Case Manager

Matrix Human Services•Ferndale, MI

15d•Hybrid

About The Position

Matrix Human Services is dedicated to Educating Children, Supporting Families, and Rebuilding Neighborhoods in Detroit. The organization impacts over 20,000 individuals annually through more than 30 program locations, offering services such as Head Start, HIV treatment and prevention, youth services, workforce development, financial literacy, housing assistance, and senior living programs. Matrix emphasizes personal and career development through tuition assistance, professional development support, and an in-house learning platform. They also value work-life balance with vacation banks and paid holidays. The Case Manager role is crucial in addressing the social determinants of health for individuals living with chronic illnesses, managing their medical care, and ensuring optimal patient outcomes and long-term engagement in care. This role involves close collaboration with medical providers and an interdisciplinary team to facilitate patient linkage to care, retention in care, and optimal health outcomes.

Requirements

Bachelor’s Degree in related health/human service field required or related direct client service experience which has been performed under the supervision of a human services professional for a period of two years of full-time service.
Must successfully complete Case Management Training within the first year of employment.
Comfortable in a culturally diverse environment, demonstrate awareness of the value of cultural competence, sensitivity in task implementation, and comfort engaging in conversations regarding health and well-being.
Ability to take ownership and showcase interpersonal skillset.
Good verbal and written skills.
Able to communicate effectively.
Understanding of the functions of patient advocacy and knowledge of rules and regulations concerning HIPAA and client confidentiality.
Well-organized and demonstrated ability to prioritize multiple tasks; self-driven; achieve desired results and adapt favorably to changing priorities.
Highly effective problem-solving ability.
Analytical ability sufficient to resolve problems requiring the integration of data from diverse sources.
Computer literate, proficient in Microsoft Outlook, able to learn and effectively utilize client software data base.

Nice To Haves

Familiarity with how public and private insurances work and with the Healthcare.gov website.
Possess a working knowledge of regulations relating to Medicaid; familiarity with and ability to navigate the ACA enrollment process and Health.gov website; familiarity with how private and public insurances work.

Responsibilities

Patient assessment, service plan development, and periodic reassessment of needs.
Medication adherence counseling and patient education.
Ongoing monitoring of medical and psychosocial needs and evaluation of patient progress.
Patient discharge from services.
Demonstrates competency in all facets of clinical interaction including intake, biopsychosocial assessment and reassessment, service planning, progress notes, resource knowledge, referrals, ability to develop rapport with patients, provide health education related to risk reduction and medication adherence.
Familiarity with how public and private insurances work and with the Healthcare.gov website.
Possess a working knowledge of regulations relating to Medicaid; familiarity with and ability to navigate the ACA enrollment process and Health.gov website; familiarity with how private and public insurances work.
Implements and evaluates plan of care for each patient.
Conducts ongoing review of client’s needs and actively links them to appropriate resources.
Coordinates with the patient’s medical providers to monitor their progress, identifies any needs related to their medical services, assists in facilitating client’s linkage and follow through on service/resource obtainment.
Works as part of interdisciplinary team to achieve optimal health outcomes for patients, such as viral load suppression.
Coordinates services and referrals with other members of the team to prevent any gaps in services.
Focuses efforts on supporting medical plan of care and keeping patient retained in care.
Participates in interdisciplinary team meetings by providing review of client’s needs, services, linkage, and progress with goals.
All clinical documentation (intake, assessment, reassessment, service plans, progress notes, releases of information, etc.) are completed fully and within time frames designated.
All administration documentation (URS, service activity logs, quarterly grant data statistics submission) are completed fully and within time frames designated.
Educates and builds relationships with other providers of service including physicians, clinics and the public.
Maintains awareness of community changes which could impact service delivery.
Conducts community outreach and networks with other service providers developing new venues for the program to participate in.
Maintains professional conduct with colleagues and facilitates effective interaction in one on one situations and in meetings.
Ability to be a team player.
Participates in ongoing trainings to increase skill level as both a presenter and an active audience member.
Maintains knowledge of current requirements of regulatory, licensing and accreditation agencies including Standards of Care for case management.
Staff maintains professional conduct with clients including being on time for visits, returning phone calls, maintaining professional boundaries and educating clients on all MHS services.
Understanding of the functions of patient advocacy and knowledge of rules and regulations concerning HIPAA and client confidentiality.
Comfortable in a culturally diverse environment and demonstrate awareness of the value of cultural competence, sensitivity in task implementation, and comfort engaging in conversations regarding health and well-being.
Performs other duties as assigned.