Medical Case Manager (Southern Tier)

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The Medical Case Manager – Southern Tier is responsible for comprehensive coordination of medical care (linkage to supportive services and retention in care) to improve health outcomes for patients of Evergreen Health Primary and Specialty Care. They will identify and address barriers to support the improvement of patient outcomes, retention and adherence, and perform assessments surrounding treatment readiness. As part of the Essential Functions for this role, the Medical Case Manager – Southern Tier:

· Conducts initial assessment, develops and conducts follow-up interviews with patients in the primary/specialty care setting

· Provides medical case management for patients by arranging and ensuring appropriate and necessary health insurance/service, linkages, including community-based care coordination; medical, psycho-social, and other services onsite and in coordination with other providers; represents patient when advocacy is necessary

· Ensures patient retention in care through monitoring, patient reminders and identifying and addressing any barriers directly or through referrals

· Provides patient education and coaching, exploring opportunities for development of health supporting life skills and self-empowerment

· Maintains complete, current and accurate patient files through the electronic medical records system (Medent) complying with agency protocols and confidentiality policies

Qualified Candidate will have a Bachelor’s degree in health, human or education services and one (1) year of qualifying experience*; OR Associates degree in health, human or education services and two (2) years of qualifying experience. *“Qualifying Experience” means experience working with the following populations: persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence. Working knowledge utilizing EMR systems required (Medent, highly preferred). Candidate must be able to communicate clearly and professionally in writing and verbally.  Candidate must demonstrate time management and organizational skills, and familiarity with computers and MS Office software. Sensitivity to HIV/AIDS, addiction and LGBT issues and ability to work effectively with people from diverse cultures and socioeconomic conditions essential.

Job Type: Full-time

Required education: Bachelor's (plus 1 year experience); OR Associate’s (plus 2 years experience)

Required experience: Experience working with persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence

Additional requirements: Familiarity with  EMR systems and MS Office software

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