Medical Case Manager- Warren

Mainline Health Systems Inc; Warren (AR); On-site; USD 42,000 - 66,000; Full time

Job summary

The Clinical Case Manager at Mainline Health Systems, Inc. supports the care team and works under the supervision of the Clinic Manager to develop a comprehensive service delivery system aligning with the Patient Centered Medical Home model.

Responsibilities include coordinating clinic communications, processing referrals and lab results, and contributing to quality improvement initiatives while maintaining professional patient interactions and adherence to schedules.

Qualifications

• Ability to communicate clearly, take direction, and work well with a team while staying self-motivated.
• Detail oriented and organized; proficient with electronic medical records.

Responsibilities

• Handle clinic telephone encounters and paperwork
• Process refill requests and lab result notifications
• Manage patient and staff electronic message requests
• Interact daily with patients and staff in a courteous, professional manner
• Communicate with management regarding issues
• Participate in monthly clinical staff meetings
• Support workflow implementation of the Patient Centered Medical Home model
• Attend continuing education as needed for MHSI
• Participate in daily huddles and active care team involvement
• Complete training programs as required by Mainline Health Systems, Inc.

Skills

Communication

Teamwork

Detail oriented

EMR systems

RN License

Safety awareness

Job description

JOB: Full Time Status Reports To: Clinic Manager

FLSA Status : Non-Exempt Amount of Travel Required: Minimum

Grade/Level : Positions Supervised: None

Work Schedule :

8 a.m. to 5:30 pm Monday- Thursday.

8 a.m. to 12:00 pm on Friday.

However, adjustments in schedule or additional hours may be required to complete duties.

JOB SUMMARY:

The Clinical Case Manager is part of the care team and under the supervision of the Clinic Manager. The Clinical Case Manager primary purpose will be to work in conjunction with all health services within the health center in order to aid in the development of a comprehensive services delivery system aimed at meeting the needs of the patients. The Clinical Case Manager is involved in continuous Quality Improvement practices and measures as set by Mainline Health Systems, Inc. and in which the practice focus is based on a Patient Centered Medical Home model of Care.

JOB DUTIES:

Include but not limited to:

• Handle telephone encounters for their clinic
• Be responsible for clinic paperwork, refill requests, and notification of lab results.
• Process requests from patients and staff via electronic messages.
• Interacting with patients and staff on a daily basis in a courteous and professional manner, addressing questions and direct calls promptly.
• Communication with management in regards to any related issues.
• Additional duties or responsibilities as deemed necessary.
• Participates in monthly clinical staff meetings
• Serve as part of the care team; following and implementing workflows that support and sustain MHSI Patient Centered Medical Home model of care.
• Willingness to attend and/or complete continuing education related to this position and/or any other topics as deemed necessary to MHSI.
• Participate in daily huddles and maintain an active role within the care team.
• Completion of continual job training processes set forth by Mainline Health Systems, Inc .

QUALIFICATIONS: All listed below are key skills necessary for the position.

• Ability to communicate clearly, takes direction, and work well with a team but also self motivated.
• Detail oriented.
• Ability to navigate and utilize electronic medical records.
• One year of experience in medical field/setting.
• Unencumbered Nursing License
• The ability to work in a constant state of alertness and in a safe manner.

REPORTING RELATIONSHIPS:

Reports directly to the Clinic Manager.

EVALUATION:

Annual evaluation performed by Clinic Manager with consult of Director of Operations and/or COO.

PHYSICAL DEMANDS

Physical Demands

Lift/Carry

Stand

O (Occasionally)

Walk

O (Occasionally)

Sit

F (Frequently)

F (Frequently)

O (Occasionally)

Reach Above Shoulder

O (Occasionally)

Climb

N (Not Applicable)

N (Not Applicable)

Squat or Kneel

O (Occasionally)

O (Occasionally)

10 lbs or less

F (Frequently)

11-20 lbs

O (Occasionally)

21-50 lbs

O (Occasionally)

51-100 lbs

N (Not Applicable)

Over 100 lbs

N (Not Applicable)

Push/Pull

12 lbs or less

O (Occasionally)

13-25 lbs

O (Occasionally)

26-40 lbs

O (Occasionally)

41-100 lbs

N (Not Applicable)

Activity is not applicable to this occupation.

N (Occasionally)

Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently)

Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly)

Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

Other Physical Requirements

Vision (Near, Color)

Sense of Sound (telephone and verbal conversations)

Sense of Touch

WORK ENVIROMENT:

An office environment in a controlled atmosphere building. This is an OSHA low –risk position.

The salary for this position is negotiated between the individual and the Clinic Manager using established salary scale. Bilingual employees receive an additional $0.50 per hour.

STATUS:

This is a FLSA Non-Exempt position.

This is an OSHA low risk position.

This is an ADA negotiable position.

This is a safety sensitive position. (Arkansas Act 593 of 2017)

DISCLAIMER:

The duties and responsibilities, qualifications, physical conditions and other statements contained herein represent the current general nature of the job described, and are subject to change at any time, with or without notice. This job description does not limit in any way the assignments that may be given to an employee in the job, and employees are expected to perform any and all duties assigned by their supervisor willingly and without reservation.