Medical Case Manager

Philadelphia FIGHT

Medical Case Management

Medical Case Manager Job Description

The Medical Case Manager position will work in an interdisciplinary team setting, based out of Philadelphia FIGHT's John Bell Health Center.

The Medical Case Manager will provide long and short-term medical case management services, therapeutic support, treatment adherence and benefits coordination to adult patients living with HIV and other chronic health conditions.

This includes connecting clients to necessary resources and public benefits such as Medicaid Assistance, food assistance (SNAP), housing rebate programs, medication assistance programs, and additional resources such as shelter / housing, food banks, substance treatment programs, behavioral health programs, and other necessary resources that will enhance clients' lives.

Providing patients with case management services is a vital component in providing to their medical care. Applicants with experience in case management, public benefits, a commitment to social justice, and value healthcare as a human right are encouraged to apply.

Qualifications : The Medical Case Manager will have a minimum of a Bachelor's level of education in social work (or related field) from an accredited college;

MSW preferred. Literacy and fluency in Spanish and English highly desired. Knowledge and familiarity with local social services resources including public benefits is a plus.

Experience working with people living with HIV / AIDS and other chronic health conditions is highly desired.

We are looking for individuals with an ability and desire to work productively with highly stigmatized and diverse populations using a strength-based framework.

We are also interested in individuals with excellent interpersonal skills with the ability to work collaboratively with clinicians and patients, the ability to exercise crisis interventions, and the ability to onsite and work from home with WiFi / Computer access as needed.

Required Screenings

• Must complete Philadelphia FIGHT Credentialing and Privileging to provide direct services with Federally Qualified Health Centers.
• Philadelphia FIGHT requires proof of completed COVID-19 vaccination series for all new employees hired. Medical and religious exemptions will be honored consistent with EEOC regulation.
• Twenty hours of professional education and training will be required on an annual basis as described by AACO. The AACO core training series must be completed within 12 months of hire.

Responsibilities :

Clinical Responsibilities

• Serve clients engaged in medical care at John Bell Health Center in clinic or by telehealth follow-up.
• Maintain contact with clients based on program need, client need, and service care goals.
• Provide short term case management interventions connecting clients to necessary resources such as shelter referrals, utility assistance programs, food banks, clothing banks, substance treatment programs, behavioral health programs, gender affirming care, immigrant programs, and other necessary resources.
• Maintain a caseload of clients living with HIV / AIDS and other chronic medical conditions.
• Complete a biopsychosocial assessment and service care goals with each client at the time of intake. Monitor and update service care goals and assessments quarterly in coordination with interdisciplinary team.
• Documentation of adherence to medical appointments and medical care plan, including HIV medication adherence.
• Available to provide home visits and accompany clients to outside medical appointments as needed.
• Identify appropriate resources and external support systems to address client needs including advocating and negotiating linkages to resources.
• Assess and advocate for client's potential eligibility for Medicaid or Emergency Medicaid. Assist with connecting uninsurable clients to necessary resources to enhance their medical care.
• Provide trauma-informed therapeutic support in collaboration with interdisciplinary team, including crisis situations.

Other Responsibilities

• Maintain accurate and timely documentation of all client contacts (using D.A.P. format), forms, and applications in EHR software.
• Provide cross-coverage with other Medical Case Managers and health centers.
• Maintain confidentiality standards in accordance with applicable laws and regulations, specifically including the Health Insurance Portability and Accountability Act (HIPAA) and the Confidentiality of HIV Related Information Act (Act 148).
• Contribute as a team member and share in the responsibilities required to maintain operations and serve the mission of Philadelphia FIGHT.

This includes, but is not limited to, obtaining training, participating in events, flexibility in scheduling, covering the commitments of coworkers when they are unable, and other duties as assigned.

Mandated Reporting for minor patients where harm is perceived or evident.

Other : Initial probationary period is three months.

Salary range : $51,000 - $54,000 and competitive benefits package. Benefits begin on the first day of employment.

Work Environment : Generally, works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting.

Hybrid office primary / work from home option for admin.

Work Hours : 40 Hours / Week (M-F 9 : 00am - 5 : 00pm)

Philadelphia FIGHT requires proof of completed COVID-19 vaccination series for all new employees hired. Medical and religious exemptions will be honored consistent with EEOC regulation.

FIGHT is an EEO, Affirmative Action, LGBTQ, people living with HIV / AIDS, and protected veterans' institution.

We recognize that an inclusive workforce with a variety of views, perspectives, and backgrounds is an integral part in our organizational success.

We encourage and embrace a diverse workforce that provides us with unlimited ideas and innovative solutions. We are dedicated to recruiting, hiring, and retaining employees from many backgrounds.

To apply :