Medical Case Manager- Chronic Care

UNM Medical Group, Inc.; Albuquerque (NM); On-site; USD 56,000 - 70,000; Full time

Job summary

UNM Medical Group, Inc. is seeking a Medical Case Manager to join Truman Health Services in Albuquerque, New Mexico. This is a full-time day shift role focused on coordinating care for patients with chronic conditions and ensuring treatment adherence within a multidisciplinary team.

The ideal candidate will have strong communication, attention to detail, and solid computer skills. Required: education aligned with HIV populations experience; NM driver’s license; verification of education.

Qualifications

• High School Diploma or GED with 4 years HIV-related experience.
• Associates/CHW/Bachelors with 2 years HIV-related experience.
• BSW or MSW degree.
• Verification of education and licensure will be required.

Responsibilities

• Acts as liaison and advocate for services and care coordination.
• Develops goals and treatment plans with regular assessments.
• Coordinates and monitors care with multidisciplinary teams and community agencies.
• Ensures enrollment and recertification for Ryan White programs.
• Assists patients with applications for disability, SNAP, unemployment, insurance.
• Maintains confidentiality and comprehensive patient files.

Skills

Communication skills

Detail oriented

Computer proficiency

Experience with HIV populations

Multidisciplinary coordination

Education

High School Diploma or GED plus 4 years experience

Associates degree or CHW Certification or Bachelor’s degree plus 2 years experience

BSW or MSW

Job description

UNM Medical Group, Inc. is hiring for a Medical Case Manager to join our Truman Health Services team. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico.

Minimum $56,173- Midpoint $70,217*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

We are looking for a compassionate and dedicated Medical Case Manager with a strong commitment to providing quality care and support to patients with chronic conditions. Core services provided by Medical Case Manager may include coordination of case with a multidisciplinary team to ensure treatment compliance and evaluating/anticipating ancillary, wrap-around and support services. The chosen candidate must be focused, able to handle multiple activities at once, have excellent written and oral communication skills, exceptional computer skills and be very detail oriented.

Minimum Job Requirements of a Medical Case Manager:

• High School Diploma or GED plus 4 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations.

or

• Associates and/or Community Health Worker Certification and/or Bachelor’s degree from an accredited college or university plus 2 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations.

or

• Bachelors of Social Work (BSW) or Masters of Social Work (MSW).

Verification of education and licensure will be required if selected for hire.

Required: Possession of a valid unrestricted NM driver’s license.

About Truman Health Services:

• Compassionate & Evidence-Based Treatments: Join an interdisciplinary team that provides patient centered medical care for HIV and gender-affirming primary care. We also provide consult services for Hep-C and PrEP and strive to ensure the highest standards in health care.
• Holistic & Integrated Approach: Be part of an organization that takes a comprehensive approach, addressing patients’ medical, social, and mental health needs with a commitment to their overall well-being.
• Inclusive & Impactful: With locations in both Albuquerque and Roswell, NM, contribute to a dynamic, LGBTQIA+ affirming environment where you can make a real difference in the lives of New Mexicans.

Priority will be provided to candidates who are:

• Experienced providing Community Health Worker services to medically and socially complex populations.
• Experienced providing social support services to people living with HIV/AIDS.
• Experienced working with the LGBTQ+ community.
• Experienced working in a community based multi-disciplinary setting.

Duties and Responsibilities of a Medical Case Manager Chronic Care:

• Serves as liaison, manager and/or advocate for services, placements, referrals and ensures coordination of care, treatment and support within UNMHSC as well as community agencies, such as hospitals, nursing homes, hospices and rehabilitation facilities.
• Assists clients in developing goals and areas of need, and when required, assists in developing treatment plans which are assessed regularly; conducts medication and mental status assessment and determines required level and frequency of services.
• Assesses patients, evaluates effectiveness of care plan and progress made by client, participates in patient treatment planning, and case review with patient care providers, when applicable.
• Coordinates and monitors services, including comprehensive tracking of client activities in relation to care plan.
• Identifies and provides emergency crisis services as necessary and responds according to accepted crisis intervention methods and techniques; coordinates other services as appropriate.
• Conducts home, hospital, nursing home and other facility visits to ensure appropriate care coordination and positive patient outcomes.
• Ensures timely and accurate enrollment and recertification of all Ryan White programs in order to qualify and maintain eligibility for NM Department of Health, UNM Truman Health Services medical care and treatment and UNMTHS pharmacy services.
• Identifies eligibility and support options for accessing care, treatment and community resources and programs; assists patients with the completion of applications for programs such as disability, SNAP, unemployment, insurance, emergency financial assistance.
• Facilitates client access to community resources, including locating housing, food, clothing, legal services, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health services; assists client to develop natural resources and make contact with social support networks.
• Acts as the patient’s retention specialist providing appointment scheduling, reminder calls, eliminating barriers to avoid missing appointments, including coordination of transportation, and following up regarding missed appointments.
• Provides information, education, referrals and emotional support to patients in a compassionate, culturally sensitive and professional manner.
• Documents all client encounters and contacts made on behalf of clients; completes and submits billing documentation as appropriate; maintains comprehensive client files, which may include documents held for safekeeping on behalf of the client.
• Maintain current knowledge related to HIV and LGBTQ health and psychosocial issues and treatment options available.
• Maintains and reports applicable statistics regarding programs and client services.
• Participates in team and staff meetings, trainings and developmental activities as requested.
• Maintains highest level of patient confidentiality.
• Performs miscellaneous job-related duties as assigned.

Why Join UNM Medical Group, Inc.?

Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We’ve earned the Platinum Level Family Friendly Business Award® from Family Friendly New Mexico. ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.

• Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage: Includes medical, dental, vision, and life insurance.
• Additional Perks: Offers tuition reimbursement, generous paid time off, license and certification reimbursement program for eligible employees, and a 403b retirement plan for eligible employees.

Notice of Equal Opportunity Employment

UNM Medical Group, Inc. endeavors to make our careers page accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact UNM Medical Group, Inc. Human Resource Department at 505-272-3201 or [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

UNM Medical Group, Inc. is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Please see below for our EEO Policy Statement.