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Medical Case Manager

Company: CAN Community Health
Location: Arlington
Posted on: September 16, 2023

Job Description:

CAN Community Health, one of the nation's largest providers of HIV Services, has an exciting opportunity for a Medical Case Manager for our Arlington, TX clinic.We are looking for someone who is passionate about serving the needs of individuals impacted by HIV and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer a good quality of life with an excellent schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award.CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer. Starting Rate: $55,000 K based upon education level, background, and experience. You can find out more about us by visiting our website at Apply Today! Job Title: Medical Case Manager- TEXAS Date Prepared: 11.10.2020Classification: Hourly-Non-Exempt EEO: 3-Technicians Revision Date: Location: Arlington, Texas Statement of Purpose: Provides outpatient HIV medical case management services and patient advocacy through education, counseling, advocacy, benefits assessment and enrollment, and coordination of services. Ensures patient access to essential medications, medical care and support services. CAN Values: 1. Recognize and affirm the unique and intrinsic worth of each individual.2. Treat all those we serve with compassion and kindness.3. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way I live my life.4. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.Primary Tasks: Medical Case Manager1. Screen all clients for program eligibility, complete initial financial assessment and re-evaluation every 6 months to ensure continued eligibility.2. Verify insurance coverage, assist in benefit applications, insurance prior authorizations, screening, and referral for ADAP, ACA, Patient Assistance Programs or alternative coverage ensuring payor of last resort.3. Development of a comprehensive, individualized care plan complete and a re-evaluation of this every 6 months.4. Complete Initial assessment and acuity to determine service needs and re-evaluate every 6 months.5. Provide referrals, linkage, and coordination of services to community partners in accordance with local, state, and federal program guidelines to promote goals of the individualized service plan.6. Follow recommendation of care guidelines for medical case management services set forth by the Texas HIV Case Management Standards of Care.7. Maintain compliance with the HIPAA privacy rule by following confidentiality standards and safeguarding the protected health information of patients. 8. Provide timely access to coordinated medically appropriate levels of services.9. Submit timely and accurate monthly billing documentation and reports.10. Utilize the industry standards of best practice methods when providing services.11. Ensure coordination of care and services by actively participating as a liaison on the patient's clinical care team.12. Maintain compliance with rules, laws and requirements set for by local, state, and federal funding sources.13. Ensure the integrity of case management records by effectively documenting all client encounters within the required software applications and auditing records routinely through the internal audit review process.14. Maintain confidentiality regarding patient and/or family in accordance with professional standards and applicable laws.15. Promotes and practice CAN Community Health, Inc.'s mission and values, and follows policies and procedures set forth and approved by CAN Board of Directors.16. Participate, actively engage, and promote local HIV planning bodies.Secondary Tasks: Medical Case Manager1. Cross trains for effective team participation.2. Develops and fosters networking relationships with community and support resources.3. Participate in quality management activities.4. Practices safety, environmental and/or infection control methods.5. Continue professional training and education to advance knowledge and skills of HIV/AIDS.6. Participates in continuous quality improvement of services rendered to CAN clients.7. Utilizes resources and supplies in a cost-effective manner.8. Demonstrates courtesy and respect in all interpersonal relationships with CAN clients, staff, and visitors.9. Maintains professional manner in all aspects of job tasks.10. Performs all other duties as assigned. Knowledge, Skills and Abilities Required:1. Effective communication and interpersonal skills with patients, visitors, and staff members.2. Ability to utilize problem-solving techniques, a self-starter, work effectively, organized, and perform multiple tasks simultaneously.3. Ability to read, understand, follow, and enforce safety procedures.4. Demonstrates appropriate organizational skills.5. Willingness to utilize computer software programs.6. Accurately coordinate several tasks at one time.7. Able to work with minimal direct supervision.8. Must be able to travel to conferences, trainings, meetings, etc. Education/Professional: -- Bachelor's degree in a degree in health, human, or education services-- One year of case management experience with persons living with HIV and/or persons with a history of mental illness, homelessness, or chemical dependence. -- Consideration is given to those with experience in providing case management services to people living with HIV.CAN Required Trainings:General Orientation HIV/AIDS Violence in the WorkplaceSexual Harassment HIPAA Health Stream Courses (as assigned)Basic Annual Safety TrainingTexas DSHS Required Trainings:Must be completed within 3 months of hire: 1. Effective Communication Tools for Healthcare Professionals 100: Addressing Health Literacy, Cultural Competency and Limited English Proficiency* 2. Texas HIV Medication Program 2013 Update* 3. HIV Case Management 101: A Foundation* 4. HIV Case Management 101: A Foundation Part Two (Module 1: HIV and Behavioral Risk; Module 2: Substance Use and HIV; Module 3: Mental Health and HIV) * Must be completed within 9 months of hire: 1. STD Facts & Fallacies: Chlamydia, Gonorrhea & Pelvic Inflammatory Disease (PID)* 2. STD Facts & Fallacies: Syphilis* 3. Perinatal HIV Prevention Online Program**These courses are all available through the TRAIN (Training Finder Real-time Affiliate Integrated Network) Texas learning management system ( obtain 12 hours of CEU's in relevant core competency topics annually, examples of these are listed in the categories listed below. Texas DSHS will provide a pre-approved training courses. Other topics not listed below may be used to fulfill the requirement; however, courses must be approved by DSHS and should be submitted prior to attending training.Physical Demands:1. Neat professional appearance2. Exerts up to 10 lbs. of force frequently, and/or a negligible amount of force frequently or constantly in lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time but may involve walking or standing for brief periods of time.3. Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.Work Environment:This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, and various software programs, telephones, photocopiers, filing cabinets and fax machines. Other Duties: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. Responsible To: Director of Case Management CAN Community Health 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. PI32215514-25660-3d0860f0a0c9

Keywords: CAN Community Health, Arlington , Medical Case Manager, Executive , Arlington, Texas

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