Medical Case Manager I

CAN Community Health Inc.; Columbia (SC); On-site; USD 32,000 - 37,000; Full time

Benefits offered by this job

Competitive pay

PTO and Sick time

11 Paid Company Holidays

Tuition Reimbursement Plan

Health, dental, vision with company 1%

Job summary

CAN Community Health, Inc. is seeking a Medical Case Manager I to coordinate comprehensive case management for clients, ensuring access to care and adherence to guidelines.

This role includes eligibility screening, care planning, and collaboration with healthcare teams to improve outcomes. The position requires a Bachelor’s degree in a related field and at least one year of HIV prevention/intervention experience, with background checks and valid driver’s license.

Qualifications

• Bachelor's degree in social work, nursing, public health, or related field.
• One year of HIV prevention/intervention experience.
• Must be able to operate a motor vehicle and have valid insurance and driver’s license.
• Must be able to pass a Level I and Level II Background check as required.

Responsibilities

• Coordinate and deliver comprehensive case management services to clients in line with guidelines.
• Screen clients for program eligibility and biannual reassessments.
• Verify insurance coverage and coordinate required pre-authorizations.
• Develop and update individualized care plans with patient goals.
• Act as liaison between patients and care team to address needs.
• Assist in coordinating, implementing, monitoring, and evaluating case management processes.
• Conduct comprehensive assessments across health, mental health, social support, and other areas.
• Evaluate client medical acuity to set priorities and standards of service delivery.
• Coordinate access to primary medical care and attend appointments as needed.
• Submit monthly billing documentation per grant standards.
• Document all encounters within software within 48-72 hours.

Skills

Care coordination

Patient advocacy

Team collaboration

Education

Bachelor's degree in social work, nursing, public health, or related field

One year HIV prevention/intervention experience

Job description

CAN Community Health is now hiring a Medical Case Manager I

Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:30 pm Friday 8:00 am - 12:00 pm

Pay Rate: $23.27 - $26.76 hourly based on experience

Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.

We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award.

Why You’ll Love It Here

• Competitive pay
• Generous paid PTO and Sick time
• 11 Paid Company Holidays
• Paid training and certification support
• Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
• Tuition Reimbursement Plan
• Other voluntary plans are available to support you and your family
• Career growth opportunities in a supportive environment

What You’ll Do

The Medial Case Manager is responsible for coordinating and delivering comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. This role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes.

• Screen clients for program eligibility and conduct biannual reassessments for continued enrollment.
• Verify insurance coverage and coordinate required pre-authorizations.
• Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life.
• Acts as liaison between patients and the care team to address identified needs
• Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process
• Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment.
• Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery
• Coordinates client access to primary medical care and treatment. Attends client medical appointments as needed.
• Submits timely and accurate monthly billing documentation in accordance with grant standards.
• Accurately document all client encounters within software applications within 48-72 hours.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Education/Professional

1. Bachelor’s degree in social work, Nursing, Public Health, or related field.
2. One year of HIV prevention/intervention experience
3. Please refer to state requirements per jurisdiction
4. Must be able to operate a motor vehicle and have valid insurance and driver’s license.

Must be able to pass a Level I and Level II Background check as required.

CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.