Match score not available

Medical Case Manager Care Coordination Hybrid Remote No License Req

72% Flex
Remote: 
Full Remote
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree in Social Work or related field, Experience working with underserved populations.

Key responsabilities:

  • Provide medical and non-medical case management
  • Coordinate all aspects of patient care
  • Assist clients with insurance applications and medication
  • Document client interactions and care plans
  • Maintain confidentiality and meet performance standards
Southwest Care Center (SCC) logo
Southwest Care Center (SCC)
51 - 200 Employees
See more Southwest Care Center (SCC) offers

Job description

Logo Jobgether

Your missions

Southwest Care Center employees can answer yes to these 3 questions:

1. Do you want to make a difference?
2. Do you believe everyone is entitled to quality healthcare?
3. Do you desire to serve the underserved in your community?

For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque, NM. We are a non-profit, FQHC-LAL providing medical, behavioral health, case management, community outreach, diabetes education, and pharmacy services. We are proud to offer gender equity medicine, syringe exchange, and HIV/Hep C treatment, testing and other services within our communities.

Southwest Care Center is currently seeking a full-time Medical Case Manager for our Santa Fe and Albuquerque, NM clinics. This is a hybrid remote position, with opportunity to work three days in clinic and two days remote. Candidate can be located in local area (Santa Fe or Albuquerque), but must be able to work in the Santa Fe clinic.

Position Details:
  • Complete an intake with people living with HIV/AIDs interested in case management services in with client-specific information, barriers to care, and urgent needs are assessed.

  • Works with peers and team members to orient the client/patient to the organization with site tour, overview of available resources, and introductions to the treatment team, wrap-around teams, and others.

  • Meets with clients/patients to complete additional intake paperwork, authorizations, consents based upon desired services, etc.

  • Provides client/patient with linkage to an insurance assister if needed, obtains required documentation from clients/ patients, and assists with applications for medication assistance or ADAP as needed.

  • Promotes client/patient access to internal agency services including, but not limited to support groups, housing services, food programs, behavioral wellness, substance use treatment, and medical care.

  • Responsible and accountable for coordinating all aspects of client/patient care as listed on the service plan.

  • Provide Medical and Non-Medical case management for enrolled clients/patients with the specific goals of achieving and maintaining viral load suppression.

  • Schedules client/patient for appointments with required staff at SCC, identifies available community-based resources, and actively manages appropriate referrals, access, engagement, follow-up, and coordination of services identified on the service plan.

  • Conducts engagement services (including hospital visits, reminder phone calls, transportation, etc.) to increase the likelihood that clients/patients will attend appointments at SCC and will follow up with clients/patients regarding missed appointments.

  • Conducts assessments, re-assessments, case conferences, and service plan development with the client/patient and multidisciplinary team to reduce barriers to retention and adherence.

  • Ensure that all client/patient interactions are documented in the client/patient electronic health record and e2NM within the designated time frame.

  • Responsible for contacting and tracking clients/patients who are not virally suppressed and lost to care.

  • Coordinate case conferences/communication to address client/patient needs:

  • Ensures a case conference/communication with the treatment team for all clients/patients who are lost to care.

  • Based on outcomes of the case conferences/communication, links clients/patients to services such as the Treatment Adherence Program, Behavioral Wellness, partner notification, health education, housing, transportation assistance, etc.

  • Requires the ability and commitment to respect and support inclusiveness and diversity, including but not limited to individuals of diverse backgrounds, cultures, races, ages, sexual orientations, gender identities or expressions, transgender, experiences, opinions, etc.

  • Requires individual demonstration of commitment to SCC’s behaviors and business impacts and modeling them in the organization.

  • Responsible for maintaining the confidentiality of all client/patient, employee protected, and proprietary information.

  • Accountable for meeting the performance standards of their department and must participate as requested in compliance audits, process improvement, and quality improvement plans.

  • Routine and appropriate documentation in the electronic health record of client/patient barriers to care, progress, care plans, changes, and notes to ensure SCC can adequately report in the Ryan White Services Report (RSR).

