Medical Case Manager

Philadelphia Fight • Philadelphia, PA

5d • Onsite

About The Position

Philadelphia FIGHT, a nonprofit community health center in Center City, Philadelphia, is hiring Medical Case Managers to serve patients at its health centers. The role provides short- and long-term medical case management to patients with chronic or complex health conditions and/or socioeconomic vulnerabilities, including conditions affected by social determinants of health, Hepatitis C, and HIV. The position supports Philadelphia FIGHT’s mission to advance health equity and promote community well-being.

This is a full-time, Monday–Friday position with a 9:00 a.m.–5:00 p.m. schedule at 1207 Chestnut Street, Philadelphia, PA 19107. It is FLSA exempt and pays an annual salary of $58,000–$60,000.

Requirements

• Bachelor’s degree in a social services-related field.
• At least 1 year of related experience.
• Basic computer skills for desktop computing, electronic medical records, email, timesheet management, reporting, and internet research, using relevant software such as HRIS and Microsoft Word and Excel.
• Discretion, initiative, and ability to maintain HIPAA compliance.
• Knowledge of de-escalation methods or willingness to be trained in them.
• Ability to exercise good judgment and identify when to escalate issues appropriately.
• Ability to handle stressful situations while providing exceptional customer service.
• Judgment, patience, integrity, organization, and prioritization skills in a multitasking environment.
• Ability to perform basic arithmetic and calculate rates, ratios, and percentages, and to draw and interpret bar graphs.
• Ability to work independently and complete assignments within instructions, established routines, and accepted practices, including OSHA, HIPAA, HRSA, CLIA, and funding-body regulations.
• Strong interpersonal, teamwork, attention-to-detail, dependability, customer-service, time-management, autonomy, and problem-solving skills.
• Strong communication, multitasking, attention-to-detail, and follow-up skills.
• Ability to remain solution-focused and respectful when interacting with staff, coworkers, vendors, and patients.
• Excellent problem-solving and conflict-resolution skills.
• Ability to display a nonjudgmental attitude.

Nice To Haves

• Bilingual Spanish/English skills are strongly preferred.

Responsibilities

• Manage a caseload of clients with chronic or complex health conditions and/or socioeconomic vulnerabilities.
• Identify and advocate for clients’ access to services related to housing, utilities, food, clothing, medication assistance, substance use, and behavioral health.
• Assess uninsured and underinsured clients’ eligibility for Pennsylvania public benefits, including Medicaid, MAWD, CHIP, and SPBP.
• Maintain regular contact with clients according to program requirements, client needs, and care goals.
• Conduct biopsychosocial assessments and develop individualized, goal-oriented, strengths-based service plans at intake; review and update plans quarterly with the care team.
• Assist clients with benefits and enrollment through COMPASS; follow up on applications and advocate with the County Assistance Office.
• Provide trauma-informed therapeutic support, including crisis interventions in collaboration with behavioral health and medical providers.
• Maintain client files and document client interactions accurately and promptly in the electronic medical record, including benefit applications, appointment adherence, treatment plans, medication adherence, and follow-up.
• Identify and advocate for population-specific support services, including gender-affirming care and services for immigrants and clients who are blind, deaf or hard of hearing, or have cognitive abilities or needs requiring support.
• Support clients at medical appointments or during home visits as needed to promote continuity of care.
• Participate in an on-call rotation during regular office hours.
• Serve as a mandated reporter for minor patients when harm is perceived or evident.
• Provide cross-coverage for Health Access Services staff, including Medical Case Managers, Benefits Access Navigators, Assistant Case Managers, and receptionists.
• Follow compliance standards and operational requirements, including training, staff meetings, supervision meetings, and participation in events.
• Assist with special projects, organizational events, and staff coverage as needed; perform other duties assigned to fulfill Philadelphia FIGHT’s mission.

Benefits

• Three weeks of paid time off, increasing to four weeks after the first year.
• 11 paid holidays.
• Medical, dental, vision, and prescription coverage.
• Employer-funded short-term disability coverage.
• Life and accidental death and dismemberment (AD&D) coverage.
• Flexible Spending Accounts (FSA) and Health Reimbursement Arrangements (HRA) with employer contribution.
• 403(b) retirement savings plan, with employer matching up to 4%.
• Discounted education options through partner institution Pierce College.
• Option to contribute to medical discount programs, legal services, charitable contributions, and pet insurance coverage.

What This Job Offers

• Job Type: Full-time