Medical Case Manager II Licensed

CAN Community Health Inc. • Las Vegas, NV

27d • $34 - $35

About The Position

CAN Community Health is now hiring a Medical Case Manager II Licensed Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:00 pm Friday 8:00 am - 12:00 pm Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award. Salary: $33.65 - 34.61 per hour based on experience. Why You’ll Love It Here Competitive pay Generous paid PTO and Sick time 11 Paid Company Holidays Paid training and certification support Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%. Tuition Reimbursement Plan Other voluntary plans are available to support you and your family Career growth opportunities in a supportive environment What You’ll Do The Licensed Medical Case Manager II is responsible for coordinating and delivering comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. This role involves eligibility screening, care planning, resource linkage, and collaboration with healthcare teams to promote optimal health outcomes. Screen clients for program eligibility and conduct biannual reassessments for continued enrollment. Verify insurance coverage and coordinate required pre-authorizations. Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life. Acts as liaison between patients and the care team to address identified needs Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment. Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery Coordinates client access to primary medical care and treatment. Attend client medical appointments as needed. Provide routine medical chart reviews and case conferences with the HIV Primary Medical Provider. Assist as a medical navigator between the patient and the medical clinic. Assists with medical authorizations and prescriptions assistance programs as requested. Submits timely and accurate monthly billing documentation in accordance with grant standards. Document each component of the case management process and related activities in accordance with Local, State, and Federal grant standards and departmental guidelines. Attends and participates in activities related to compliance, audits, meetings, and local and state planning bodies. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

• Master’s degree in counseling, Social Work, or related field and current licensure as LMHC or LCSW or associate or bachelor’s degree in nursing with active RN or LPN license in good standing.
• Three years of HIV prevention/intervention experience
• Please refer to state requirements per jurisdiction
• Must be able to pass a Level I and Level II Background check as required

Responsibilities

• Screen clients for program eligibility and conduct biannual reassessments for continued enrollment.
• Verify insurance coverage and coordinate required pre-authorizations.
• Develop, implement, and update individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency in all areas of life.
• Acts as liaison between patients and the care team to address identified needs
• Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process
• Performs comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment.
• Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery
• Coordinates client access to primary medical care and treatment. Attend client medical appointments as needed.
• Provide routine medical chart reviews and case conferences with the HIV Primary Medical Provider.
• Assist as a medical navigator between the patient and the medical clinic.
• Assists with medical authorizations and prescriptions assistance programs as requested.
• Submits timely and accurate monthly billing documentation in accordance with grant standards.
• Document each component of the case management process and related activities in accordance with Local, State, and Federal grant standards and departmental guidelines.
• Attends and participates in activities related to compliance, audits, meetings, and local and state planning bodies.

Benefits

• Competitive pay
• Generous paid PTO and Sick time
• 11 Paid Company Holidays
• Paid training and certification support
• Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
• Tuition Reimbursement Plan
• Other voluntary plans are available to support you and your family
• Career growth opportunities in a supportive environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees