Community Health Case Manager

The People's Health Clinic•Park City, UT

About The Position

The Community Health Case Manager coordinates comprehensive, patient-centered care for PHC's uninsured, predominantly Spanish-speaking patients across Summit and Wasatch Counties. Working fluently in both English and Spanish, the Case Manager carries a caseload of patients with complex medical and social needs, developing and managing individualized care plans, connecting patients to medical and community resources, and following patients over time to ensure continuity of care.

Requirements

Must be fluent in English and Spanish
Prior experience in a clinical or case management setting is required.
At least two years of experience in a clinical or case management setting is required
Excellent verbal and written communication skills
Proficiency with electronic health records and Microsoft Office
Highly organized with strong attention to detail and the ability to manage a caseload
Strong problem-solving and critical-thinking skills
Able to work effectively with a diverse patient population, with exceptional customer service and interpersonal skills

Nice To Haves

Relevant background may include work as a case manager, social worker, community health worker, medical assistant, patient navigator, or receptionist.
Direct case management experience preferred.
Bachelor's degree or higher preferred, ideally in social work, public health, nursing, or a related field

Responsibilities

Carry and manage a caseload of patients with complex medical and social needs, conducting assessments and collaborating with the clinical care team to develop and maintain individualized, patient-centered care plans
Coordinate care across the continuum, including scheduling and reminders for primary, specialty, and subspecialty appointments, arranging transportation, and ensuring the timely completion of applications
Assist patients with access to care and coverage, including medication access assistance and Medicaid enrollment applications when applicable
Connect patients to community resources and conduct home visits when needed to provide patient education and support
Document individual contacts, visits, and outcomes data in the Electronic Health Record accurately and in a timely manner
Advocate for and support technology-enabled patient education and care
Contribute to the achievement of established program goals and objectives, and adhere to department policies, procedures, and quality standards
Collaborate with providers, case management and community health team members, and community partners to coordinate quality patient care
Build and maintain relationships with community partners to establish and sustain ongoing support options
Serve as a resource and mentor to community health workers and case management staff on complex cases