  • Performs identified prior authorizations; collaborates with clinical staff and providers for necessary supporting documentation. (Pharmacy prior authorizations provided by Pharmacy Staff in Specialty Care clinics).

  • Maintains appropriate level of working knowledge regarding applicable grants and other program funds, regulatory requirements (such as FQHC, PCMH); patient counseling, guidance and all documentation are consistent with meeting such requirements.

  • Other duties as assigned

Candidate Highlights:

Education & Experience as required by the NM Department of Health for the position:

  • Bachelors of Social Work (BSW) or Masters of Social Work (MSW); or

  • Bachelor’s degree from an accredited college or university + 2 years of exp. working with HIV diagnosed populations, chronic illness populations, or underserved populations; or

  • Associates or Certified Community Health Worker + 2 years of exp. working with HIV diagnosed populations, chronic illness populations, or underserved populations; or

  • High School Diploma or Equivalent + 4 years of exp. working with HIV diagnosed populations, chronic illness populations, or underserved populations.

Note: Education above the minimum requirements can be substituted on a year for year basis.
 

License/Certification: NM DOH Counseling, testing and referral services certification and NM DOH Harm Reduction and Prevention Certification (provided upon hire), and Basic Life Support (BLS)

Employment Highlights:
  • M-F 8-5 typical schedule

  • Competitive rate of pay

  • Generous time off plans including sick and holidays

  • Tuition reimbursement and other professional development programs

  • Full benefits package including medical, dental, vision, 401k, supplemental life and spousal coverages, employer paid disability, and access to the 340B prescription program if a patient at SCC.

Interested in this Position? Need More Information?

Apply today and we will connect you with a member of our recruitment team. We look forward to speaking with you soon.

If you experience difficulty applying or need assistance please contact HR@southwestcare.org.

*Please note, we are unable to respond to resume inquiries.

Living & Working in New Mexico: 

The Land of Enchantment offers residents a way of life that you won’t find anywhere else in the United States. Our clinic locations are in Santa Fe and Albuquerque, NM. Each with its own unique vibe and both offering all the perks you get when you call New Mexico Home.

  • Rich cultural and historical diversity.

  • 310 days of sunshine, combined with a mild, dry climate and four distinct seasons! You’ll forget what humidity is when you live here.

  • Unlimited year-round outdoor opportunities including hiking, rock-climbing, rafting, motorized sports, and even skiing. Yes, we have really big ski mountains in and around the deserts of New Mexico!

  • Diverse and inclusive communities with amazingly kind people from all walks of life.

  • Gorgeous landscapes that include desert and majestic mountains. New Mexico has to be to be seen to believe.

  • Continuous festivals, concerts, and events including the internationally known Balloon Fiesta of Albuquerque.

  • International airport providing low-cost, quick access in-country and out.  

  • Big city amenities found in Albuquerque with easy access from Santa Fe (50 min). Many of our employees commute between these cities. Both cities are connected by the NM rail system for those looking for a relaxing commute with a breath-taking view.

  • Great schools and family friendly communities.

  • And let’s not forget about New Mexican cuisine—it is some of the best food in the country. Will you have red or green?

Southwest Care Center is an equal opportunity employer. We offer equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal or state law.

Job Details:

Location:
NM Santa Fe - Harkle

Worker Type:
Employee

Regular

Scheduled Weekly Hours:
40

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Go Premium: Access the World's Largest Selection of Remote Jobs!

  • Largest Inventory: Dive into the world's largest remote job inventory. More than half of these opportunities can't be found on standard platforms.
  • Personalized Matches: Our AI-driven algorithms ensure you find job listings perfectly matched to your skills and preferences.
  • Application fast-lane: Discover positions where you rank in the TOP 5% of applicants, and get personally introduced to recruiters with Jobgether.
  • Try out our Premium Benefits with a 7-Day FREE TRIAL.
    No obligations. Cancel anytime.
Upgrade to Premium

Find more Case Manager jobs