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

Paid PTO and Sick time

11 Paid Company Holidays

Paid training and certification

Health, dental, vision with company; 8

Life and disability plans; retirement

Tuition Reimbursement Plan

Other voluntary plans

Job summary

CAN Community Health Inc. is seeking a Medical Case Manager I to coordinate and deliver comprehensive case management services for clients affected by HIV, Hepatitis C, STI’s, and other diseases.

This full-time role supports access to care, eligibility screening, care planning, and resource linkage. You will collaborate with healthcare teams, document encounters promptly, and participate in billing and grant reporting.

Qualifications

• Screen clients for program eligibility and biannual reassessments.
• Verify insurance coverage and coordinate pre-authorizations.
• Develop and update individualized care plans with patient goals.

Responsibilities

• 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 with patient goals.
• 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 needs in health, mental health, social support, and resources.
• Evaluate client medical acuity to establish priorities and standards of service delivery.
• Coordinates client access to primary medical care and attends appointments as needed.
• Submits timely monthly billing documentation in accordance with grant standards.
• Document all client encounters within software within 48-72 hours.

Skills

Case management

Eligibility assessment

Care coordination

Patient advocacy

Education

Bachelor’s degree in social work, Nursing, Public Health, or related field

Job description

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.

Requirements

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. https://info.flclearinghouse.com/

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.