Medical Case Manager: Enrollment & Care Advocate

Care Resource Health Centers, Inc.; Miami (FL); On-site; USD 40,000 - 60,000; Full time

Job summary

Care Resource Community Health Centers, Inc. is seeking a dedicated professional to provide outreach and enrollment assistance for health insurance, Medicaid, and CHIP. You will interview clients, determine eligibility, enroll in programs, and coordinate medical treatments while maintaining comprehensive patient records.

The role requires a bachelor’s degree in a behavioral science field, two years of related experience, and relevant HIV/AIDS training. Some travel and home visits may be involved.

Qualifications

• Bachelor’s degree in behavioral science field required.
• Two years of related experience required; HIV/AIDS experience preferred.
• HIV/AIDS 104, 500 & 501 and Case Management training within 90 days of hire.
• ACA Certified Application Counselor certification annually; Case Management Medicaid Provider Certification required.
• Own transportation required.

Responsibilities

• Provide outreach and enrollment assistance for health insurance marketplaces, Medicaid, or CHIP.
• Interact with clients to improve health and enroll into services.
• Create rapport to support medical treatment progress for clients.
• Interview prospective clients to determine eligibility for medical or social services and enroll in programs.
• Coordinate, support and follow up on medical treatments and maintain active caseloads.
• Serve as liaison between departments and external providers to remove barriers to care.
• Conduct home or hospital visits to assess acuity of care and coordinate service mobilization.
• Discharge planning from hospitalizations and coordinate post-hospital care.
• Maintain records of labs, medications, testing, visits, and treatment plans to ensure compliance.
• Provide ongoing medication and treatment counseling and monitor treatment adherence.

Education

Bachelor’s degree in behavioral science field (Social Work, Nursing or Psychology)

Job description

Care Resource Community Health Centers, Inc. is seeking a dedicated professional to provide outreach and enrollment assistance for health insurance, Medicaid, and CHIP. You will interview clients, determine eligibility, enroll in programs, and coordinate medical treatments while maintaining comprehensive patient records.

The role requires a bachelor’s degree in a behavioral science field, two years of related experience, and relevant HIV/AIDS training. Some travel and home visits may be involved.