than 160 residential properties across Long Island.

Options for Community Living, Inc. is looking for a Medical Case Manager to join our team!

An ideal candidate should meet the following requirements:

• Associate's degree (OR 60 credit hours of college study) in health, human services or education, OR LPN and 2 years of qualifying experience. Bachelor's degree in health or human services (OR RN) preferred, and 1 year of qualifying experience.*
• Valid driver’s license, safe driving record, valid auto insurance and access to a vehicle is required.
• Qualifying experience: Verifiable full or part time case management or case work with persons with a history of mental illness, homelessness, or chemical dependence.

An alternative combination of education, credentials, and experience may be substituted for a degree.

Our Benefits include:

• Medical, Dental and Vision Insurance
• Generous PTO: 5 Wellness Days, 10-22 Vacation Days, 8 Sick Days, 11 Paid Holidays - yearly
• 403(b) retirement plan with an employer match
• Employee Assistance Program
• Tuition Assistance
• Wellness Initiatives
• Paid Training & On-the-Job Training
• Promotional Opportunities
• Mileage reimbursement
• Life Insurance
• Flexible Spending Account

Salary Range

$41,860 ($23.00/hr.) - $54,600 ($30.00/hr.)

The above salary range represents Options for Community Living’s good faith and reasonable estimate of potential compensation that may be offered to a successful applicant for this position at the time of this job posting and may be modified in the future. When determining a salary offer, several factors may be considered as applicable (e.g., years of relevant experience, education level, language skillset, credentials, professional licensure, budget, and internal equity).

Schedule

Monday - Friday: 9:00 AM - 5:00 PM (35 hours/week)

Location

In person; Ronkonkoma site with field visits required.

Pay Type

Non-exempt

Responsibilities

• Coordinate and be liaison with medical providers for residents in the community residence program, specifically those with additional medical needs.
• Problem-solve to manage acute and chronic medical conditions.
• Liaise with Home Health Aides and coordinate referrals to Home Health care agencies.
• Complete and follow through all steps related to the referral process for in-home care services.
• Arrange for group visits by certain providers who do house visits (podiatrists, dentists, etc.).
• Work with program staff to develop strategies to meet any special needs that a participant may have.
• Complete referrals for meal services based on medical need.
• Implement safety guidelines.
• Collect data on medically-oriented outcomes.
• Identify health-related training needs for staff and residents.
• Assist with referrals to medical day programs and maintain contact with providers.
• Maintain directory of facilities and establish relationships at such facilities in event of client discharge or acute stay.
• In collaboration with other team members, direct the establishment of short and long term goals related to management of health care.
• Assess need for and implement special accommodations in accordance with Options’ Accessibility Plan.
• Provide restorative services related to health objectives and write progress notes. Complete and review service plans related to health objectives
• Perform in-person site visits.
• Travel between sites as needed; coordinate with site supervisors while maintaining alignment with primary supervisory direction.
• Assist with discharge planning for residents requiring housing placement in a medical facility.
• Coordinate healthcare planning with the residents’ healthcare providers and ensure implementation of medical recommendations and follow-up care.
• Assist with obtaining prior authorizations from medical insurance companies and assist with any other health insurance related concerns.
• Develop and lead structured, interactive health focused groups (educational sessions and engagement-based activities) to promote a healthy lifestyle.
• Provide direct support and transportation to medical appointments as needed. Assist with any referral and advocacy to ensure the resident understands their medical diagnosis, provider recommendations, testing etc.
• Assist residents in understanding and navigating health insurance benefits, including access to services, referrals and retrieving durable medical equipment.
• Collaborate with site supervisors to ensure coordination on resident health responsibilities and consistent staff follow-up.
• May be required to assist with coverage of caseloads, as needed.
• Other relevant responsibilities as assigned by management.

Salary Range: $41,860 USD - $54,600 USD

Incredible people doing meaningful work.

People come to work at Options to help improve the overall quality of life for individuals within the community. Our welcoming workforce is dedicated to helping the most vulnerable Long Islanders reach their fullest potential.