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Case Manager

Company: CAN Community Health
Location: Sarasota
Posted on: August 11, 2019

Job Description:

Description:
Statement of Purpose: This position is responsible for administering and coordinating client services programs and the documentation and follow up thereof.Primary Tasks: MEDICAL CASE MANAGER1. Screen all clients for program eligibility while identifying patient need through interview.2. Verifies insurance coverage and coordinates the necessary pre-authorizations.3. Develops, coordinates, and implements individual plans of care and the follow-up thereof.4. Provides assistance with referrals and coordinates services in accordance with agreements reached with other organizations, federal and local programs.5. Responsible for RW, HOPWA, and ADAP Premium Plus case management and all other case management assignments. 6. Ensures the integrity of case management records through the audit review process.7. Accurately documents all client encounters within software applications, completes and submits billing documentation and maintains client case management files.8. Processing needed paperwork for Patient Assistance Program.9. Complies with all programs requirements as well as is up to date with all changes of the programs.10. Collaborates with clinic team members to coordinate patient services. 11. Processes documentation required by state and local funding sources as required.12. Maintains confidentiality regarding patient and/or family in accordance with professional standards.13. Promotes and practices CAN Community Health, Inc.s mission and values, and follows its policies and procedures.14. Ensures confidentiality is maintained by CM team regarding patient/client information in accordance with HIPAA, professional and departmental standards.Secondary Tasks: MEDICAL CASE MANAGER1. Cross trains for effective team participation.2. Develops and fosters networking relationships with community and support resources3. Practices safety, environmental and/or infection control methods.4. Continues professional training and education to advance knowledge and skills of HIV/AIDS.5. Participates in continuous quality improvement of services rendered to CAN clients.6. Utilizes resources and supplies in a cost-effective manner.7. Demonstrates courtesy respect in all interpersonal relationships with CAN clients, staff, and visitors.8. Maintains professional manner in all aspects of job tasks.9. Performs all other duties as assigned. Responsible To: Case Manager Supervisor.

Requirements:
Education/Professional Experience: MEDICAL CASE MANAGER1. Bachelors degree from an accredited school or equivalent experience in social services.2. HIV prevention/intervention experience3. Basic Annual Safety Training, HIV 104, 500 and 501Knowledge, Skills and Abilities Required: MEDICAL CASE MANAGER1. Valid drivers license.2. Effective communication and interpersonal skills with patients, visitors and staff members.3. Visual and auditory acuity4. Ability to utilize problem-solving techniques, a self-starter, work effectively, organized and perform multiple tasks simultaneously. 5. Ability to read, understand, follow, and enforce safety procedures.6. Demonstrates appropriate organizational skills7. Willingness to utilize computer software programs.8. Accurately coordinate several tasks at one time.9. Able to work with minimal direct supervision10. Must be willing to travel to conferences, training's, meetings, etc. PI112605367

Keywords: CAN Community Health, Sarasota , Case Manager, Executive , Sarasota, Florida

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